[Assessment of cardiac insufficiency]
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Updated: Nov 2, 2026

Echocardiographic Assessment Using Subxiphoid-Only Examination for Hypotensive Patients
Published on: April 18, 2025
1Département de Médecine Interne, Hôpital cantonal, Genève.
Insights
Early diagnosis of heart failure using various techniques is crucial. Objective assessment of cardiac dysfunction and its causes can improve patient prognosis by enabling timely treatment.
Area of Science:
- Cardiology
- Clinical Medicine
Background:
- Heart failure is a prevalent clinical syndrome frequently resulting from diverse cardiovascular diseases.
- A poor prognosis is often associated with the advanced stage of congestive heart failure.
Purpose of the Study:
- To review non-invasive and invasive diagnostic techniques for early detection of systolic or diastolic heart failure.
- To emphasize the importance of assessing cardiac dysfunction and its underlying etiology.
Main Methods:
- Discussion of various non-invasive diagnostic modalities.
- Review of invasive diagnostic procedures.
- Assessment of cardiac function and identification of causative factors.
Main Results:
- Objective diagnosis of early-stage systolic or diastolic failure is achievable through described techniques.
- These investigations aid in understanding the extent of cardiac dysfunction.
- Identification of the specific cause of heart failure is facilitated.
Conclusions:
- Early and effective treatment, guided by objective diagnosis, can prevent or delay congestive heart failure.
- Timely intervention based on accurate diagnosis significantly improves patient prognosis.
Abstract:
Heart failure is a common clinical syndrome caused by different cardiovascular diseases. The prognosis is poor once the stage of congestive failure is reached. Several non-invasive and invasive techniques, described in this article, are used to objectively diagnose systolic or diastolic failure at its early stage. These investigations are needed to assess, not only the cardiac dysfunction, but also the underlying cause of the failure. Early and effective treatment should prevent or delay the occurrence of the signs of congestive failure and thus improve the prognosis.
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