Key result
Dynamic echocardiography with preload stress maneuvers helps identify early diastolic dysfunction to improve patient management.
Why the study?
Diastolic dysfunction is underestimated in critically ill and perioperative settings, and diagnosing it alongside increased filling pressures remains complex.
Does a dynamic echocardiographic approach improve the identification of early stages of diastolic dysfunction in critically ill and perioperative patients?
Does a dynamic echocardiographic approach improve the identification of early stages of diastolic dysfunction in critically ill and perioperative patients?
Dynamic echocardiography with preload stress maneuvers is highlighted as a valuable tool for early detection of diastolic dysfunction in critically ill patients.
May support earlier identification of diastolic dysfunction in critically ill patients; hypothesis-generating and requires prospective validation before changing practice.
Diastolic dysfunction is an underestimated feature in the context of the critically ill setting and perioperative medicine. Advances in echocardiography, its noninvasive, safe and easy use, have allowed Doppler echocardiography to become a cornerstone for diagnosing diastolic dysfunction in clinical practice. The diagnosis of diastolic dysfunction and increased filling pressures is nevertheless complex. Using an echocardiographic assessment and the routine application of preload stress maneuvers during echocardiographic examination can help identify early stages of diastolic dysfunction leading to better management of patients at risk of acute heart decompensation in the perioperative period or during ICU stay.
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Catena et al. (2023) conducted a review in Diastolic dysfunction in critically ill and perioperative settings. Dynamic echocardiographic approach with preload stress maneuvers was evaluated. A dynamic echocardiographic approach using routine preload stress maneuvers can help identify early stages of diastolic dysfunction and improve management of patients at risk of acute heart decompensation.
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