ArticleEuropean heart journal. Cardiovascular Imaging2023
Phenotyping heart failure by echocardiography: imaging of ventricular function and haemodynamics at rest and exercise.
Article in European heart journal. Cardiovascular Imaging, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed, 31 citations in OpenAlex.
- Associations between echocardiographic traits and artificial intelligence-enabled electrocardiography predictions of heart failure.European heart journal. Digital health · 2026Article
- Beyond E/e': A Physiology-Based Framework for Emerging Echocardiographic Biomarkers in the Noninvasive Assessment of Left Ventricular Filling Pressure.Echocardiography (Mount Kisco, N.Y.) · 2026Review
- Echocardiographic Phenomapping in HFpEF: From Imaging Biomarkers to Precision Cardiovascular Medicine.Echocardiography (Mount Kisco, N.Y.) · 2026Review
- Heart Failure with Preserved Ejection Fraction in Women: Sex-Specific Insights Across the Continuum from Diagnosis to Outcomes.Current cardiology reports · 2026Review
- Distinct Exercise Response Patterns in Patients With Heart Failure With Preserved Ejection Fraction.Journal of the American Heart Association · 2026Article
- Advances in Diagnosis and Treatment of Acute and Chronic Heart Failure: A Comprehensive Review.Journal of clinical medicine · 2026Review
- Myocardial work analysis during semi-supine stress echocardiography: exercise response patterns in heart failure patients and controls.European heart journal. Imaging methods and practice · 2026Article
- Multidimensional cardiac functional phenotyping beyond ejection fraction: a multimodality imaging framework for cardiovascular care.Frontiers in cardiovascular medicine · 2026Review
- Physical activity and myocardial infarction risk: insights from the global burden of disease study 1990-2021 and Mendelian randomization analysis.BMC cardiovascular disorders · 2025Article
- Worsening versus advanced heart failure: Management and challenges.ESC heart failure · 2025Review
- From Natriuretic Peptides to microRNAs: Multi-Analyte Liquid Biopsy Horizons in Heart Failure.Biomolecules · 2025Review
- Imaging-based method to quantify left ventricular diastolic pressures.European heart journal. Cardiovascular Imaging · 2025Article
- Role of Strain-Derived Echocardiography Modality in Risk Stratification of High-Risk-Feature Chronic Coronary Syndrome Patients.JACC. Case reports · 2025Article
- Shedding Light on the Dark Side of the Moon-Understanding Pediatric Right Ventricular Work in Pulmonary Hypertension.Pulmonary circulation · 2025Article
- Echocardiography in the Assessment of Heart Failure Patients.Diagnostics (Basel, Switzerland) · 2024Review
- A Comprehensive Nomogram Integrating Phonocardiogram and Echocardiogram Features for the Diagnosis of Heart Failure With Preserved Ejection Fraction.Clinical cardiology · 2024Article
- Focus issue on heart failure with preserved left ventricular ejection fraction.European heart journal. Cardiovascular Imaging · 2024Article
- Echocardiographic Assessment of Cardiac Function and Reserve Under Exercise in Post-COVID-19 Children: A Prospective Cross-sectional Study.CJC pediatric and congenital heart disease · 2024Article
- Evaluation of left ventricular filling pressure by echocardiography in patients with atrial fibrillation.Echo research and practice · 2024Article
- Heart failure with preserved ejection fraction: diagnostic value of HFA-PEFF score, H₂FPEF score, and the diastolic stress echocardiography.Cardiology journal · 2024Article
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Traditionally, congestive heart failure (HF) was phenotyped by echocardiography or other imaging techniques according to left ventricular (LV) ejection fraction (LVEF). The more recent echocardiographic modality speckle tracking strain is complementary to LVEF, as it is more sensitive to diagnose mild systolic dysfunction. Furthermore, when LV systolic dysfunction is associated with a small, hypertrophic ventricle, EF is often normal or supernormal, whereas LV global longitudinal strain can reveal reduced contractility. In addition, segmental strain patterns may be used to identify specific cardiomyopathies, which in some cases can be treated with patient-specific medicine. In HF with preserved EF (HFpEF), a diagnostic hallmark is elevated LV filling pressure, which can be diagnosed with good accuracy by applying a set of echocardiographic parameters. Patients with HFpEF often have normal filling pressure at rest, and a non-invasive or invasive diastolic stress test may be used to identify abnormal elevation of filling pressure during exercise. The novel parameter LV work index, which incorporates afterload, is a promising tool for quantification of LV contractile function and efficiency. Another novel modality is shear wave imaging for diagnosing stiff ventricles, but clinical utility remains to be determined. In conclusion, echocardiographic imaging of cardiac function should include LV strain as a supplementary method to LVEF. Echocardiographic parameters can identify elevated LV filling pressure with good accuracy and may be applied in the diagnostic workup of patients suspected of HFpEF.
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