New and old echographic parameters in heart failure

Giovanni La Canna1, Iside Scarfo'1

  • 1Diagnostica Ecocardiografica Applicata, Dipartimento Cardiovascolare, Humanitas Clinical and Research Center, IRCCS, Milan, Rozzano, Italy.

Insights

Echography (ECHO) is vital for heart failure (HF) diagnosis and prognosis. New ECHO techniques and cardiac filling parameters offer improved patient stratification and personalized treatment strategies beyond ejection fraction (EF).

Area of Science:

  • Cardiology
  • Medical Imaging
  • Biomedical Engineering

Background:

  • Echography (ECHO) is a primary diagnostic tool for heart failure (HF).
  • Current HF classification relies heavily on left ventricular ejection fraction (EF), despite limitations.
  • Accurate disease recognition and stratification are crucial for effective HF management.

Purpose of the Study:

  • To highlight the role of ECHO in HF diagnosis and prognosis.
  • To explore how cardiac filling parameters and novel ECHO-derived metrics can refine HF phenotyping.
  • To discuss the potential of advanced ECHO techniques in improving pre-clinical identification and treatment selection for HF patients.

Main Methods:

  • Utilizes conventional echocardiographic parameters for HF classification.
  • Incorporates analysis of cardiac filling parameters to characterize hemodynamic profiles.
  • Leverages new ECHO technologies for assessing cardiac function, such as deformation indices.
  • Employs innovative and automated approaches for analyzing conventional ECHO parameters.

Main Results:

  • Echography is essential for diagnosing and stratifying heart failure patients.
  • Cardiac filling parameters aid in characterizing HF subtypes and guiding therapy.
  • Novel ECHO parameters, like deformation indices, offer potential to refine HF classification beyond EF.
  • Technological advancements enable rapid analysis of ECHO data, opening new treatment perspectives.

Conclusions:

  • Echography remains a cornerstone in heart failure management.
  • Advanced ECHO techniques and parameters promise more precise patient phenotyping and personalized treatment.
  • Innovative automated ECHO analysis facilitates quicker insights and improved therapeutic strategies for HF.

Related Concept Videos

Pathophysiology of Heart Failure01:17

Pathophysiology of Heart Failure

Heart failure (HF) is a progressive syndrome involving ventricles that leads to inadequate cardiac output. It can be classified based on location and output or ejection fraction. Ejection fraction (EF) is an essential measurement in the diagnosis and surveillance of HF. Reduced EF corresponds to systolic heart failure (HFrEF). However, HF with preserved ejection fraction (HFpEF) is becoming increasingly prevalent. Also known as diastolic HF, this form of HF is related to aging. The...
2.2K
Imaging Studies for Cardiovascular System I:Echocardiography01:17

Imaging Studies for Cardiovascular System I:Echocardiography

Cardiac imaging studies encompass a wide range of noninvasive and minimally invasive techniques designed to visualize the heart's structure and function in detail. One such technique is echocardiography, which uses high-frequency ultrasound waves to produce detailed images of the heart, known as echocardiograms.
Indications: Echocardiography is utilized to diagnose heart failure, valve disorders, and myocardial infarction. It also assesses cardiac structures' size, shape, and motion,...
602
Heart Failure II: Pathophysiology01:29

Heart Failure II: Pathophysiology

Systolic Heart Failure and Compensatory MechanismsSystolic heart failure (also termed HFrEF, Heart Failure with Reduced Ejection Fraction) is the most prevalent type of heart filure. It results in a decreased volume of blood being pumped from the ventricle. The aortic arch and carotid sinuses have baroreceptors that detect reduced blood pressure, triggering the sympathetic nervous system (SNS) to release epinephrine and norepinephrine. Initially, this response aims to boost heart rate and...
370
Imaging Studies for Cardiovascular System II:Types of Echocardiography01:20

Imaging Studies for Cardiovascular System II:Types of Echocardiography

Echocardiography plays a role in assessing cardiac health and detecting heart conditions, with various types providing critical insights for diagnosis and treatment.
Types of Echocardiography
Transthoracic Echocardiography (TTE)
TTE is the most common type of echocardiogram which involves placing a transducer on the patient's chest, emitting sound waves to create heart images. TTE is invaluable for evaluating the heart's size, structure, and motion, making it particularly useful for...
496
Heart Failure IV: Classification and Diagnostic Evaluation01:30

Heart Failure IV: Classification and Diagnostic Evaluation

Heart failure can be classified in various ways, with the most common classifications based on physical activity limitations, disease progression, severity, and treatment strategies.The Functional Classification of Heart Failure divides patients into four categories based on physical activity limitation due to symptom burden.Class I: Patients in this class have cardiac disease but no physical activity limitations. Ordinary activities like walking, climbing stairs, or routine tasks do not cause...
156
Heart Failure I: Introduction01:27

Heart Failure I: Introduction

Heart failure refers to a clinical syndrome caused by structural or functional cardiac disorders that prevent the heart from pumping an adequate amount of blood to meet the body's metabolic needs. This condition often arises from myocardial infarction or ischemia, leading to decreased cardiac output, reduced tissue perfusion, impaired gas exchange, fluid volume imbalance, and decreased functional ability.Heart failure can result from disruptions in the mechanisms that regulate cardiac output...
395