Heart failure with preserved ejection fraction (HFpEF) is a widely heterogeneous clinical condition. Left ventricular diastolic dysfunction is the leading etiology of HFpEF, but there might be patients presenting with a predominant disease of the left atrium (LA). We report a case of HFpEF secondary to a stiff LA, in which we corroborated invasive hemodynamic assessment with LA strain analysis. Pathognomonic, tall V-waves were observed in the wedge position in the absence of mitral regurgitation and with a near-normal QRS-gated, pre-V-wave pressure, indicating that left ventricular diastolic dysfunction was not a major issue in this case. These hemodynamic findings were mirrored by very low LA strain values, compatible with a stiff and noncompliant chamber

Caravita, S., Mariani, D., Blengino, S., Branzi, G., Crotti, L., & Parati, G. (2018). Pulmonary hypertension due to a stiff left atrium: Speckle tracking equivalents of large V-waves. ECHOCARDIOGRAPHY, 35(9), 1464-1466 [10.1111/echo.14117].

Pulmonary hypertension due to a stiff left atrium: Speckle tracking equivalents of large V-waves

Caravita, Sergio
;
MARIANI, DAVIDE;Crotti, Lia;Parati, Gianfranco
2018

Abstract

Heart failure with preserved ejection fraction (HFpEF) is a widely heterogeneous clinical condition. Left ventricular diastolic dysfunction is the leading etiology of HFpEF, but there might be patients presenting with a predominant disease of the left atrium (LA). We report a case of HFpEF secondary to a stiff LA, in which we corroborated invasive hemodynamic assessment with LA strain analysis. Pathognomonic, tall V-waves were observed in the wedge position in the absence of mitral regurgitation and with a near-normal QRS-gated, pre-V-wave pressure, indicating that left ventricular diastolic dysfunction was not a major issue in this case. These hemodynamic findings were mirrored by very low LA strain values, compatible with a stiff and noncompliant chamber
No
Articolo in rivista - Articolo scientifico
Scientifica
diastolic dysfunction; heart failure; left atrium; pulmonary hypertension; strain
English
Caravita, S., Mariani, D., Blengino, S., Branzi, G., Crotti, L., & Parati, G. (2018). Pulmonary hypertension due to a stiff left atrium: Speckle tracking equivalents of large V-waves. ECHOCARDIOGRAPHY, 35(9), 1464-1466 [10.1111/echo.14117].
Caravita, S; Mariani, D; Blengino, S; Branzi, G; Crotti, L; Parati, G
File in questo prodotto:
File Dimensione Formato  
Caravita 2018.pdf

Solo gestori archivio

Tipologia di allegato: Publisher’s Version (Version of Record, VoR)
Dimensione 543.72 kB
Formato Adobe PDF
543.72 kB Adobe PDF   Visualizza/Apri   Richiedi una copia

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/10281/214121
Citazioni
  • Scopus 1
  • ???jsp.display-item.citation.isi??? 0
Social impact