Failure to unmask pseudonormal diastolic function by a valsalva maneuver: Tricuspid insufficiency is a major factor

Circulation: Cardiovascular Imaging

Volumn 4, Issue 6, 2011, Pages 671-677

  Hu, Kai ^a   Liu, Dan ^a   Niemann, Markus ^a   Hatle, Liv ^d   Herrmann, Sebastian ^a   Voelker, Wolfram ^a   Ertl, Georg ^a   Bijnens, Bart ^b,c   Weidemann, Frank ^a  

^a UNIVERSITY HOSPITAL WÜRZBURG   (Germany)

^b UNIVERSITAT POMPEU FABRA   (Spain)

^c Comprehensive Heart Failure Center ^*

^d NORWEGIAN UNIVERSITY OF SCIENCE AND TECHNOLOGY   (Norway)

Author keywords

Diastolic function; E A inversion; Tricuspid insufficiency; Valsalva maneuver

Indexed keywords

ADULT; AGED; ARTICLE; CLINICAL ARTICLE; DIASTOLE; DISEASE SEVERITY; DOPPLER ECHOCARDIOGRAPHY; EARLY MITRAL FLOW VELOCITY; FEMALE; FLOW RATE; HEART HEMODYNAMICS; HEART VENTRICLE FILLING; HUMAN; LATE MITRAL FLOW VELOCITY; MALE; MORPHOLOGY; PRIORITY JOURNAL; PSEUDONORMAL FILLING PATTERN; TRICUSPID VALVE REGURGITATION; VALSALVA MANEUVER;

AGED; BLOOD FLOW VELOCITY; COHORT STUDIES; ECHOCARDIOGRAPHY, DOPPLER, COLOR; FEMALE; HEART FAILURE, DIASTOLIC; HEMODYNAMICS; HUMANS; MALE; MIDDLE AGED; SENSITIVITY AND SPECIFICITY; SEVERITY OF ILLNESS INDEX; TRICUSPID VALVE INSUFFICIENCY; VALSALVA MANEUVER;

EID: 82955173685     PISSN: 19419651     EISSN: 19420080     Source Type: Journal    
DOI: 10.1161/CIRCIMAGING.111.966457     Document Type: Article

References (27)

1. Gabriel RS, Klein AL. Modern evaluation of left ventricular diastolic function using Doppler echocardiography. Curr Cardiol Rep. 2009;11: 231-238.
2. Appleton CP, Firstenberg MS, Garcia MJ, Thomas JD. The echo-Doppler evaluation of left ventricular diastolic function: a current perspective. Cardiol Clin. 2000;18:513-546.
3. Nishimura RA, Tajik AJ. Evaluation of diastolic filling of left ventricle in health and disease: Doppler echocardiography is the clinician's Rosetta stone. J Am Coll Cardiol. 1997;30:8-18. (Pubitemid 27357121)
4. Ommen SR, Nishimura RA, Appleton CP, Miller FA, Oh JK, Redfield MM, Tajik AJ. Clinical utility of Doppler echocardiography and tissue Doppler imaging in the estimation of left ventricular filling pressures: a comparative simultaneous Doppler-catheterization study. Circulation. 2000;102:1788-1794.
5. Stainback RF. Congestive heart failure arising from diastolic dysfunction in the presence of normal left-ventricular systolic function. Tex Heart Inst J. 1999;26:34-41. (Pubitemid 29174052)
6. Dumesnil JG, Gaudreault G, Honos GN, Kingma JG Jr. Use of Valsalva maneuver to unmask left ventricular diastolic function abnormalities by Doppler echocardiography in patients with coronary artery disease or systemic hypertension. Am J Cardiol. 1991;68:515-519.
7. Brunner-La Rocca HP, Rickli H, Attenhofer Jost CH, Jenni R. Left ventricular end-diastolic pressure can be estimated by either changes in transmitral inflow pattern during Valsalva maneuver or analysis of pulmonary venous flow. J Am Soc Echocardiogr. 2000;13:599-607. (Pubitemid 30418896)
8. Paulus WJ, Tschöpe C, Sanderson JE, Rusconi C, Flachskampf FA, Rademakers FE, Marino P, Smiseth OA, De Keulenaer G, Leite-Moreira AF, Borbély A, E des I, Handoko ML, Heymans S, Pezzali N, Pieske B, Dickstein K, Fraser AG, Brutsaert DL. How to diagnose diastolic heart failure: a consensus statement on the diagnosis of heart failure with normal left ventricular ejection fraction by the heart failure and echocardiography associations of the European Society of Cardiology. Eur Heart J. 2007;28:2539-2550. (Pubitemid 47614269)
9. Dini FL, Michelassi C, Micheli G, Rovai D. Prognostic value of pulmonary venous flow Doppler signal in left ventricular dysfunction: contribution of the difference in duration of pulmonary venous and mitral flow at atrial contraction. J Am Coll Cardiol. 2000;36:1295-1302.
10. Nagueh SF, Appleton CP, Gillebert TC, Marino PN, Oh JK, Smiseth OA, Waggoner AD, Flachskampf FA, Pellikka PA, Evangelisa A. Recommendations for the evaluation of left ventricular diastolic function by echocardiography. Eur J Echocardiogr. 2009;10:165-193.
11. Nagueh SF, Appleton CP, Gillebert TC, Marino PN, Oh JK, Smiseth OA, Waggoner AD, Flachskampf FA, Pellikka PA, Evangelista A. Recommendations for the evaluation of left ventricular diastolic function by echocardiography. J Am Soc Echocardiogr. 2009;22:107-133.
12. Mondillo S, Galderisi M, Ballo P, Marino PN. Left ventricular systolic longitudinal function: comparison among simple m-mode, pulsed, and M-mode color tissue Doppler of mitral annulus in healthy individuals. J Am Soc Echocardiogr. 2006;19:1085-1091. (Pubitemid 44301804)
13. Samad BA, Alam M, Jensen-Urstad K. Prognostic impact of right ventricular involvement as assessed by tricuspid annular motion in patients with acute myocardial infarction. Am J Cardiol. 2002;90:778-781. (Pubitemid 35279405)
14. Miyatake K, Okamoto M, Kinoshita N, Ohta M, Kozuka T, Sakakibara H, Nimura Y. Evaluation of tricuspid regurgitation by pulsed Doppler and two-dimensional echocardiography. Circulation. 1982;66:777-784. (Pubitemid 12015062)
15. Brunner-La Rocca HP, Helena Attenhofer C, Jenni R. Can the extent of change of the left ventricular Doppler inflow pattern during the Valsalva maneuver predict an elevated left ventricular end diastolic pressure? Echocardiography. 1998;15:211-218. (Pubitemid 28196702)
16. Weidemann F, Niemann M, Herrmann S, Kung M, Störk S, Waller C, Beer M, Breunig F, Wanner C, Voelker W, Ertl G, Bijnens B, Strotmann JM. A new echocardiographic approach for the detection of nonischaemic fibrosis in hypertrophic myocardium. Eur Heart J. 2007;28: 3020-3026. (Pubitemid 350262257)
17. Dalen H, Thorstensen A, Aase SA, Ingul CB, Torp H, Vatten LJ, Stoylen A. Segmental and global longitudinal strain and strain rate based on echocardiography of 1266 healthy individuals: the Hunt Study in Norway. Eur J Echocardiogr. 2010;11:176-183.
18. Teske AJ, De Boeck BW, Olimulder M, Prakken NH, Doevendans PA, Cramer MJ. Echocardiographic assessment of regional right ventricular function: a head-to-head comparison between 2-dimensional and tissue Doppler-derived strain analysis. J Am Soc Echocardiogr. 2008;21: 275-283. (Pubitemid 351296416)
19. Mor-Avi V, Lang RM, Badano LP, Belohlavek M, Cardim NM, Derumeaux G, Galderisi M, Marwick T, Nagueh SF, Sengupta PP, Sicari R, Smiseth OA, Smulevitz B, Takeuchi M, Thomas JD, Vannan M, Voigt JU, Zamorano JL. Current and evolving echocardiographic techniques for the quantitative evaluation of cardiac mechanics: ASE/EAE consensus statement on methodology and indications endorsed by the Japanese Society of Echocardiography. Eur J Echocardiogr. 2011;12:167-205.
20. Nishimura RA, Tajik AJ. The Valsalva maneuver-3 centuries later. Mayo Clin Proc. 2004;79:577-578.
21. Wijbenga AAM, Mosterd A, Kasprzak JD, Ligthart JM, Vletter WB, Balk AH, Roelandt JR. Potentials and limitations of the Valsalva maneuver as a method of differentiating between normal and pseudonormal left ventricular filling patterns. Am J Cardiol. 1999;84:76-81. (Pubitemid 29307644)
22. Pfleger S, Konstantin Haase K, Stark S, Latsch A, Simonis B, Scherhag A, Schumacher B, Voelker W, Borggrefe M. Haemodynamic quantification of different provocation manoeuvres by simultaneous measurement of right and left atrial pressure: implications for the echocardiographic detection of persistent foramen ovale. Eur J Echocardiogr. 2001;2:88-93. (Pubitemid 32677328)
23. Alam M, Höglund C. Assessment by echocardiogram of left ventricular diastolic function in healthy subjects using the atrioventricular plane displacement. Am J Cardiol. 1992;69:565-568.
24. Zile MR, Brutsaert DL. New concepts in diastolic dysfunction and diastolic heart failure, I: diagnosis, prognosis, and measurements of diastolic function. Circulation. 2002;105:1387.
25. Yu CM, Lin H, Yang H, Kong SL, Zhang Q, Lee SWL. Progression of systolic abnormalities in patients with "isolated" diastolic heart failure and diastolic dysfunction. Circulation. 2002;105:1195.
26. Clements IP. Combined systolic and diastolic dysfunction in the presence of preserved left ventricular ejection fraction. Eur J Heart Fail. 2005;7: 490-497. (Pubitemid 40732977)
27. Sahn DJ. Instrumentation and physical factors related to visualization of stenotic and regurgitant jets by Doppler color flow mapping. J Am Coll Cardiol. 1988;12:1354-1365.