Three-dimensional echocardiography in acute heart failure: Can and should we do it in the emergency department?
Sajith MatthewsPhillip D LevyMark FavotLaura GowlandAiden AbidovPublished in: Echocardiography (Mount Kisco, N.Y.) (2018)
Despite its proven superiority over two-dimensional transthoracic echocardiography (2DTTE) for left ventricular (LV) volumes and ejection fraction, clinical use of 3DTTE remains very limited in the acute setting. 3DTTE may have significant clinical advantages in the assessment of acute heart failure. Further exploration of 3DTTE utilization may help in more precise assessment of the regional wall-motion abnormalities, early identification of acute ischemic from nonischemic LV dysfunction with a more precise approach to the AHF management. The use of other measures, especially the right ventricular and the left atrial assessment, and 3D strain methodology may further expand the potential future utility of 3DTTE in patients with new-onset HF.
Keyphrases
- acute heart failure
- left ventricular
- left atrial
- heart failure
- ejection fraction
- emergency department
- aortic stenosis
- liver failure
- cardiac resynchronization therapy
- mitral valve
- atrial fibrillation
- hypertrophic cardiomyopathy
- computed tomography
- pulmonary hypertension
- acute myocardial infarction
- drug induced
- aortic dissection
- hepatitis b virus
- acute coronary syndrome
- subarachnoid hemorrhage
- current status
- transcatheter aortic valve replacement
- electronic health record