Clinical Physiology of Circulation

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, President of Bakoulev National Medical Research Center for Cardiovascular Surgery


Echocardiography in early diagnosis of diastolic heart failure after surgical treatment of acquired valvular heart disease

Authors: N.O. Sokol’skaya, N.S. Kopylova, A.V. Ivanov

Company:
Bakoulev National Medical Research Center for Cardiovascular Surgery, Ministry of Health of the Russian Federation, Rublevskoe shosse, 135, Moscow, 121552, Russian Federation

E-mail: Сведения доступны для зарегистрированных пользователей.

DOI: https://doi.org/10.24022/1814-6910-2018-15-2-115-125

UDC: 616.12-008.46:616.12-007.1]-073.43-089.168

Link: Clinical Physiology of Blood Circulaiton. 2018; 15 (2): 115-125

Quote as: Sokol’skaya N.O., Kopylova N.S., Ivanov A.V. Echocardiography in early diagnosis of diastolic heart failure after surgical treatment of acquired valvular heart disease. Klinicheskaya Fiziologiya Krovoobrashcheniya (Clinical Physiology of Circulation, Russian journal). 2018; 15 (2): 115–25 (in Russ.). DOI: 10.24022/1814-6910-2018-15-2-115-125

Received / Accepted:  18.09.2017/02.10.2017

Full text:  

Abstract

Objective – to assess the ability of the complex echocardiography in the diagnosis of the diastolic left ventricular dys- function in the early postoperative period in patients with acquired valvular heart disease.
Material and methods. In our study, 38 patients with acquired valvular heart disease were analyzed by tissue Doppler imaging in the early postoperative period. All of them had the normal pumping function, but were complicated with low left ventricular volumes.
Results. 7 patients had restrictive diastolic dysfunction. In the course of the treatment diastolic function was improved in 5 patients, who, where, transferred from the intensive care unit.
Conclusion. These data suggest that advanced technology of echocardiography can help performed the differential diag- nosis in early postoperative period. Early detection and echocardiographic follow-up of myocardial function allows the adequate management of diastolic heart failure and decreased the mortality and morbidity.

References

  1. Константинов Б.А. Физиологические и клинические основы хирургической кардиологии. Ленинград: Наука; 1981. [Konstantinov B.A. Physiological and clinical foundations of surgical cardiology. Leningrad: Nauka; 1981 (in Russ.).]
  2. Бокерия Л.А., Шаталов К.В. Детская кардиохирургия. Руководство для врачей. М.; 2016. [Bockeria L.A., Shatalov K.V. Pediatric cardiac surgery. A guide for physicians. Moscow; 2016 (in Russ.).]
  3. Рёвер Н., Тиль Х. Атлас по анестезиологии. Пер. с нем. М.: МЕДпресс-информ; 2009. [Rever N., Til’ Kh. Atlas of anesthesiology. Transl. from Ger. Moscow: MEDpress-inform; 2009 (in Russ.).]
  4. Apostolakis Е. Left ventricular diastolic dysfunction of the cardiac surgery patient: a point of view for the cardiac surgeon and cardio-anesthesiologist. J. Cardiothorac. Surg. 2009; 4: 67. DOI: 10.1186/17498090-4-67
  5. Associations of the European Society of Cardiology. How to diagnose diastolic heart failure: a consensus statement on the diagnosis of heart failure with normal left ventricular EF by the heart failure and echocardiography. Eur. Heart J. 2007; 28: 2539–50.
  6. Maharaj R. Diastolic dysfunction and heart failure with a preserved ejection fraction: relevance in critical illness and anaesthesia. J. Saudi Heart Assoc. 2012; 24: 99–121.
  7. Cayli M. Diastolic function predicts outcome after aortic valve replacement in patients with chronic severe aortic regurgitation. Сlin. Cardiol. 2009; 32 (8): E19–23.
  8. Zaid R. Preand post-operative diastolic dysfunction in patients with valvular heart disease. J. Am. Coll. Cardiol. 2013; 62 (Is. 21): 1922–30.
  9. Nishimura R., Tajik A. Evaluation of diastolic filing of left ventricle in health and disease heart: doppler echocardiography is the clinician‘s Rosetta stone. J. Am. Coll. Cardiol. 1997; 30: 8–18.
  10. Villari B., Hess O.M., Kaufmann P., Krogmann O.N., Grim J., Krayenbuehl H.P. Effect of aortic valve stenosis (pressure overload) and regurgitation (volume overload) on left ventricular systolic and diastolic function. Am. J. Cardiol. 1992; 69: 927–34.
  11. Hess O.M. Diastolic dysfunction in aortic stenosis. Circulation. 1993; 87 (Suppl. IV): IV-73–IV-77.
  12. Alsaddique A. Diastolic heart failure after cardiac surgery. Coronary artery disease. Current concepts in epidemiology, pathophysiology, diagnostics and treatment. London: St. George’s Hospital and Medical Scool, University of London; 2012: 229–56.
  13. De Hert S.G., Rodrigus I.E., Haenen L.R., De Mulder P.A., Gillebert T.C. Recovery of systolic and diastolic left ventricular function early after cardiopulmonary bypass. Anesthesiology. 1996; 85: 1063–75.
  14. Алехин М.Н. Ультразвуковые методы оценки деформации миокарда и их клиническое значение. М.: Видар-М; 2012. [Alekhin M.N. Ultrasonic methods of evaluation of myocardium deformation and their clinical value. Moscow: Vidar-M; 2012 (in Russ.).]
  15. Nagueh S.F., Smiseth O.A., Appleton C.P., Byrd B.F., Dokainish H., Edvardsen T. Recommendations for evaluation of left ventricular diastolic function by echocardiography: an update from the American society of echocardiography and the European Association of Cardivascular imaging. J. Am. Soc. Echocardiogr. 2016; 29: 277–314.
  16. Lumb P., Karakitsos D. Critical care ultrasound. Philadelphia: ELSEVER Saunders; 2015.
  17. Vermeiren G.L.J., Malbrain M.L.N.G., Walpot J.M.J.B. Cardiac ultrasonography in the critical care setting: a practical approach to asses cardiac function and preload for the “non-cardiologist”. Anaesthesiol. Intens. Ther. 2015; 47: s89–s104.

About Authors

Sokol’skaya Nadezhda Olegovna, Dr. Med. Sc., Head of the Group of Emergency Ultrasound and Functional Diagnostics; orcid.org/0000-0003-0716-0149
Kopylova Natal’ya Sergeevna, Cand. Med. Sc., Senior Researcher; orcid.org/0000-0003-4308-3283
Ivanov Aleksey Vyacheslavovich, Junior Researcher; orcid.org/0000-0001-5961-892X

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