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Challenges and opportunity in the era of quantitative echocardiography

Echo Research & Practice volume 4, pages E3–E6 (2017)Cite this article

Summary

The advancement of echocardiography in the past two decades is more than downsizing of the machines and improvement of image quality, but introduction of new imaging modalities leading to the ability of performing quantitative analysis. This function is greatly facilitated by the integration of echo machines with high performance computers, software programming and establishment of workstation for offline analysis. Today, echo examination is more than estimation of ejection fraction (EF) and patterns of left ventricular (LV) diastolic dysfunction. Echosonographers are facing a large number of quantitative parameters for interpretation. In newer imaging modalities such as tissue Doppler imaging, speckle tracking, 3-dimensional echocardiography and 3D-transoesophageal echocardiography, quantitative echocardiographic assessment has important roles. These have brought many opportunities but also challenges in our echo practice.

References

  1. Lang RM, Bierig M, Devereux RB, Flachskampf FA, Foster E, Pellikka PA, Picard MH, Roman MJ, Seward J, Shanewise J, et al. 2006 Recommendations for chamber quantification. European Journal of Echocardiography 7 79–108. (doi:10.1016/j.euje.2005.12.014)

    Article  Google Scholar 

  2. Hare JL, Jenkins C, Nakatani S, Ogawa A, Yu CM, Marwick TH 2008 Feasibility and clinical decision-making with 3D echocardiography in routine practice. Heart 94 440–445. (doi:10.1136/hrt.2007.123570)

    Article  CAS  Google Scholar 

  3. Mor-Avi V, Lang RM, Badano LP, Belohlavek M, Cardim NM, Derumeaux G, Galderisi M, Marwick T, Nagueh SF, Sengupta PP, et al. 2011 Current and evolving echocardiographic techniques for the quantitative evaluation of cardiac mechanics: ASE/EAE consensus statement on methodology and indications endorsed by the Japanese Society of Echocardiography. European Journal of Echocardiography 12 167–205. (doi:10.1093/ejechocard/jer021)

    Article  Google Scholar 

  4. Yu CM, Sanderson JE, Marwick TH, Oh JK 2007 Tissue Doppler imaging a new prognosticator for cardiovascular diseases. Journal of the American College of Cardiology 49 1903–1914. (doi:10.1016/j.jacc.2007.01.078)

    Article  Google Scholar 

  5. Kalam K, Otahal P, Marwick TH 2014 Prognostic implications of global LV dysfunction: a systematic review and meta-analysis of global longitudinal strain and ejection fraction. Heart 100 1673–1680. (doi:10.1136/heartjnl-2014-305538)

    Article  Google Scholar 

  6. Yu CM, Sanderson JE, Gorcsan J 3rd 2010 Echocardiography, dyssynchrony, and the response to cardiac resynchronization therapy. European Heart Journal 31 2326–2337. (doi:10.1093/eurheartj/ehq263)

    Article  Google Scholar 

  7. Yu CM, Zhang Q, Yip GW, Lee PW, Kum LC, Lam YY, Fung JW 2007 Diastolic and systolic asynchrony in patients with diastolic heart failure: a common but ignored condition. Journal of the American College of Cardiology 49 97–105. (doi:10.1016/j.jacc.2006.10.022)

    Article  Google Scholar 

  8. Hahn RT, Little SH, Monaghan MJ, Kodali SK, Williams M, Leon MB, Gillam LD 2015 Recommendations for comprehensive intraprocedural echocardiographic imaging during TAVR. JACC: Cardiovascular Imaging 8 261–287. (doi:10.1016/j.jcmg.2014.12.014)

    PubMed  Google Scholar 

  9. Yu CM, Chan JY, Zhang Q, Omar R, Yip GW, Hussin A, Fang F, Lam KH, Chan HC, Fung JW 2009 Biventricular pacing in patients with bradycardia and normal ejection fraction. New England Journal of Medicine 361 2123–2134. (doi:10.1056/NEJMoa0907555)

    Article  Google Scholar 

  10. Zhang Q, Liang YJ, Zhang QH, Li RJ, Chua Y, Xie JM, Lee PW, Yu CM 2012 Impact of a dedicated training program on the reproducibility of systolic dyssynchrony measures using tissue Doppler imaging. Journal of the American Society of Echocardiography 25 210–217. (doi:10.1016/j.echo.2011.11.011)

    Article  Google Scholar 

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Authors and Affiliations

  1. Chiu Hin Kwong Heart Centre, Hong Kong Baptist Hospital, Hong Kong

    Cheuk-Man Yu FRCP FRACP MD

  2. Chinese University of Hong Kong, Hong Kong

    Cheuk-Man Yu FRCP FRACP MD

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  1. Cheuk-Man Yu FRCP FRACP MD
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Correspondence to Cheuk-Man Yu FRCP FRACP MD.

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Yu, CM. Challenges and opportunity in the era of quantitative echocardiography. Echo Res Pract 4, E3–E6 (2017). https://doiorg.publicaciones.saludcastillayleon.es/10.1530/ERP-17-0049

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  • DOI: https://doiorg.publicaciones.saludcastillayleon.es/10.1530/ERP-17-0049

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Echo Research & Practice

ISSN: 2055-0464

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