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.

(2018). Pulmonary hypertension due to a stiff left atrium: Speckle tracking equivalents of large V-waves [journal article - articolo]. In ECHOCARDIOGRAPHY. Retrieved from http://hdl.handle.net/10446/188820

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

Caravita, S.;
2018-01-01

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.
articolo
2018
Caravita, Sergio; 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 [journal article - articolo]. In ECHOCARDIOGRAPHY. Retrieved from http://hdl.handle.net/10446/188820
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10446/188820
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