Sperlongano Simona, D'Andrea Antonello, Mele Donato, Russo Vincenzo, Pergola Valeria, Carbone Andreina, Ilardi Federica, Di Maio Marco, Bottino Roberta, Giallauria Francesco, Bossone Eduardo, Golino Paolo
Division of Cardiology, Department of Translational Medical Sciences, University of Campania Luigi Vanvitelli, 80131 Naples, Italy.
Department of Cardiology and Intensive Coronary Care, Umberto I Hospital, Nocera Inferiore, 84014 Salerno, Italy.
Diagnostics (Basel). 2021 May 17;11(5):892. doi: 10.3390/diagnostics11050892.
Heart failure (HF) is a leading cause of cardiovascular morbidity and mortality. However, its symptoms and signs are not specific or can be absent. In this context, transthoracic echocardiography plays a key role in diagnosing the various forms of HF, guiding therapeutic decision making and monitoring response to therapy. Over the last few decades, new ultrasound modalities have been introduced in the field of echocardiography, aiming at better understanding the morpho-functional abnormalities occurring in cardiovascular diseases. However, they are still struggling to enter daily and routine use. In our review article, we turn the spotlight on some of the newest ultrasound technologies; in particular, analysis of myocardial deformation by speckle tracking echocardiography, and intracardiac flow dynamics by color Doppler flow mapping, highlighting their promising applications to HF diagnosis and management. We also focus on the importance of these imaging modalities in the selection of responses to cardiac resynchronization therapy.
心力衰竭（HF）是心血管疾病发病和死亡的主要原因。然而，其症状和体征并不具有特异性，或者可能不存在。在此背景下，经胸超声心动图在诊断各种形式的心力衰竭、指导治疗决策以及监测治疗反应方面发挥着关键作用。在过去几十年中，超声心动图领域引入了新的超声模式，旨在更好地了解心血管疾病中出现的形态功能异常。然而，它们仍难以进入日常常规使用。在我们的综述文章中，我们将重点关注一些最新的超声技术；特别是，通过斑点追踪超声心动图分析心肌变形，以及通过彩色多普勒血流图分析心内血流动力学，突出它们在心力衰竭诊断和管理中的应用前景。我们还关注这些成像模式在选择心脏再同步治疗反应方面的重要性。
