Circ Cardiovasc Imaging

Slides:

Advertisements

Similar presentations

Long-term Survival, Valve Durability, and Reoperation for Four Aortic Root + Ascending Procedures Lars G. Svensson, Saila T. Pillai, Jeevanantham Rajeswaran,

Advertisements

Date of download: 5/27/2016 Copyright © The American College of Cardiology. All rights reserved. From: A Randomized Trial to Assess Catheter Ablation Versus.

Date of download: 5/31/2016 Copyright © The American College of Cardiology. All rights reserved. From: Mechanical Dispersion Assessed by Myocardial Strain.

Date of download: 6/25/2016 Copyright © 2016 American Medical Association. All rights reserved. From: BNP-Guided vs Symptom-Guided Heart Failure Therapy:

Table S1. Logistic regression analysis for the variables associated with the degree of change in cTnT between 2 time points (n=89) UnivariateMultivariate.

Date of download: 7/2/2016 Copyright © The American College of Cardiology. All rights reserved. From: Prognostic Value of RV Function Before and After.

Date of download: 7/5/2016 Copyright © 2016 American Medical Association. All rights reserved. From: A Prognostic Risk Index for Long-term Mortality in.

Optimal Noninvasive Assessment of Diastolic Heart Failure in Patients with Atrial Fibrillation: Comparison of Tissue Doppler Echocardiography, Left Atrium.

Circ Arrhythm Electrophysiol

Figure 1 Representative longitudinal strain analysis in an apical two-chamber view. The view is presented in the left panel and the longitudinal strain.

Society of Thoracic Surgeons 2008 cardiac risk models predict in-hospital mortality of heart valve surgery in a Chinese population: A multicenter study

Echocardiographic modalities for evaluation and risk stratification of heart failure patients. 3D indicates 3-dimensional; EF, ejection fraction; LA, left.

Volume 66, Issue 4, Pages (October 2015)

Influence of Afterload on Global and Basal Longitudinal Strain: Comparison of Blood Pressure and Wall Stress Upasana Jarori, M. Waqas Choudhry, Shujaur.

A. Marc Gillinov, MD, Tomislav Mihaljevic, MD, Eugene H

Treatment of Heart Failure With Preserved Ejection Fraction: Have We Been Pursuing the Wrong Paradigm? Gerard O. Oghlakian, MD, Ilke Sipahi, MD, James.

Utility of B-Natriuretic Peptide in Detecting Diastolic Dysfunction

Cardiac Structure and Ventricular–Vascular Function in Persons With Heart Failure and Preserved Ejection Fraction From Olmsted County, Minnesota by Carolyn.

Attenuation of the “White-Coat Effect” by Antihypertensive Treatment and Regression of Target Organ Damage by Gianfranco Parati, Luisa Ulian, Lorena Sampieri,

by Alexander Kulik, Ian G. Burwash, Varun Kapila, Thierry G

Circ Cardiovasc Imaging

by Mario Gössl, Garvan C. Kane, William Mauermann, and David R. Holmes

Influence of Cardiac Surgeon Report Cards on Patient Referral by Cardiologists in New York State After 20 Years of Public Reporting by David L. Brown,

Cardiac Remodeling in Obesity

Circ Cardiovasc Qual Outcomes

Effects of Mineralocorticoid Receptor Antagonists on the Risk of Sudden Cardiac Death in Patients With Left Ventricular Systolic DysfunctionClinical Perspective.

by Clarisse Toledo, George Thomas, Jesse D

Circ Cardiovasc Interv

Circ Cardiovasc Imaging

Generating New Knowledge in Cardiac Interventions

Surgical management of secondary tricuspid valve regurgitation: Annulus, commissure, or leaflet procedure? Jose L. Navia, MD, Edward R. Nowicki, MD,

Left ventricular dysfunction after mitral valve repair—the fallacy of “normal” preoperative myocardial function Eduard Quintana, MD, Rakesh M. Suri,

Changes in Left Ventricular Function After Mitral Valve Repair for Severe Organic Mitral Regurgitation Tomasz G. Witkowski, MD, James D. Thomas, MD,

Sustained Benefits of the CorCap Cardiac Support Device on Left Ventricular Remodeling: Three Year Follow-up Results From the Acorn Clinical Trial Randall.

Brian P. Shapiro, MD, Horng H. Chen, MD, John C

Mitral Valve Surgery in the Adult Marfan Syndrome Patient

Is there an outcome penalty linked to guideline-based indications for valvular surgery? Early and long-term analysis of patients with organic mitral regurgitation

Reoperation After Mitral Valve Repair for Degenerative Disease

Surgical Repair of Posterior Mitral Valve Prolapse: Implications for Guidelines and Percutaneous Repair Douglas R. Johnston, MD, A. Marc Gillinov, MD,

Impact of Left Ventricular Systolic Function on Outcome of Correction of Chronic Severe Aortic Valve Regurgitation: Implications for Timing of Surgical.

Increased Aorto-Mitral Curtain Thickness Independently Predicts Mortality in Patients With Radiation-Associated Cardiac Disease Undergoing Cardiac Surgery

Impact of long-axis function on cardiac surgical outcomes in patients with radiation- associated heart disease Srisakul Chirakarnjanakorn, MD, Zoran B.

Pulmonary fibrosis on multidetector computed tomography and mortality in patients with radiation-associated cardiac disease undergoing cardiac surgery

Raghavendra Paknikar, BS, Jeffrey Friedman, BS, David Cron, BS, G

Simple versus complex degenerative mitral valve disease

A. Marc Gillinov, MD, Eugene H. Blackstone, MD, Edward R

Ahmad Zeeshan, MD, Jay J. Idrees, MD, Douglas R

Understanding right ventricular dysfunction and functional tricuspid regurgitation accompanying mitral valve disease Lina Maria Vargas Abello, MD, Allan.

Treatment of Heart Failure With Preserved Ejection Fraction: Have We Been Pursuing the Wrong Paradigm? Gerard O. Oghlakian, MD, Ilke Sipahi, MD, James.

Matthew Oster et al. JACC 2019;73:

Long-Term Durability of Bicuspid Aortic Valve Repair

Survival Prediction in Patients Undergoing Open-Heart Mitral Valve Operation After Previous Failed MitraClip Procedures Stephan Geidel, MD, Peter Wohlmuth,

Farhang Yazdchi, MD, MS, Colleen G

Outcomes of less invasive J-incision approach to aortic valve surgery

Does the degree of preoperative mitral regurgitation predict survival or the need for mitral valve repair or replacement in patients with anomalous origin.

Outcomes of a Less-Invasive Approach for Proximal Aortic Operations

Determinants of Left Ventricular Dysfunction After Repair of Chronic Asymptomatic Mitral Regurgitation Vincent Chan, MD, MPH, Marc Ruel, MD, MPH, Elsayed.

Bar chart of systolic function in healthy individuals, HCM LVH− patients and HCM LVH+ patients. GLS was significantly worse in the HCM LVH+ patients compared.

Long-Term Outcome of Arterial Switch Operation Conversion After Failed Senning/Mustard Procedure Takuya Maeda, MD, Takahiko Sakamoto, MD, Mitsugi Nagashima,

Lars G. Svensson, MD, PhD, Fernando A. Atik, MD, Delos M

Early left ventricular regional contractile impairment in chronic mitral regurgitation occurs in a consistent, heterogeneous pattern Hersh S. Maniar,

Characteristics and long-term outcomes of contemporary patients with bicuspid aortic valves Ahmad Masri, MD, Vidyasagar Kalahasti, MD, Saqer Alkharabsheh,

Turki B. Albacker, MD, MSc, Eugene H. Blackstone, MD, Sarah J

Michael Chenier, MD, MPH, Krishna K. Patel, MD, Lars G

When we compared cardiac volumes (ED and ES) between those with high BNP levels (BNP >400 pg/mL) and low BNP (

Echocardiographic Predictors of Left Ventricular Function and Clinical Outcomes After Successful Mitral Valve Repair: Conventional Two-Dimensional Versus.

Prosthesis–patient mismatch after aortic valve replacement predominantly affects patients with preexisting left ventricular dysfunction: Effect on survival,

Time to first event analysis revealed a significant difference in estimated event-free (death or hospitalisation) survival between patients with left ventricular.

David H. Harpole, MD, Stanley A. Gall, MD, Walter G. Wolfe, MD, J

Overall survival in all cases.

Presentation transcript:

Circ Cardiovasc Imaging Synergistic Utility of Brain Natriuretic Peptide and Left Ventricular Global Longitudinal Strain in Asymptomatic Patients With Significant Primary Mitral Regurgitation and Preserved Systolic Function Undergoing Mitral Valve SurgeryCLINICAL PERSPECTIVE by Alaa Alashi, Amgad Mentias, Krishna Patel, A. Marc Gillinov, Joseph F. Sabik, Zoran B. Popović, Tomislav Mihaljevic, Rakesh M. Suri, L. Leonardo Rodriguez, Lars G. Svensson, Brian P. Griffin, and Milind Y. Desai Circ Cardiovasc Imaging Volume 9(7):e004451 June 24, 2016 Copyright © American Heart Association, Inc. All rights reserved.

An illustrative example of left ventricular global longitudinal strain assessment in 4-chamber view, obtained from a patient in the study sample. An illustrative example of left ventricular global longitudinal strain assessment in 4-chamber view, obtained from a patient in the study sample. Global strain values represent an average of values obtained from various left ventricular segments. Alaa Alashi et al. Circ Cardiovasc Imaging. 2016;9:e004451 Copyright © American Heart Association, Inc. All rights reserved.

Prognostic utility of incrementally adding log-transformed brain natriuretic peptide (lnBNP) and left ventricular global longitudinal strain (LV-GLS) to a clinical model (Society of Thoracic Surgeons score [STS] and right ventricular systolic pressure [RVSP]). Prognostic utility of incrementally adding log-transformed brain natriuretic peptide (lnBNP) and left ventricular global longitudinal strain (LV-GLS) to a clinical model (Society of Thoracic Surgeons score [STS] and right ventricular systolic pressure [RVSP]). Alaa Alashi et al. Circ Cardiovasc Imaging. 2016;9:e004451 Copyright © American Heart Association, Inc. All rights reserved.

Incremental reclassification of longer-term mortality risk in the study sample, based on various models. Incremental reclassification of longer-term mortality risk in the study sample, based on various models. Incremental comparison of log-transformed brain natriuretic peptide (lnBNP), followed by left ventricular global longitudinal strain (LV-GLS) to the clinical model is shown on the left side of the figure, whereas comparison of LV-GLS, followed by lnBNP is shown on the right side of the figure. CI indicates confidence interval; IDI, integrated discrimination index; RVSP, right systolic ventricular pressure; and STS, Society of Thoracic Surgeons. Alaa Alashi et al. Circ Cardiovasc Imaging. 2016;9:e004451 Copyright © American Heart Association, Inc. All rights reserved.

Kaplan–Meier survival curves for the study sample (A) separated based on log-transformed brain natriuretic peptide (lnBNP) higher or lower than median and (B) left ventricular global longitudinal strain (LV-GLS) better or worse than median. Kaplan–Meier survival curves for the study sample (A) separated based on log-transformed brain natriuretic peptide (lnBNP) higher or lower than median and (B) left ventricular global longitudinal strain (LV-GLS) better or worse than median. For LV-GLS, the higher the absolute value, the better it is. In contrast, for log BNP, the lower the value, the better it is. Alaa Alashi et al. Circ Cardiovasc Imaging. 2016;9:e004451 Copyright © American Heart Association, Inc. All rights reserved.

Kaplan–Meier survival curves for the study sample, separated into 4 subgroups created based on left ventricular global longitudinal strain (LV-GLS; median: −20.7%) and log-transformed brain natriuretic peptide (lnBNP; median: 4.04) better or worse than median. Kaplan–Meier survival curves for the study sample, separated into 4 subgroups created based on left ventricular global longitudinal strain (LV-GLS; median: −20.7%) and log-transformed brain natriuretic peptide (lnBNP; median: 4.04) better or worse than median. For LV-GLS, the higher the absolute value, the better it is. In contrast, for lnBNP, the lower the value, the better it is. Alaa Alashi et al. Circ Cardiovasc Imaging. 2016;9:e004451 Copyright © American Heart Association, Inc. All rights reserved.