Role of Echocardiography in the Diagnostic Assessment and Etiology of Heart Failure in the Elderly-Opacify, Quantify, and Rectify

Vincent L. Sorrell, Navin C. Nanda

Research output: Contribution to journalReview articlepeer-review

1 Scopus citations

Abstract

Echocardiography allows the assessment of systolic and diastolic function and identifies many of the common causes of HF. Patients with minimally symptomatic or unsuspected LV systolic dysfunction may be identified and receive the benefits of ACEI therapy. Echocardiography is also useful for assessing the prognosis and can be used serially to evaluate the effectiveness of treatment. Ventricular filling pressures, pulmonary artery pressures, and cardiac output can be sequentially determined. The authors believe that all patients with HF should receive careful assessment with 2DE, M-mode echocardiography, and Doppler echocardiography (with strategic use of contrast and 3DE where available) (Box 2). Furthermore, the authors believe the use of echocardiography is especially valuable in the elderly who have the poorest prognosis and are more likely to have HF with a normal LV EF or a reduced LV EF and no clinical symptoms.

Original languageEnglish
Pages (from-to)31-59
Number of pages29
JournalClinics in Geriatric Medicine
Volume23
Issue number1
DOIs
StatePublished - Feb 2007

ASJC Scopus subject areas

  • Geriatrics and Gerontology

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