can we predict clinical outcome in hfref based on lv ... · makoto saito et al. j am soc...
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Can We Predict Clinical Outcome inHFrEF Based on LV Global
Longitudinal Strain?
I.A. Paraskevaidis
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I have no Conflict of Interest
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ESC Guidelines, EHJ, 2016
ESC GUIDELINES, 2016
E. Potter et al. J Am Coll Cardiol Img 2018;11:260–74
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Variability EF vs. GLS
A.L. Crowley et al. JASE 2016;29:1144-54.) T. Stanton et al. Circ Cardiovasc Imaging. 2009;2:356-364
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S.Mak et al,. JASE 2012;25:341-8
Cardiac Function
S.Mak et al. J Am Soc Echocardiogr 2012;25:341-8T. Stanton et al. Circ Cardiovasc Imaging. 2009;2:356-364
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Right ventricle
TA velocities >11,5 cm/s suggests ΚΕ 45%
IVC < 2.52 m/s2 prognostic index of death
Pulse Tissue Doppler Imaging
I. Paraskevaidis et al. Am J Cardiol 2007;100:1677–1682I. Paraskevaidis et al. JASE 2006;19:249-254I.Paraskevaidis et al International J
Cardiology 2008 ;124:64–71
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S.Mak et al,. JASE 2012;25:341-8
Cardiac Function
I.A.Paraskevaidis et al. Am J Cardiol 2008; 102:1225–1229
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G-Y Cho et al. J Am Coll Cardiol 2009;54:618–24
Global 2-Dimensional Strain as a NewPrognosticator in Pts With HF
H. Motoki et al. J Am Coll Cardiol 2012;60:2074–81
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H. Motoki et al. J Am Coll Cardiol 2012;60:2074–81
LV GLS and LVEF in HFrEF
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Multidimensional Cardiac Deformation Predict Functional Capacity in pts with Advanced Systolic HF
Paraskevaidis I et al,. International J Cardiology 2014;176:1438–1440
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M.Sengeløv et al. JACC Cardiovasc Imaging. 2015 Dec;8(12):1351-1359
GLS Is a Superior Predictor of All-Cause Mortality in HFrEF
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Association of LV Strain with 30-DayMortality and Readmission in Patients with HF
Makoto Saito et al. J Am Soc Echocardiogr 2015;28:652-66
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GLS and long-term risk of incident HF
GLS provided incremental prognostic information beyond the Framingham Risk Score, the SCORE risk chart and the modified ACC/AHA Pooled Cohort Equation for the composite outcome and incident HF.
Tor Biering-Sørensen et al. Circ Cardiovasc Imaging. 2017 March ; 10(3
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Paraskevaidis I et al JASE 2017 , doi: 10.1016/j.echo.2017.07.010
Following ChemotherapyTherapeutic Guidance
1-mo
3-mo
1-year
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In-Chang Hwang et al J Am Soc Echocardiogr 2018;31:52-63
In LBBB In AS
NS
Arnold C.T. Ng et al. EHJ - Cardiovascular Imaging , 2017, 0, 1–9
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E. Potter et al. J Am Coll Cardiol Img 2018;11:260–74
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Additional Prognostic Value of RV GLS for Prediction of Survival in HFrEF
A Comparative Study With CMR
L. Houard et al. JACC Img 2019 Feb 11. pii: S1936-878X(19)30052-X.H. Motoki et al. J Am Soc Echocardiogr 2014;27:726-32
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EACVI NORRE study EHJ - Cardiovascular Imaging ;2017: 0, 1–8
C. Zito et al. Biomed Res Int. 2018 Dec 5;2018:8979407 Expert consensus. EHJ – Cardiovascular Imaging 2014; 15: 1063–1093
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Conclusion
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