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Clinical Value of Complex Echocardiographic Left Ventricular Hypertrophy Classification Based on Concentricity, Mass, and Volume Quantification
- Source :
- Frontiers in Cardiovascular Medicine, Frontiers in Cardiovascular Medicine, Vol 8 (2021)
- Publication Year :
- 2021
- Publisher :
- Frontiers Media SA, 2021.
-
Abstract
- Echocardiography is the most validated, non-invasive and used approach to assess left ventricular hypertrophy (LVH). Alternative methods, specifically magnetic resonance imaging, provide high cost and practical challenges in large scale clinical application. To include a wide range of physiological and pathological conditions, LVH should be considered in conjunction with the LV remodeling assessment. The universally known 2-group classification of LVH only considers the estimation of LV mass and relative wall thickness (RWT) to be classifying variables. However, knowledge of the 2-group patterns provides particularly limited incremental prognostic information beyond LVH. Conversely, LV enlargement conveys independent prognostic utility beyond LV mass for incident heart failure. Therefore, a 4-group LVH subdivision based on LV mass, LV volume, and RWT has been recently suggested. This novel LVH classification is characterized by distinct differences in cardiac function, allowing clinicians to distinguish between different LV hemodynamic stress adaptations in various cardiovascular diseases. The new 4-group LVH classification has the advantage of optimizing the LVH diagnostic approach and the potential to improve the identification of maladaptive responses that warrant targeted therapy. In this review, we summarize the current knowledge on clinical value of this refinement of the LVH classification, emphasizing the role of echocardiography in applying contemporary proposed indexation methods and partition values.
- Subjects :
- Cardiac function curve
medicine.medical_specialty
Review
Cardiovascular Medicine
left ventricular volume
030204 cardiovascular system & hematology
left ventricular mass
Left ventricular hypertrophy
left ventricular function
echocardiograghy
03 medical and health sciences
0302 clinical medicine
Internal medicine
medicine
Diseases of the circulatory (Cardiovascular) system
cardiovascular diseases
030212 general & internal medicine
Hemodynamic stress
Alternative methods
medicine.diagnostic_test
business.industry
Magnetic resonance imaging
medicine.disease
clinical value
prognosis
RC666-701
Heart failure
Clinical value
Cardiology
Cardiology and Cardiovascular Medicine
Wall thickness
business
Subjects
Details
- ISSN :
- 2297055X
- Volume :
- 8
- Database :
- OpenAIRE
- Journal :
- Frontiers in Cardiovascular Medicine
- Accession number :
- edsair.doi.dedup.....b59d5ce53e05b6b4f5d493153abc0ef2