Pulmonary hypertension due to a stiff left atrium: Speckle tracking equivalents of large V-waves

Sergio Caravita, Davide Mariani, Simonetta Blengino, Giovanna Branzi, Lia Crotti, Gianfranco Parati

Research output: Contribution to journalArticlepeer-review

Abstract

Heart failure with preserved ejection fraction (HFpEF) is a widely heterogeneous clinical condition. Left ventricular diastolic dysfunction is the leading etiology of HFpEF, but there might be patients presenting with a predominant disease of the left atrium (LA). We report a case of HFpEF secondary to a stiff LA, in which we corroborated invasive hemodynamic assessment with LA strain analysis. Pathognomonic, tall V-waves were observed in the wedge position in the absence of mitral regurgitation and with a near-normal QRS-gated, pre-V-wave pressure, indicating that left ventricular diastolic dysfunction was not a major issue in this case. These hemodynamic findings were mirrored by very low LA strain values, compatible with a stiff and noncompliant chamber.

Original languageEnglish
Pages (from-to)1464-1466
Number of pages3
JournalEchocardiography
Volume35
Issue number9
DOIs
Publication statusPublished - Sep 1 2018

Keywords

  • diastolic dysfunction
  • heart failure
  • left atrium
  • pulmonary hypertension
  • strain

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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