Recommendations for the Evaluation of Left Ventricular Diastolic Function by Echocardiography and for Heart Failure With Preserved Ejection Fraction Diagnosis: An Update From the American Society of Echocardiography

IF 5.4 2区医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS

Journal of the American Society of Echocardiography Pub Date : 2025-07-01 DOI:10.1016/j.echo.2025.03.011

Sherif F. Nagueh MD, FASE (Chair) , Danita Y. Sanborn MD, FASE (Co-Chair) , Jae K. Oh MD, FASE , Bonita Anderson MApplSc, DMU, ACS, FASE, FASA , Kristen Billick BS, ACS, RCS, RDCS, FASE , Genevieve Derumeaux MD, PhD , Allan Klein MD, FASE , Konstantinos Koulogiannis MD, FASE , Carol Mitchell PhD, ACS, RDMS, RDCS, RVT, RT(R), FASE , Amil Shah MD , Kavita Sharma MD , Otto A. Smiseth MD, PhD, Honorary FASE , Teresa S.M. Tsang MD, FASE

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引用次数: 0

Abstract

Echocardiographic assessment of left ventricular (LV) diastolic function is an integral part of the routine evaluation of patients presenting with symptoms of dyspnea or clinical concerns for heart failure. Given the presence of diastolic dysfunction in many cardiovascular diseases, clinical reports should include comments on diastolic function and/or left atrial (LA) pressure whenever possible. Since the publication of the 2016 ASE/EACVI guidelines for assessment of LV diastolic function, new data on additional echocardiographic variables as left atrial strain and their association with LV filling pressures have emerged. Moreover, prognostic data from epidemiologic studies have demonstrated the association of echocardiographic measures with the subsequent development of heart failure. This update provides a contemporary approach for the assessment of LV diastolic function and the estimation of LA pressure in the general population of patients in sinus rhythm referred for echocardiographic evaluation, and in special populations that require deviation from the general approach. The update also discusses the application of echocardiography in the diagnosis of patients with heart failure with preserved LV ejection fraction.

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超声心动图评价左心室舒张功能和保留射血分数诊断心力衰竭的建议：来自美国超声心动图学会的最新消息

超声心动图评估左心室舒张功能是出现呼吸困难症状或心衰临床关注的患者常规评估的一个组成部分。鉴于许多心血管疾病存在舒张功能障碍，临床报告应尽可能包括舒张功能和/或左心房（LA）压的评论。自2016年ASE/EACVI左室舒张功能评估指南发布以来，出现了关于左房应变等超声心动图变量及其与左室充盈压力关联的新数据。此外，流行病学研究的预后数据表明超声心动图测量与心力衰竭的后续发展有关。本次更新提供了一种评估左室舒张功能和左室压的现代方法，适用于普通人群中接受超声心动图评估的窦性心律患者，以及需要偏离常规方法的特殊人群。该更新还讨论了超声心动图在保留左室射血分数的心力衰竭患者诊断中的应用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of the American Society of Echocardiography 医学-心血管系统

CiteScore

9.50

自引率

12.30%

发文量

257

审稿时长

66 days

期刊介绍： The Journal of the American Society of Echocardiography(JASE) brings physicians and sonographers peer-reviewed original investigations and state-of-the-art review articles that cover conventional clinical applications of cardiovascular ultrasound, as well as newer techniques with emerging clinical applications. These include three-dimensional echocardiography, strain and strain rate methods for evaluating cardiac mechanics and interventional applications.