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non solo disfunzione diastolica

XXV Congresso Nazionale ANCE Taormina 8-11 Maggio 2015. “ Scompenso Cardiaco a FE conservata ”. non solo disfunzione diastolica. S. Carerj, MD, FESC Cardiologia, Università di Messina. Guidelines ESC 2012. Solo disfunzione diastolica?. Cut-off Sm 4.4 cm/sec. Cut-off EF 50 %.

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non solo disfunzione diastolica

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  1. XXV Congresso Nazionale ANCE Taormina 8-11 Maggio 2015 “Scompenso Cardiaco a FE conservata” non solo disfunzione diastolica S. Carerj, MD, FESC Cardiologia, Università di Messina

  2. Guidelines ESC 2012

  3. Solo disfunzione diastolica?

  4. Cut-off Sm 4.4 cm/sec Cut-off EF 50 % Approximately one half of patients with DHF and another one seventh with DD had subnormal mean SM. Yu CM, Circulation 2002

  5. 60% of Stroke Volume is related to AVPD, the remaining 40% is determined by radial function Carlsson M Am J Physiol Heart Circ Physiol 2007

  6. Pathophysiology of Heart Failure With a Normal Ejection Fraction Ting Tan Y, JACC 2009

  7. Nagueh SF, Eur J of Echoc- 2009.

  8. Assessment of Filling PressureTissue Doppler Ratio Ommen SR, Circulation 102: 1788, 2000

  9. Pathophysiology of Heart Failure With a Normal Ejection Fraction Ting Tan Y, JACC 2009

  10. Arterial-Ventricular Coupling: Role of the Stiffness Vlacahopoulos C, Cardiology 2010

  11. The performance of the cardiovascular system depends on the interaction of its components. The left ventricle pumps is stroke volume into the arterial system, which then delivers the flow to the tissues. Thus, optimal cardiovascular function requires appropriate coupling of the left ventricle and arterial system. J Am Soc Echocardiogr. 2009; 22: 1246-8

  12. Physiologic Properties of The Aorta Cavalcante JL, JACC 2011

  13. Insulting Leading To Structural Changes in The Aorta and Its Functioning Cavalcante JL, JACC 2011

  14. Arterial-Ventricular Coupling: Role of the Stiffness Vlacahopoulos C, Cardiology 2010

  15. Relationship between stiffness and diastolic parameters Zito C, JCM 2014

  16. JCM 2014

  17. Diastolic Velocity Time Integral Coronary Index Cusmà Piccione M., JCM 2014

  18. Correlazione fra stiffness carotidea e riempimento coronarico DVTICI Cusmà Piccione M, JCM 2014

  19. Pathophysiology of Heart Failure With a Normal Ejection Fraction Ting Tan Y, JACC 2009

  20. ANATOMY OF A VORTEX Sengupta JASE 2007

  21. “MOLECULAR Imaging” • Longitudinal strain and torsion assessed by two-dimensional speckle tracking correlate with the serum level of tissue inhibitor of matrix metalloproteinase-1, a marker of myocardial fibrosis, in patients with hypertension • Kang SJ. J Am Soc Echocardiogr 2008;21:907-911. Twist Longitudinal strain

  22. Pathophysiology of HF with Preserved Ejection Fraction Borlaug BA, Eur Heart J 2011

  23. Strain Longitudinale e Circonferenziale in pazienti con HFpEF Kraigher-Krainer L, JACC 2014

  24. Strain Longitudinale e NT-proBNP Kraigher-Kraimer E, JACC 2014

  25. Myocardial Deformation Echocardiography 2010

  26. Pathophysiology of Heart Failure With a Normal Ejection Fraction Ting Tan Y, JACC 2009

  27. Effect of Exercise in LV Paramters in Patients with HF with Preserved EF Borlaug BA, Eur Heart J 2011

  28. In HFpEFpatients, moderate exerciseleadsto a steepincrease in proximalafterloadthatisunderstimated at rest and isassociatedwithunfavorableventricular-arterialcoupling and exreciseintolerance.

  29. Exercise Test in Patients with HF and Preserved EF Tartiere Kestri L, JACC 2012

  30. Volumi Atriali Sin. e Frazione di Svuotamento Atriale nella HFPEF Melenovsky V, JACC 2007

  31. Riserva atriale sinistra in pazienti con HFpEF Melenovsky V, JACC 2007

  32. Algoritmo Diagnostico della HFpEF Todaro MC, JCM 2014

  33. Grazie per l’attenzione

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