Echocardiographic Advances in Dilated Cardiomyopathy

Overview

Journal J Clin Med

Specialty General Medicine

Date 2021 Dec 10

PMID 34884220

Citations 7

Authors

Andrea Faggiano

Carlo Avallone

Domitilla Gentile

Giovanni Provenzale

Filippo Toriello

Marco Merlo

Gianfranco Sinagra

Stefano Carugo

Affiliations

Soon will be listed here.

Abstract

Although the overall survival of patients with dilated cardiomyopathy (DCM) has improved significantly in the last decades, a non-negligible proportion of DCM patients still shows an unfavorable prognosis. DCM patients not only need imaging techniques that are effective in diagnosis, but also suitable for long-term follow-up with frequent re-evaluations. The exponential growth of echocardiography's technology and performance in recent years has resulted in improved diagnostic accuracy, stratification, management and follow-up of patients with DCM. This review summarizes some new developments in echocardiography and their promising applications in DCM. Although nowadays cardiac magnetic resonance (CMR) remains the gold standard technique in DCM, the echocardiographic advances and novelties proposed in the manuscript, if properly integrated into clinical practice, could bring echocardiography closer to CMR in terms of accuracy and may certify ultrasound as the technique of choice in the follow-up of DCM patients. The application in DCM patients of novel echocardiographic techniques represents an interesting emergent research area for scholars in the near future.

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References

DAndrea A, Caso P, Romano S, Scarafile R, Cuomo S, Salerno G . Association between left atrial myocardial function and exercise capacity in patients with either idiopathic or ischemic dilated cardiomyopathy: a two-dimensional speckle strain study. Int J Cardiol. 2008; 132(3):354-63. DOI: 10.1016/j.ijcard.2007.11.102. View

Sato K, Grant A, Negishi K, Cremer P, Negishi T, Kumar A . Reliability of updated left ventricular diastolic function recommendations in predicting elevated left ventricular filling pressure and prognosis. Am Heart J. 2017; 189:28-39. DOI: 10.1016/j.ahj.2017.03.022. View

Goh V, Le T, Bryant J, Wong J, Su B, Lee C . Novel Index of Maladaptive Myocardial Remodeling in Hypertension. Circ Cardiovasc Imaging. 2017; 10(9). PMC: 5617557. DOI: 10.1161/CIRCIMAGING.117.006840. View

Faggiano A, Santangelo G, Carugo S, Pressman G, Picano E, Faggiano P . Cardiovascular Calcification as a Marker of Increased Cardiovascular Risk and a Surrogate for Subclinical Atherosclerosis: Role of Echocardiography. J Clin Med. 2021; 10(8). PMC: 8069968. DOI: 10.3390/jcm10081668. View

Dokainish H, Sengupta R, Pillai M, Bobek J, Lakkis N . Usefulness of new diastolic strain and strain rate indexes for the estimation of left ventricular filling pressure. Am J Cardiol. 2008; 101(10):1504-9. DOI: 10.1016/j.amjcard.2008.01.037. View

Montant P, Chenot F, Goffinet C, Poncelet A, Vancraeynest D, Pasquet A . Detection and quantification of myocardial scars by contrast-enhanced 3D echocardiography. Circ Cardiovasc Imaging. 2010; 3(4):415-23. DOI: 10.1161/CIRCIMAGING.109.912477. View

Playford D, Strange G, Celermajer D, Evans G, Scalia G, Stewart S . Diastolic dysfunction and mortality in 436 360 men and women: the National Echo Database Australia (NEDA). Eur Heart J Cardiovasc Imaging. 2020; 22(5):505-515. PMC: 8081414. DOI: 10.1093/ehjci/jeaa253. View

Gaibazzi N, Tuttolomondo D, Guaricci A, Di Giannuario G . Pulse-Cancellation Echocardiography for Clinical Evaluation of Myocardial Scar Burden. Curr Cardiol Rep. 2021; 23(8):100. DOI: 10.1007/s11886-021-01532-0. View

Golba K, Mokrzycki K, Drozdz J, Cherniavsky A, Wrobel K, Roberts B . Mechanisms of functional mitral regurgitation in ischemic cardiomyopathy determined by transesophageal echocardiography (from the Surgical Treatment for Ischemic Heart Failure Trial). Am J Cardiol. 2013; 112(11):1812-8. PMC: 3830629. DOI: 10.1016/j.amjcard.2013.07.047. View

10.

Tribouilloy C, Shen W, Rey J, Adam M, Lesbre J . Mitral to aortic velocity-time integral ratio. A non-geometric pulsed-Doppler regurgitant index in isolated pure mitral regurgitation. Eur Heart J. 1994; 15(10):1335-9. DOI: 10.1093/oxfordjournals.eurheartj.a060390. View

11.

Falk R, Foster E, Coats M . Ventricular thrombi and thromboembolism in dilated cardiomyopathy: a prospective follow-up study. Am Heart J. 1992; 123(1):136-42. DOI: 10.1016/0002-8703(92)90757-m. View

12.

Lancaster M, Omar A, Narula S, Kulkarni H, Narula J, Sengupta P . Phenotypic Clustering of Left Ventricular Diastolic Function Parameters: Patterns and Prognostic Relevance. JACC Cardiovasc Imaging. 2018; 12(7 Pt 1):1149-1161. DOI: 10.1016/j.jcmg.2018.02.005. View

13.

Shameer K, Johnson K, Glicksberg B, Dudley J, Sengupta P . Machine learning in cardiovascular medicine: are we there yet?. Heart. 2018; 104(14):1156-1164. DOI: 10.1136/heartjnl-2017-311198. View

14.

Singh S, Goyal A . The origin of echocardiography: a tribute to Inge Edler. Tex Heart Inst J. 2008; 34(4):431-8. PMC: 2170493. View

15.

Suffoletto M, Dohi K, Cannesson M, Saba S, Gorcsan 3rd J . Novel speckle-tracking radial strain from routine black-and-white echocardiographic images to quantify dyssynchrony and predict response to cardiac resynchronization therapy. Circulation. 2006; 113(7):960-8. DOI: 10.1161/CIRCULATIONAHA.105.571455. View

16.

Tossavainen E, Henein M, Gronlund C, Lindqvist P . Left Atrial Intrinsic Strain Rate Correcting for Pulmonary Wedge Pressure Is Accurate in Estimating Pulmonary Vascular Resistance in Breathless Patients. Echocardiography. 2016; 33(8):1156-65. DOI: 10.1111/echo.13226. View

17.

Kusunose K, Haga A, Yamaguchi N, Abe T, Fukuda D, Yamada H . Deep Learning for Assessment of Left Ventricular Ejection Fraction from Echocardiographic Images. J Am Soc Echocardiogr. 2020; 33(5):632-635.e1. DOI: 10.1016/j.echo.2020.01.009. View

18.

Tatsumi K, Tanaka H, Tsuji T, Kaneko A, Ryo K, Yamawaki K . Strain dyssynchrony index determined by three-dimensional speckle area tracking can predict response to cardiac resynchronization therapy. Cardiovasc Ultrasound. 2011; 9:11. PMC: 3087673. DOI: 10.1186/1476-7120-9-11. View

19.

Gurel E, Tigen K, Karaahmet T, Dundar C, Guler A, Basaran Y . Apical transverse motion is associated with speckle-tracking radial dyssynchrony in patients with non-ischemic dilated cardiomyopathy. Anatol J Cardiol. 2015; 15(8):620-5. PMC: 5336861. DOI: 10.5152/akd.2014.5607. View

20.

Mahmood F, Karthik S, Subramaniam B, Panzica P, Mitchell J, Lerner A . Intraoperative application of geometric three-dimensional mitral valve assessment package: a feasibility study. J Cardiothorac Vasc Anesth. 2008; 22(2):292-8. DOI: 10.1053/j.jvca.2007.12.014. View