Left Ventricular Deformation and Vortex Analysis in Heart Failure: From Ultrasound Technique to Current Clinical Application

Heart failure (HF) is a leading cause of cardiovascular morbidity and mortality. However, its symptoms and signs are not specific or can be absent. In this context, transthoracic echocardiography plays a key role in diagnosing the various forms of HF, guiding therapeutic decision making and monitori...

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Main Authors: Simona Sperlongano, Antonello D’Andrea, Donato Mele, Vincenzo Russo, Valeria Pergola, Andreina Carbone, Federica Ilardi, Marco Di Maio, Roberta Bottino, Francesco Giallauria, Eduardo Bossone, Paolo Golino
Format: Article
Language:English
Published: MDPI AG 2021-05-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/11/5/892
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author Simona Sperlongano
Antonello D’Andrea
Donato Mele
Vincenzo Russo
Valeria Pergola
Andreina Carbone
Federica Ilardi
Marco Di Maio
Roberta Bottino
Francesco Giallauria
Eduardo Bossone
Paolo Golino
author_facet Simona Sperlongano
Antonello D’Andrea
Donato Mele
Vincenzo Russo
Valeria Pergola
Andreina Carbone
Federica Ilardi
Marco Di Maio
Roberta Bottino
Francesco Giallauria
Eduardo Bossone
Paolo Golino
author_sort Simona Sperlongano
collection DOAJ
description Heart failure (HF) is a leading cause of cardiovascular morbidity and mortality. However, its symptoms and signs are not specific or can be absent. In this context, transthoracic echocardiography plays a key role in diagnosing the various forms of HF, guiding therapeutic decision making and monitoring response to therapy. Over the last few decades, new ultrasound modalities have been introduced in the field of echocardiography, aiming at better understanding the morpho-functional abnormalities occurring in cardiovascular diseases. However, they are still struggling to enter daily and routine use. In our review article, we turn the spotlight on some of the newest ultrasound technologies; in particular, analysis of myocardial deformation by speckle tracking echocardiography, and intracardiac flow dynamics by color Doppler flow mapping, highlighting their promising applications to HF diagnosis and management. We also focus on the importance of these imaging modalities in the selection of responses to cardiac resynchronization therapy.
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spelling doaj.art-023dbd5b6a66450382c57fdc6a3a544a2023-11-21T20:04:07ZengMDPI AGDiagnostics2075-44182021-05-0111589210.3390/diagnostics11050892Left Ventricular Deformation and Vortex Analysis in Heart Failure: From Ultrasound Technique to Current Clinical ApplicationSimona Sperlongano0Antonello D’Andrea1Donato Mele2Vincenzo Russo3Valeria Pergola4Andreina Carbone5Federica Ilardi6Marco Di Maio7Roberta Bottino8Francesco Giallauria9Eduardo Bossone10Paolo Golino11Division of Cardiology, Department of Translational Medical Sciences, University of Campania Luigi Vanvitelli, 80131 Naples, ItalyDepartment of Cardiology and Intensive Coronary Care, Umberto I Hospital, Nocera Inferiore, 84014 Salerno, ItalyDepartment of Cardiac Thoracic Vascular Sciences and Public Health, University of Padua Medical School, 35100 Padova, ItalyDivision of Cardiology, Department of Translational Medical Sciences, University of Campania Luigi Vanvitelli, 80131 Naples, ItalyDepartment of Cardiac Thoracic Vascular Sciences and Public Health, University of Padua Medical School, 35100 Padova, ItalyDivision of Cardiology, Department of Translational Medical Sciences, University of Campania Luigi Vanvitelli, 80131 Naples, ItalyDepartment of Advanced Biomedical Sciences, Federico II University of Naples, 80138 Naples, ItalyDivision of Cardiology, Maria SS. Addolorata Hospital, Eboli, 84025 Salerno, ItalyDivision of Cardiology, Department of Translational Medical Sciences, University of Campania Luigi Vanvitelli, 80131 Naples, ItalyDepartment of Translational Medical Sciences, Federico II University of Naples, 80138 Naples, ItalyDivision of Cardiology, “Antonio Cardarelli” Hospital, 80131 Naples, ItalyDivision of Cardiology, Department of Translational Medical Sciences, University of Campania Luigi Vanvitelli, 80131 Naples, ItalyHeart failure (HF) is a leading cause of cardiovascular morbidity and mortality. However, its symptoms and signs are not specific or can be absent. In this context, transthoracic echocardiography plays a key role in diagnosing the various forms of HF, guiding therapeutic decision making and monitoring response to therapy. Over the last few decades, new ultrasound modalities have been introduced in the field of echocardiography, aiming at better understanding the morpho-functional abnormalities occurring in cardiovascular diseases. However, they are still struggling to enter daily and routine use. In our review article, we turn the spotlight on some of the newest ultrasound technologies; in particular, analysis of myocardial deformation by speckle tracking echocardiography, and intracardiac flow dynamics by color Doppler flow mapping, highlighting their promising applications to HF diagnosis and management. We also focus on the importance of these imaging modalities in the selection of responses to cardiac resynchronization therapy.https://www.mdpi.com/2075-4418/11/5/892heart failure (HF)heart failure with preserved ejection fraction (HFpEF)cardiac resynchronization therapy (CRT)speckle tracking echocardiography (STE)left ventricular straincolor Doppler flow mapping (CDFM)
spellingShingle Simona Sperlongano
Antonello D’Andrea
Donato Mele
Vincenzo Russo
Valeria Pergola
Andreina Carbone
Federica Ilardi
Marco Di Maio
Roberta Bottino
Francesco Giallauria
Eduardo Bossone
Paolo Golino
Left Ventricular Deformation and Vortex Analysis in Heart Failure: From Ultrasound Technique to Current Clinical Application
Diagnostics
heart failure (HF)
heart failure with preserved ejection fraction (HFpEF)
cardiac resynchronization therapy (CRT)
speckle tracking echocardiography (STE)
left ventricular strain
color Doppler flow mapping (CDFM)
title Left Ventricular Deformation and Vortex Analysis in Heart Failure: From Ultrasound Technique to Current Clinical Application
title_full Left Ventricular Deformation and Vortex Analysis in Heart Failure: From Ultrasound Technique to Current Clinical Application
title_fullStr Left Ventricular Deformation and Vortex Analysis in Heart Failure: From Ultrasound Technique to Current Clinical Application
title_full_unstemmed Left Ventricular Deformation and Vortex Analysis in Heart Failure: From Ultrasound Technique to Current Clinical Application
title_short Left Ventricular Deformation and Vortex Analysis in Heart Failure: From Ultrasound Technique to Current Clinical Application
title_sort left ventricular deformation and vortex analysis in heart failure from ultrasound technique to current clinical application
topic heart failure (HF)
heart failure with preserved ejection fraction (HFpEF)
cardiac resynchronization therapy (CRT)
speckle tracking echocardiography (STE)
left ventricular strain
color Doppler flow mapping (CDFM)
url https://www.mdpi.com/2075-4418/11/5/892
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