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Preoperative point-of-care assessment of left ventricular systolic dysfunction with transthoracic echocardiography

Anesthesia & Analgesia Feb 24, 2021

Stenberg Y, Wallinder L, Lindberg A, et al. - As it is essential to identify left ventricular (LV) systolic dysfunction prior to surgery, researchers sought to evaluate 3 point-of-care echocardiographic methods [Tissue Doppler Imaging peak systolic myocardial velocities (TDISm), anatomic M-mode E-point septal separation (EPSS), and conventional M-mode mitral annular plane systolic excursion (MAPSE)], vs biplane LV ejection fraction (LVEF), for recognition of LV systolic dysfunction (LVEF < 50%). This prospective observational study was performed including 100 elective surgical patients, with a mean age of 63 ± 12 years and BMI of 27 ± 4 kg/m 2 . Automatic two-dimensional (2D) biplane ejection fraction (EF) software was used to obtain LVEF. Twenty-two percent (21 of 94) of patients were identified to have LVEF< 50%. Reasonably good performance was recorded for all 3 point-of-care methods in discriminating patients with LVEF < 50%. According to praxis and observer experience, the most suitable method may be chosen.

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