What is it about?
We propose a Doppler echocardiographic algorithm for a fast estimation of pulmonary wedge pressure (an approximation of left ventricular filling pressure). The algorithm shows higher accuracy than the ASE-EACVI algorithm in patients with both normal and decreased left ventricular systolic function, and allows the estimation of left ventricular filling pressure also in situations where the ASE-EACVI 2016 recommendations are not feasible (for example: mitral valve disease/valvuloplasty/prosthesis, arrhythmias).
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Why is it important?
The proposed algorithm allows a faster assessment of left ventricular filling pressure than the ASE-EACVI 2016 recommendations, and is applicable to a wider patient population. It can be used in parallel with current diastology Guidelines to assess both left ventricular filling pressure and diastolic function class.
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This page is a summary of: Estimation of increased pulmonary wedge pressure by an algorithm based on noninvasively measured pulmonary diastolic pressure in cardiac patients independent of left ventricular ejection fraction, Echocardiography, February 2020, Wiley,
DOI: 10.1111/echo.14581.
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