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Case-Based Textbook of Echocardiography pp 127–140Cite as

Echocardiography Evaluation of Left Ventricular Systolic Function, Systolic Dysfunction, and Ventricular Dyssynchrony

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Abstract

The ejection fraction (EF) is the most widely used measure and popular method in evaluating left ventricular (LV) systolic function and is considered a critical prognostic factor in all types of heart diseases.

Precise evaluation of LV volume and systolic function is necessary for defining the optimal timing of surgery in patients with valvular heart diseases such as severe mitral regurgitation and aortic regurgitation.

This section attempts to introduce the different findings that can be obtained from echocardiography in patients with systolic heart failure.

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Abbreviations

CRT:

Cardiac resynchronization therapy

EF:

Ejection fraction

GLS:

Global longitudinal strain

HR:

Heart rate

IVC:

Inferior vena cava

LV:

Left ventricle

LVOT:

Left ventricular outflow tract

PAP:

Pulmonary arterial pressure

PVR:

Pulmonary vascular resistance

RA:

Right atrium

RV:

Right ventricle

STE:

Speckle-tracking echocardiography

SV:

Stroke volume

TDI:

Tissue Doppler imaging

TRV:

Tricuspid regurgitation velocity

VTI:

Velocity time integral

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Author information

Authors and Affiliations

  1. Atherosclerosis Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

    Nehzat Akiash MD (Assistant Professor of Cardiology)

  2. Echocardiologist, Echocardiography and Cardiogenetic Research Centers, Cardio-Oncology Department, Rajaie Cardiovascular Medical and Research Center, Tehran, Iran

    Azin Alizadehasl MD, FACC, FASE (Associate Professor of Cardiology)

  3. Echocardiography Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Science, Tehran, Iran

    Anita Sadeghpour MD, FACC, FASE (Professor of Cardiology)

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  1. Nehzat Akiash MD
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Editor information

Editors and Affiliations

  1. Rajaie Cardiovascular, Medical and Research Center, Echocardiography Research Center, Iran University of Medical Sciences, Tehran, Iran

    Anita Sadeghpour

  2. Rajaie Cardiovascular, Medical and Research Center, Echocardiography Research Center, Iran University of Medical Sciences, Tehran, Iran

    Azin Alizadehasl

Electronic Supplementary Materials

(related to Fig. 11.4): Left Ventricular ejection fraction measurement using 3DE (AVI 3658 kb)

(related to Fig. 11.5): The aneurysm of the LV apex in the 4-chamber view (AVI 20965 kb)

(related to Fig. 11.5): Large thrombus into the LV apex (AVI 11881 kb)

(related to Fig. 11.5): Large amount of pericardial effusion (AVI 21176 kb)

(related to Fig. 11.5): Pleural effusion in the apical 4-chamber and parasternal long-axis views, respectively (AVI 26457 kb)

(related to Fig. 11.10): Significant tethering of the mitral valve leaflets (AVI 10406 kb)

(related to Fig. 11.10): With severe mitral regurgitation in the apical 4-chamber view (AVI 13842 kb)

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Akiash, N., Alizadehasl, A., Sadeghpour, A. (2018). Echocardiography Evaluation of Left Ventricular Systolic Function, Systolic Dysfunction, and Ventricular Dyssynchrony. In: Sadeghpour, A., Alizadehasl, A. (eds) Case-Based Textbook of Echocardiography. Springer, Cham. https://doi.org/10.1007/978-3-319-67691-3_11

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