EACVI survey on the evaluation of left ventricular diastolic function. (10th May 2021)

• Record Type: Journal Article
• Authors: Sitges, Marta; Ajmone Marsan, Nina; Cameli, Matteo; D'Andrea, Antonello; Carvalho, Ricardo Fontes; Holte, Espen; Michalski, Blazej; Podlesnikar, Tomaz; Popescu, Bogdan A; Schulz-Menger, Jeanette; Stankovic, Ivan; Haugaa, Kristina H; Dweck, Marc R
• Is Part Of: European heart journal. Volume 22:Number 10(2021)
• Page Start: 1098
• Page End: 1105
• Publication Date: 2021-05-10
• Subjects: EACVI survey -- left ventricular -- heart failure -- diastolic function -- atrial fibrillation; Cardiovascular system -- Imaging -- Periodicals; Heart -- Imaging -- Periodicals; 616.10754
• DOI: 10.1093/ehjci/jeab087
• Languages: English
• ISSNs: 2047-2404

Abstract

Abstract: Aims: The aim of this study is to analyse how current recommendations on left ventricular (LV) diastolic function assessment have been adopted. Identifying potential discrepancies between recommendations and everyday clinical practice would enable us to better understand and address the remaining challenges in this controversial and complex field. Methods and results: A total of 93 centres, mainly from tertiary care settings, responded to the survey. More than three-quarters (77%) of centres follow the 2016 ASE/EACVI recommendations for LV diastolic function evaluation in patients with preserved ejection fraction based upon e ′, E / e ′, tricuspid regurgitation velocity, and left atrial (LA) volume. These recommendations were generally preferred to the previous 2009 version. Many centres also consider strain assessments in the LV (48%) and left atrium (53%) as well as diastolic stress echocardiography (33%) to be useful as additional assessments of LV diastolic function. Echocardiographic assessments of LV diastolic function were used frequently to guide therapy in 72% of centres. Conclusion: There is widespread adoption of current recommendation on the evaluation of LV diastolic function and these are frequently used to guide patient management. Many centres now also consider LV and LA strain assessments useful in the clinical assessment of diastolic function. These may be considered in future recommendations. Graphical Abstract: