Introduction to hemodynamic forces by echocardiography

: Laenens Dorien, van der Bijl Pieter, Stassen Jan, Rossi Alessandro C, Pedrizzetti Gianni, Reiber Johan HC, Marsan Nina Ajmone, Bax Jeroen J

Publisher: Elsevier Ireland Ltd.

: 2023

: International Journal of Cardiology

: International journal of cardiology

: Int J Cardiol

: 370

: 442

: 444

: 0167-5273

: 1874-1754

DOI: https://doi.org/10.1016/j.ijcard.2022.11.019

: https://doi.org/10.1016/j.ijcard.2022.11.019

: https://research.utu.fi/converis/portal/detail/Publication/178801247

Hemodynamic force (HDF) analysis represents a novel approach to quantify intraventricular pressure gradients, responsible for blood flow. A new mathematical model allows the derivation of HDF parameters from routine transthoracic echocardiography, making this tool more accessible for clinical use. HDF analysis is considered the fluid dynamics correlate of deformation imaging and may be even more sensitive to detect mechanical abnormalities. This has the potential to add incremental clinical value, allowing earlier detection of pathology or immediate evaluation of response to treatment. In this article, the theoretical background and physiological patterns of HDF in the left ventricle are provided. In pathological situations, the HDF pattern might alter, which is illustrated with a case of ST segment elevation myocardial infarction and non-ischemic cardiomyopathy with typical left bundle branch block.

1-s2.0-S0167527322017065-main.pdf