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Heart failure with preserved ejection fraction (HFpEF) is a form of heart failure in which the ejection fraction – the percentage of the volume of blood ejected from the left ventricle with each heartbeat divided by the volume of blood when the left ventricle is maximally filled – is normal, defined as greater than 50%; [1] this may be measured by echocardiography or cardiac catheterization.
Pseudonormalisation shows a transmitral profile that appears normal. However, with the use of pulmonary vein pulsed wave Doppler, it can be shown that the relaxation pattern is abnormal (systolic blunting, a decrease in the height of the S wave). In addition, performance of a Valsalva manoeuvre will result in unmasking of the pseudonormal state.
The speckle pattern is a mixture of interference patterns and natural acoustic reflections. [1] These reflections are also described as speckles or markers. The pattern being random, each region of the myocardium has a unique speckle pattern (also called patterns, features, or fingerprints) that allows the region to be tracked. The speckle ...
As the ventricle relaxes, the annulus moves towards the base of the heart, signifying the volume expansion of the ventricle. The peak mitral annular velocity during early filling, e' is a measure of left ventricular diastolic function, and has been shown to be relatively independent of left ventricular filling pressure.
As thelongitudinal systolic deformation is shortening, the systolic strain and strain rate is negative. The strain curves shows the gradual decrease in length during systole, and then the gradual lengthening during diastole, but strain rate fremans negative during the whole heart cycle, as the ventricular length is shorter than at end systole.
It is almost always indicative of left ventricular systolic impairment, and carries a poor prognosis. The condition is relatively rare, and patients with the greatest risk for developing pulsus alternans include those with heart failure, cardiomyopathy , coronary artery disease, or other cardiac risk factors.
Mitral regurgitation, also known as mitral insufficiency or mitral incompetence, is the backward flow of blood from the left ventricle, through the mitral valve, and into the left atrium, when the left ventricle contracts, resulting in a systolic murmur radiating to the left armpit.
In electrocardiography, a strain pattern is a well-recognized marker for the presence of anatomic left ventricular hypertrophy (LVH) in the form of ST depression and T wave inversion on a resting ECG. [1] It is an abnormality of repolarization and it has been associated with an adverse prognosis in a variety heart disease patients.
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