Assessing the impact of transcatheter aortic valve replacement on myocardial work indices and left ventricular diastolic function in aortic valve stenosis patients
Background Aortic valve stenosis (AS) is the most common valvular heart disease worldwide. When timely intervention is performed, aortic valve replacement can improve patients' quality and duration of life. Load‐independent left ventricular (LV) functional assessments, such as myocardial work i...
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| Veröffentlicht in: | Echocardiography (Mount Kisco, N.Y.) N.Y.), 2023-08, Vol.40 (8), p.768-774 |
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| creator | Franco, Danilo Santoro, Alessandro Gioia, Giuseppe Di Ferrone, Marco Tramonte, Stefania Salemme, Luigi Cioppa, Angelo Popusoi, Gregory Pucciarelli, Armando Verdoliva, Sebastiano Franzese, Michele Marga, Simion Christodoulakis, Dimitris Barbato, Emanuele Tesorio, Tullio |
| description | Background
Aortic valve stenosis (AS) is the most common valvular heart disease worldwide. When timely intervention is performed, aortic valve replacement can improve patients' quality and duration of life. Load‐independent left ventricular (LV) functional assessments, such as myocardial work indices (MWIs) and LV diastolic function parameters, could help clinicians decide on the optimal timing of intervention.
Aims
To evaluate the reliability of MWI in AS patients and the changes in MWI and LV diastolic function after transcatheter aortic valve replacement (TAVR).
Methods
We enrolled 53 consecutive patients with severe AS undergoing TAVR admitted between March 2021 and November 2021. MWIs and LV diastolic function were assessed before and after TAVR for each patient.
Results
All MWIs and LV diastolic function indices improved after TAVR. The degree of MWIs improvement was higher in patients with lower prior‐TAVR MWI values, while the more severe the impairment of diastolic function, the greater the post‐TAVR benefit.
Conclusion
The introduction of myocardial work parameters into the routine assessment of patients with AS could improve our understanding of cardiac performance and aid in identifying the optimal timing for surgical or percutaneous treatment. |
| doi_str_mv | 10.1111/echo.15639 |
| format | Article |
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Aortic valve stenosis (AS) is the most common valvular heart disease worldwide. When timely intervention is performed, aortic valve replacement can improve patients' quality and duration of life. Load‐independent left ventricular (LV) functional assessments, such as myocardial work indices (MWIs) and LV diastolic function parameters, could help clinicians decide on the optimal timing of intervention.
Aims
To evaluate the reliability of MWI in AS patients and the changes in MWI and LV diastolic function after transcatheter aortic valve replacement (TAVR).
Methods
We enrolled 53 consecutive patients with severe AS undergoing TAVR admitted between March 2021 and November 2021. MWIs and LV diastolic function were assessed before and after TAVR for each patient.
Results
All MWIs and LV diastolic function indices improved after TAVR. The degree of MWIs improvement was higher in patients with lower prior‐TAVR MWI values, while the more severe the impairment of diastolic function, the greater the post‐TAVR benefit.
Conclusion
The introduction of myocardial work parameters into the routine assessment of patients with AS could improve our understanding of cardiac performance and aid in identifying the optimal timing for surgical or percutaneous treatment.</description><identifier>ISSN: 0742-2822</identifier><identifier>EISSN: 1540-8175</identifier><identifier>DOI: 10.1111/echo.15639</identifier><identifier>PMID: 37342979</identifier><language>eng</language><publisher>United States</publisher><subject>aortic stenosis ; Aortic Valve - diagnostic imaging ; Aortic Valve - surgery ; Aortic Valve Stenosis - complications ; Aortic Valve Stenosis - surgery ; diastolic disfunction ; Humans ; myocardial work index ; Reproducibility of Results ; Retrospective Studies ; Severity of Illness Index ; TAVR ; Transcatheter Aortic Valve Replacement ; Treatment Outcome ; Ventricular Function, Left</subject><ispartof>Echocardiography (Mount Kisco, N.Y.), 2023-08, Vol.40 (8), p.768-774</ispartof><rights>2023 The Authors. published by Wiley Periodicals LLC.</rights><rights>2023 The Authors. Echocardiography published by Wiley Periodicals LLC.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3249-9e54a2b2fcab8f1771f9c3f3eb99b489054017b11de5cfd337ed620a355704f33</cites><orcidid>0000-0002-6470-5785</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fecho.15639$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fecho.15639$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37342979$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Franco, Danilo</creatorcontrib><creatorcontrib>Santoro, Alessandro</creatorcontrib><creatorcontrib>Gioia, Giuseppe Di</creatorcontrib><creatorcontrib>Ferrone, Marco</creatorcontrib><creatorcontrib>Tramonte, Stefania</creatorcontrib><creatorcontrib>Salemme, Luigi</creatorcontrib><creatorcontrib>Cioppa, Angelo</creatorcontrib><creatorcontrib>Popusoi, Gregory</creatorcontrib><creatorcontrib>Pucciarelli, Armando</creatorcontrib><creatorcontrib>Verdoliva, Sebastiano</creatorcontrib><creatorcontrib>Franzese, Michele</creatorcontrib><creatorcontrib>Marga, Simion</creatorcontrib><creatorcontrib>Christodoulakis, Dimitris</creatorcontrib><creatorcontrib>Barbato, Emanuele</creatorcontrib><creatorcontrib>Tesorio, Tullio</creatorcontrib><title>Assessing the impact of transcatheter aortic valve replacement on myocardial work indices and left ventricular diastolic function in aortic valve stenosis patients</title><title>Echocardiography (Mount Kisco, N.Y.)</title><addtitle>Echocardiography</addtitle><description>Background
Aortic valve stenosis (AS) is the most common valvular heart disease worldwide. When timely intervention is performed, aortic valve replacement can improve patients' quality and duration of life. Load‐independent left ventricular (LV) functional assessments, such as myocardial work indices (MWIs) and LV diastolic function parameters, could help clinicians decide on the optimal timing of intervention.
Aims
To evaluate the reliability of MWI in AS patients and the changes in MWI and LV diastolic function after transcatheter aortic valve replacement (TAVR).
Methods
We enrolled 53 consecutive patients with severe AS undergoing TAVR admitted between March 2021 and November 2021. MWIs and LV diastolic function were assessed before and after TAVR for each patient.
Results
All MWIs and LV diastolic function indices improved after TAVR. The degree of MWIs improvement was higher in patients with lower prior‐TAVR MWI values, while the more severe the impairment of diastolic function, the greater the post‐TAVR benefit.
Conclusion
The introduction of myocardial work parameters into the routine assessment of patients with AS could improve our understanding of cardiac performance and aid in identifying the optimal timing for surgical or percutaneous treatment.</description><subject>aortic stenosis</subject><subject>Aortic Valve - diagnostic imaging</subject><subject>Aortic Valve - surgery</subject><subject>Aortic Valve Stenosis - complications</subject><subject>Aortic Valve Stenosis - surgery</subject><subject>diastolic disfunction</subject><subject>Humans</subject><subject>myocardial work index</subject><subject>Reproducibility of Results</subject><subject>Retrospective Studies</subject><subject>Severity of Illness Index</subject><subject>TAVR</subject><subject>Transcatheter Aortic Valve Replacement</subject><subject>Treatment Outcome</subject><subject>Ventricular Function, Left</subject><issn>0742-2822</issn><issn>1540-8175</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>WIN</sourceid><sourceid>EIF</sourceid><recordid>eNp9kU1v1DAQhi1ERbeFCz8A-YiQ0vor6-RYrQqtVKkXOEeOM6YGxw4eZ6v9PfxRXLYgcWEuI42e9znMS8hbzi54nUuwD-mCt1vZvyAb3irWdFy3L8mGaSUa0QlxSs4QvzHGNOfqFTmVWirR635Dfl4hAqKPX2l5AOrnxdhCk6Mlm4jW1GOBTE3KxVu6N2EPNMMSjIUZYiUjnQ_Jmjx5E-hjyt-pj5O3gNTEiQZwhe4rmL1dg8m0YlhSqC63Rlt8zfv4rx4LxIQe6WKKr1F8TU6cCQhvnvc5-fLx-vPuprm7_3S7u7prrBSqb3polRGjcNaMneNac9db6SSMfT-qrmf1M1yPnE_QWjdJqWHaCmZk22qmnJTn5P3Ru-T0YwUsw-zRQggmQlpxqJ_stFat3Fb0wxG1OSFmcMOS_WzyYeBseCpleCpl-F1Khd89e9dxhukv-qeFCvAj8OgDHP6jGq53N_dH6S9TApv7</recordid><startdate>202308</startdate><enddate>202308</enddate><creator>Franco, Danilo</creator><creator>Santoro, Alessandro</creator><creator>Gioia, Giuseppe Di</creator><creator>Ferrone, Marco</creator><creator>Tramonte, Stefania</creator><creator>Salemme, Luigi</creator><creator>Cioppa, Angelo</creator><creator>Popusoi, Gregory</creator><creator>Pucciarelli, Armando</creator><creator>Verdoliva, Sebastiano</creator><creator>Franzese, Michele</creator><creator>Marga, Simion</creator><creator>Christodoulakis, Dimitris</creator><creator>Barbato, Emanuele</creator><creator>Tesorio, Tullio</creator><scope>24P</scope><scope>WIN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-6470-5785</orcidid></search><sort><creationdate>202308</creationdate><title>Assessing the impact of transcatheter aortic valve replacement on myocardial work indices and left ventricular diastolic function in aortic valve stenosis patients</title><author>Franco, Danilo ; Santoro, Alessandro ; Gioia, Giuseppe Di ; Ferrone, Marco ; Tramonte, Stefania ; Salemme, Luigi ; Cioppa, Angelo ; Popusoi, Gregory ; Pucciarelli, Armando ; Verdoliva, Sebastiano ; Franzese, Michele ; Marga, Simion ; Christodoulakis, Dimitris ; Barbato, Emanuele ; Tesorio, Tullio</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3249-9e54a2b2fcab8f1771f9c3f3eb99b489054017b11de5cfd337ed620a355704f33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>aortic stenosis</topic><topic>Aortic Valve - diagnostic imaging</topic><topic>Aortic Valve - surgery</topic><topic>Aortic Valve Stenosis - complications</topic><topic>Aortic Valve Stenosis - surgery</topic><topic>diastolic disfunction</topic><topic>Humans</topic><topic>myocardial work index</topic><topic>Reproducibility of Results</topic><topic>Retrospective Studies</topic><topic>Severity of Illness Index</topic><topic>TAVR</topic><topic>Transcatheter Aortic Valve Replacement</topic><topic>Treatment Outcome</topic><topic>Ventricular Function, Left</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Franco, Danilo</creatorcontrib><creatorcontrib>Santoro, Alessandro</creatorcontrib><creatorcontrib>Gioia, Giuseppe Di</creatorcontrib><creatorcontrib>Ferrone, Marco</creatorcontrib><creatorcontrib>Tramonte, Stefania</creatorcontrib><creatorcontrib>Salemme, Luigi</creatorcontrib><creatorcontrib>Cioppa, Angelo</creatorcontrib><creatorcontrib>Popusoi, Gregory</creatorcontrib><creatorcontrib>Pucciarelli, Armando</creatorcontrib><creatorcontrib>Verdoliva, Sebastiano</creatorcontrib><creatorcontrib>Franzese, Michele</creatorcontrib><creatorcontrib>Marga, Simion</creatorcontrib><creatorcontrib>Christodoulakis, Dimitris</creatorcontrib><creatorcontrib>Barbato, Emanuele</creatorcontrib><creatorcontrib>Tesorio, Tullio</creatorcontrib><collection>Wiley-Blackwell Open Access Titles</collection><collection>Wiley Free Content</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Echocardiography (Mount Kisco, N.Y.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Franco, Danilo</au><au>Santoro, Alessandro</au><au>Gioia, Giuseppe Di</au><au>Ferrone, Marco</au><au>Tramonte, Stefania</au><au>Salemme, Luigi</au><au>Cioppa, Angelo</au><au>Popusoi, Gregory</au><au>Pucciarelli, Armando</au><au>Verdoliva, Sebastiano</au><au>Franzese, Michele</au><au>Marga, Simion</au><au>Christodoulakis, Dimitris</au><au>Barbato, Emanuele</au><au>Tesorio, Tullio</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Assessing the impact of transcatheter aortic valve replacement on myocardial work indices and left ventricular diastolic function in aortic valve stenosis patients</atitle><jtitle>Echocardiography (Mount Kisco, N.Y.)</jtitle><addtitle>Echocardiography</addtitle><date>2023-08</date><risdate>2023</risdate><volume>40</volume><issue>8</issue><spage>768</spage><epage>774</epage><pages>768-774</pages><issn>0742-2822</issn><eissn>1540-8175</eissn><abstract>Background
Aortic valve stenosis (AS) is the most common valvular heart disease worldwide. When timely intervention is performed, aortic valve replacement can improve patients' quality and duration of life. Load‐independent left ventricular (LV) functional assessments, such as myocardial work indices (MWIs) and LV diastolic function parameters, could help clinicians decide on the optimal timing of intervention.
Aims
To evaluate the reliability of MWI in AS patients and the changes in MWI and LV diastolic function after transcatheter aortic valve replacement (TAVR).
Methods
We enrolled 53 consecutive patients with severe AS undergoing TAVR admitted between March 2021 and November 2021. MWIs and LV diastolic function were assessed before and after TAVR for each patient.
Results
All MWIs and LV diastolic function indices improved after TAVR. The degree of MWIs improvement was higher in patients with lower prior‐TAVR MWI values, while the more severe the impairment of diastolic function, the greater the post‐TAVR benefit.
Conclusion
The introduction of myocardial work parameters into the routine assessment of patients with AS could improve our understanding of cardiac performance and aid in identifying the optimal timing for surgical or percutaneous treatment.</abstract><cop>United States</cop><pmid>37342979</pmid><doi>10.1111/echo.15639</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-6470-5785</orcidid><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 0742-2822 |
| ispartof | Echocardiography (Mount Kisco, N.Y.), 2023-08, Vol.40 (8), p.768-774 |
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| language | eng |
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| source | MEDLINE; Wiley Online Library All Journals |
| subjects | aortic stenosis Aortic Valve - diagnostic imaging Aortic Valve - surgery Aortic Valve Stenosis - complications Aortic Valve Stenosis - surgery diastolic disfunction Humans myocardial work index Reproducibility of Results Retrospective Studies Severity of Illness Index TAVR Transcatheter Aortic Valve Replacement Treatment Outcome Ventricular Function, Left |
| title | Assessing the impact of transcatheter aortic valve replacement on myocardial work indices and left ventricular diastolic function in aortic valve stenosis patients |
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