EACVI survey on the evaluation of left ventricular diastolic function

European Heart Journal - Cardiovascular Imaging, vol. 22, pp. 1098–1105

Abstract

AIMS: The aim of this study is to analyse how current recommendations on left ventricular (LV) diastolic function assessment have been adopted. Identifying potential discrepancies between recommendations and everyday clinical practice would enable us to better understand and address the remaining challenges in this controversial and complex field. METHODS AND RESULTS: A total of 93 centres, mainly from tertiary care settings, responded to the survey. More than three-quarters (77%) of centres follow the 2016 ASE/EACVI recommendations for LV diastolic function evaluation in patients with preserved ejection fraction based upon e', E/e', tricuspid regurgitation velocity, and left atrial (LA) volume. These recommendations were generally preferred to the previous 2009 version. Many centres also consider strain assessments in the LV (48%) and left atrium (53%) as well as diastolic stress echocardiography (33%) to be useful as additional assessments of LV diastolic function. Echocardiographic assessments of LV diastolic function were used frequently to guide therapy in 72% of centres. CONCLUSION: There is widespread adoption of current recommendation on the evaluation of LV diastolic function and these are frequently used to guide patient management. Many centres now also consider LV and LA strain assessments useful in the clinical assessment of diastolic function. These may be considered in future recommendations.

Authors 13

1. Marta Sitges corresponding

   Instituto de Salud Carlos III · Centro de Investigación en Red en Enfermedades Cardiovasculares · Hospital Clínic de Barcelona · Consorci Institut D'Investigacions Biomediques August Pi I Sunyer · Fundació de Recerca Clínic Barcelona-Institut d’Investigacions Biomèdiques August Pi i Sunyer · Universitat de Barcelona

   Affiliation as printed

   CIBERCV, Instituto de Salud Carlos III, 28029 Madrid, Spain

   Cardiovascular Institute, Hospital Clínic, Universitat de Barcelona, Villarroel 170, 08036 Barcelona, Spain

   Institut d’Investigacions Biomediques August Pi i Sunyer (IDIBAPS), 08036 Barcelona, Spain

2. Nina Ajmone Marsan Aachen Department of Cardiology, Leiden University Medical Center

   Leiden University Medical Center

   Affiliation as printed

   Department of Cardiology, Leiden University Medical Center, 2300 RC Leiden, The Netherlands

3. Matteo Cameli

   University of Siena

   Affiliation as printed

   Department of Medical Biotechnologies, Section of Cardiology, University of Siena, Policlinico Le Scotte, 53100 Siena, Italy

4. Antonello D’Andrea

   University of Campania "Luigi Vanvitelli"

   Affiliation as printed

   Department of Cardiology, Umberto I° Hospital, Viala San Francesco 84014 Nocera Inferiore (Salerno), Luigi Vanvitelli University, 81100 Caserta CE, Italy

5. Ricardo Fontes‐Carvalho

   Universidade do Porto

   Affiliation as printed

   Cardiovascular Research & Development Unit, Department of Physiology and Cardiothoracic Surgery, Faculty of Medicine, University of Porto, 4200-319 Porto, Portugal

6. Espen Holte

   Norwegian University of Science and Technology · St Olav's University Hospital

   Affiliation as printed

   Clinic of Cardiology, St. Olavs Hospital, Torgarden, 7006 Trondheim, Norway

   Department of Circulation and Medical Imaging, Norwegian University of Science and Technology NTNU, 7491 Trondheim, Norway

7. Blazej W. Michalski

   Medical University of Lodz

   Affiliation as printed

   Department of Cardiology, Medical University of Lodz, 91-347 Lodz, Poland

8. Tomaž Podlesnikar

   Ljubljana University Medical Centre · University Clinical Centre Maribor

   Affiliation as printed

   Department of Cardiac Surgery, University Medical Centre Maribor, 2000 Maribor, Slovenia

   Department of Cardiology, University Medical Centre Ljubljana, 1000 Ljubljana, Slovenia

9. Bogdan Alexandru Popescu

   Carol Davila University of Medicine and Pharmacy · Institutul de Urgenţă pentru Boli Cardiovasculare "Prof.Dr. C.C. Iliescu"

   Affiliation as printed

   Department of Cardiology, University of Medicine and Pharmacy ‘Carol Davila’, Euroecolab, Emergency Institute for Cardiovascular Diseases ‘Prof. Dr. C. C. Iliescu’, 022328 Bucharest, Romania

10. Jeanette Schulz‐Menger

    Humboldt-Universität zu Berlin · German Centre for Cardiovascular Research · Charité - Universitätsmedizin Berlin

    Affiliation as printed

    Charité Medical Faculty of the Humboldt University Berlin, ECRC, 13125 Berlin, Germany

    DZHK, 13125 Berlin, Germany

11. Ivan Stanković

    University of Belgrade · Zemun Hospital

    Affiliation as printed

    Department of Cardiology, Clinical Hospital Centre Zemun, University of Belgrade, Faculty of Medicine, 11080 Belgrade, Serbia

12. Kristina Hermann Haugaa

    Oslo University Hospital · University of Oslo

    Affiliation as printed

    Department of Cardiology, ProCardio Center for Innovation, Oslo University Hospital, 0424 Oslo, Norway

    Institute for Clinical Medicine, University of Oslo, Blindern, 0318 Oslo, Norway

13. Marc Richard Dweck

    University of Edinburgh

    Affiliation as printed

    BHF Centre for Cardiovascular Science, University of Edinburgh, Chancellors Building, Little France Crescent, Edinburgh EH16 4SB, UK