1. Multimodality imaging in patients with heart failure and preserved ejection fraction: an expert consensus document of the European Association of Cardiovascular Imaging
- Author
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Smiseth, Otto A, Morris, Daniel A, Cardim, Nuno, Cikes, Maja, Delgado, Victoria, Donal, Erwan, Flachskampf, Frank A, Galderisi, Maurizio, Gerber, Bernhard, Gimelli, Alessia, Klein, Allan L, Knuuti, Juhani, Lancellotti, Patrizio, Mascherbauer, Julia, Milicic, Davor, Seferovic, Petar, Solomon, Scott, Edvardsen, Thor, Popescu, Bogdan A, Reviewers: This document was reviewed by members of the 2018–2020 EACVI Scientific Documents Committee, UCL - SSS/IREC/CARD - Pôle de recherche cardiovasculaire, UCL - (SLuc) Service de pathologie cardiovasculaire, Oslo University Hospital [Oslo], Charité Campus Virchow-Klinikum (CVK), University of Zagreb, Leiden University Medical Center (LUMC), Universiteit Leiden, Centre d'Investigation Clinique [Rennes] (CIC), Université de Rennes (UR)-Hôpital Pontchaillou-Institut National de la Santé et de la Recherche Médicale (INSERM), Laboratoire Traitement du Signal et de l'Image (LTSI), Université de Rennes (UR)-Institut National de la Santé et de la Recherche Médicale (INSERM), CHU Pontchaillou [Rennes], Uppsala University Hospital, 'Federico II' University of Naples Medical School, Cliniques universitaires St Luc [Bruxelles], Université Catholique de Louvain = Catholic University of Louvain (UCL), Fondazione Toscana Gabriele Monasterio, Cleveland Clinic, University of Turku, Université de Liège, Clinical Center of Serbia (KCS), Brigham & Women’s Hospital [Boston] (BWH), Harvard Medical School [Boston] (HMS), University of Medicine and Pharmacy 'Carol Davila' Bucharest (UMPCD), Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Hôpital Pontchaillou-Institut National de la Santé et de la Recherche Médicale (INSERM), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Institut National de la Santé et de la Recherche Médicale (INSERM), Clinical sciences, Cardio-vascular diseases, and Cardiology
- Subjects
medicine.medical_specialty ,Consensus ,Diastole ,heart failure ,echocardiography ,diastole ,filling pressure ,multimodality imaging ,030204 cardiovascular system & hematology ,Ventricular Function, Left ,MECHANISMS ,Ventricular Dysfunction, Left ,03 medical and health sciences ,0302 clinical medicine ,Internal medicine ,diabetic cardiomyopathy ,medicine ,Humans ,Radiology, Nuclear Medicine and imaging ,In patient ,030212 general & internal medicine ,Heart Failure ,Ejection fraction ,diabetes ,business.industry ,Expert consensus ,Stroke Volume ,General Medicine ,Prognosis ,medicine.disease ,3. Good health ,Heart failure ,Screening ,Cardiology ,[SDV.IB]Life Sciences [q-bio]/Bioengineering ,Cardiology and Cardiovascular Medicine ,business ,Heart failure with preserved ejection fraction - Abstract
Nearly half of all patients with heart failure (HF) have a normal left ventricular (LV) ejection fraction (EF) and the condition is termed heart failure with preserved ejection fraction (HFpEF). It is assumed that in these patients HF is due primarily to LV diastolic dysfunction. The prognosis in HFpEF is almost as severe as in HF with reduced EF (HFrEF). In contrast to HFrEF where drugs and devices are proven to reduce mortality, in HFpEF there has been limited therapy available with documented effects on prognosis. This may reflect that HFpEF encompasses a wide range of different pathological processes, which multimodality imaging is well placed to differentiate. Progress in developing therapies for HFpEF has been hampered by a lack of uniform diagnostic criteria. The present expert consensus document from the European Association of Cardiovascular Imaging (EACVI) provides recommendations regarding how to determine elevated LV filling pressure in the setting of suspected HFpEF and how to use multimodality imaging to determine specific aetiologies in patients with HFpEF.
- Published
- 2021