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World Journal of Pediatrics

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06.06.2020 | Review Article

Assessment of left-ventricular diastolic function in pediatric intensive-care patients: a review of parameters and indications compared with those for adults

verfasst von: Morgan Recher, Astrid Botte, Jerome Soquet, Jean-Benoit Baudelet, François Godart, Stephane Leteurtre

Erschienen in: World Journal of Pediatrics | Ausgabe 1/2021

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Abstract

Background

The incidence of diastolic heart failure has increased over time. The evaluation of left-ventricular diastolic function is complex, ongoing, and remains poorly performed in pediatric intensive-care patients. This study aimed to review the literature and to provide an update on the evaluation of left-ventricular diastolic function in adults and children in intensive care.

Data sources

We searched data from PubMed/Medline. Thirty-two studies were included. Four pragmatic questions were identified: (1) What is the physiopathology of diastolic dysfunction? (2) Which tools are required to evaluate diastolic function? (3) What are the echocardiographic criteria needed to evaluate diastolic function? (4) When should diastolic function be evaluated in pediatric intensive care?

Results

Early diastole allows characterization of relaxation, whereas compliance assessments and filling pressures are evaluated during late diastole. The evolution of diastolic function differs between adults and children. Unlike in adults, decreased compliance occurs at the same time as delayed relaxation in children. Diastolic function can be evaluated by Doppler echocardiography. The echocardiographic criteria for ventricular relaxation include the E wave, E/A wave ratio, and isovolumic relaxation time. Ventricular compliance can be assessed by the E/e’ wave ratio, atrial volume, and Ap wave duration during pulmonary vein flow. In adult intensive-care patients, the E/e’ ratio can be used as an index of tolerance for volume expansion in septic patients and to adjust the inotropic support.

Conclusion

Clinical studies would allow some of these parameters to be validated for use in children in intensive care.

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Yu CM, Lin H, Yang H, Kong SL, Zhang Q, Lee SWL. Progression of systolic abnormalities in patients with isolated diastolic heart failure and diastolic dysfunction. Circulation. 2002;105:1195–201.PubMed

Clarkson P, Wheeldon NM, Macdonald TM. Left ventricular diastolic dysfunction. Q J Med. 1994;87:143–8.PubMed

Gaasch WH. Diagnosis and treatment of heart failure based on left ventricular systolic or diastolic dysfunction. JAMA. 1994;271:1276–80.PubMed

Owan TE, Hodge DO, Herges RM, Jacobsen SJ, Roger VL, Redfield MM. Trends in prevalence and outcome of heart failure with preserved ejection fraction. N Engl J Med. 2006;355:251–9.PubMed

Owan TE, Redfield MM. Epidemiology of diastolic heart failure. Prog Cardiovasc Dis. 2005;47:320–32.PubMed

Zile MR, Baicu CF, Gaasch WH. Diastolic heart failure–abnormalities in active relaxation and passive stiffness of the left ventricle. N Engl J Med. 2004;350:1953–9.PubMed

Masutani S, Saiki H, Kurishima C, Ishido H, Tamura M, Senzaki H. Heart failure with preserved ejection fraction in children: hormonal imbalance between aldosterone and brain natriuretic peptide. Circ J Off J. 2013;77:2375–82.

Greenstein YY, Mayo PH. Evaluation of left ventricular diastolic function by the intensivist. Chest. 2018;153:723–32.PubMed

Tissot C, Singh Y, Sekarski N. Echocardiographic evaluation of ventricular function-for the neonatologist and pediatric intensivist. Front Pediatr. 2018;6:79.PubMedPubMedCentral

10.

Paulus WJ, Tschope C, Sanderson JE, Rusconi C, Flachskampf FA, Rademakers FE, et al. How to diagnose diastolic heart failure: a consensus statement on the diagnosis of heart failure with normal left ventricular ejection fraction by the Heart Failure and Echocardiography Associations of the European Society of Cardiology. Eur Heart J. 2007;28:2539–50.PubMed

11.

Senni M, Tribouilloy CM, Rodeheffer RJ, Jacobsen SJ, Evans JM, Bailey KR. Congestive heart failure in the community: a study of all incident cases in Olmsted County, Minnesota, in 1991. Circulation. 1998;98:2282–9.PubMed

12.

Vignon P, Goarin JP, editors. Échocardiographie-doppler en réanimation, anesthésie et médicine d’urgence. Paris: Elsevier; 2002.

13.

Ponikowski P, Voors AA, Anker SD, Bueno H, Cleland JGF, Coats AJS, et al. ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: the task force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC) Developed with the special contribution of the Heart Failure Association (HFA) of the ESC. Eur Heart J. 2016;37:2129–200.

14.

Appleton CP, Hatle LK, Popp RL. Relation of transmitral flow velocity patterns to left ventricular diastolic function: new insights from a combined hemodynamic and Doppler echocardiographic study. J Am Coll Cardiol. 1988;12:426–40.PubMed

15.

Mawad W, Friedberg MK. The continuing challenge of evaluating diastolic function by echocardiography in children: developing concepts and newer modalities. Curr Opin Cardiol. 2017;32:93–100.PubMed

16.

Kawaguchi M, Hay I, Fetics B, Kass DA. Combined ventricular systolic and arterial stiffening in patients with heart failure and preserved ejection fraction: implications for systolic and diastolic reserve limitations. Circulation. 2003;107:714–20.PubMed

17.

Iwanaga Y, Nishi I, Furuichi S, Noguchi T, Sase K, Kihara Y, et al. B-type natriuretic peptide strongly reflects diastolic wall stress in patients with chronic heart failure: comparison between systolic and diastolic heart failure. J Am Coll Cardiol. 2006;47:742–8.PubMed

18.

Dragulescu A, Mertens L, Friedberg MK. Interpretation of left ventricular diastolic dysfunction in children with cardiomyopathy by echocardiography: problems and limitations. Circ Cardiovasc Imaging. 2013;6:254–61.PubMed

19.

Vasan RS, Levy D. Defining diastolic heart failure: a call for standardized diagnostic criteria. Circulation. 2000;101:2118–211.PubMed

20.

Zile MR, Brutsaert DL. New concepts in diastolic dysfunction and diastolic heart failure: Part I: diagnosis, prognosis, and measurements of diastolic function. Circulation. 2002;105:1387–93.PubMed

21.

Khouri SJ, Maly GT, Suh DD, Walsh TE. A practical approach to the echocardiographic evaluation of diastolic function. J Am Soc Echocardiogr. 2004;17:290–7.PubMed

22.

European Study Group on Diastolic Heart Failure. How to diagnose diastolic heart failure. Eur Heart J. 1998;19:990–1003.

23.

Lopez L, Colan SD, Frommelt PC, Ensing GJ, Kendall K, Younoszai AK, et al. Recommendations for quantification methods during the performance of a pediatric echocardiogram: a report from the Pediatric Measurements Writing Group of the American Society of Echocardiography Pediatric and Congenital Heart Disease Council. J Am Soc Echocardiogr. 2006;23:465–95.

24.

Haycock GB, Schwartz GJ, Wisotsky DH. Geometric method for measuring body surface area: a height-weight formula validated in infants, children, and adults. J Pediatr. 1978;93:626.

25.

Sluysmans T, Colan S. Structural measurements and adjustment for growth; chapter 5 in: Echocardiography in Pediatric and Congenital Heart Disease: From Fetus to Adult. 2nd Edition. Chichester, West Sussex; 2009.

26.

Pettersen MD, Du W, Skeens ME, Humes RA. Regression equations for calculation of z scores of cardiac structures in a large cohort of healthy infants, children, and adolescents: an echocardiographic study. J Am Soc Echocardiogr. 2008;21:922–34.PubMed

27.

O’Leary PW, Durongpisitkul K, Cordes TM, Bailey KR, Hagler DJ, Tajik J, et al. Diastolic ventricular function in children: a Doppler echocardiographic study establishing normal values and predictors of increased ventricular end-diastolic pressure. Mayo Clin Proc. 1998;73:616–28.PubMed

28.

Ezon DS, Maskatia SA, Sexson-Tejtel K, Dreyer WJ, Jeewa A, Denfield SW. Tissue doppler imaging measures correlate poorly with left ventricular filling pressures in pediatric cardiomyopathy. Congenit Heart Dis. 2015;10:203–9.

29.

Masutani S, Saiki H, Kurishima C, Kuwata S, Tamura M, Senzaki H. Assessment of ventricular relaxation and stiffness using early diastolic mitral annular and inflow velocities in pediatric patients with heart disease. Heart Vessels. 2014;29:825–33.PubMed

30.

Courtois M, Vered Z, Barzilai B, Ricciotti NA, Pérez JE, Ludbrook PA. The transmitral pressure-flow velocity relation. Effect of abrupt preload reduction. Circulation. 1988;78:1459–68.PubMed

31.

Courtois M, Kovács SJ, Ludbrook PA. Transmitral pressure-flow velocity relation. Importance of regional pressure gradients in the left ventricle during diastole. Circulation. 1998;78:661–71.

32.

Friedberg MK, Margossian R, Lu M, Mercer-Rosa L, Henderson HT, Nutting A, et al. Systolic-diastolic functional coupling in healthy children and in those with dilated cardiomyopathy. J Appl Physiol Bethesda. 2016;120:1301–18.

33.

Wang J, Buergler JM, Veerasamy K, Ashton YP, Nagueh SF. Delayed untwisting: the mechanistic link between dynamic obstruction and exercise tolerance in patients with hypertrophic obstructive cardiomyopathy. J Am Coll Cardiol. 2009;54:1326–34.PubMed

34.

Haileselassie B, Su E, Pozios I, Thompson R, Abraham T. Strain echocardiography parameters correlate with disease severity in children and infants with sepsis. Pediatr Crit Care Med. 2016;17:383–90.PubMedPubMedCentral

35.

Levy PT, Machefsky A, Sanchez AA, Patel MD, Rogal S, Fowler S, et al. Reference ranges of left ventricular strain measures by two-dimensional speckle-tracking echocardiography in children: a systematic review and meta-analysis. J Am Soc Echocardiogr. 2016;29:209–25.PubMed

36.

Giannuzzi P, Imparato A, Temporelli PL, de Vito F, Silva PL, Scapellato F, et al. Doppler-derived mitral deceleration time of early filling as a strong predictor of pulmonary capillary wedge pressure in postinfarction patients with left ventricular systolic dysfunction. J Am Coll Cardiol. 1994;23:1630–7.PubMed

37.

Dokainish H, Zoghbi WA, Lakkis NM, Al-Bakshy F, Dhir M, Quinones MA, et al. Optimal noninvasive assessment of left ventricular filling pressures: a comparison of tissue Doppler echocardiography and B-type natriuretic peptide in patients with pulmonary artery catheters. Circulation. 2004;109:2432–9.PubMed

38.

Nagueh SF, Lakkis NM, Middleton KJ, Spencer WH 3rd, Zoghbi WA, Quiñones MA. Doppler estimation of left ventricular filling pressures in patients with hypertrophic cardiomyopathy. Circulation. 1999;99:254–61.PubMed

39.

Boussuges A, Blanc P, Molenat F, Burnet H, Habib G, Sainty JM. Evaluation of left ventricular filling pressure by transthoracic Doppler echocardiography in the intensive care unit. Crit Care Med. 2002;30:362–7.PubMed

40.

Vignon P, AitHssain A, François B, Preux PM, Pichon N, Clavel M, et al. Echocardiographic assessment of pulmonary artery occlusion pressure in ventilated patients: a transoesophageal study. Crit Care 12;2008:R18.

41.

Sankar J, Das RR, Jain A, Dewangan S, Khilnani P, Yadav D, et al. Prevalence and outcome of diastolic dysfunction in children with fluid refractory septic shock–a prospective observational study. Pediatr Crit Care Med. 2014;15:370–8.

42.

Parker MM, Shelhamer JH, Natanson C, Alling DW, Parrillo JE. Serial cardiovascular variables in survivors and nonsurvivors of human septic shock: heart rate as an early predictor of prognosis. Crit Care Med. 1987;5:923–9.

43.

Sanfilippo F, Corredor C, Fletcher N, Landesberg G, Benedetto U, Foex P, et al. Diastolic dysfunction and mortality in septic patients: a systematic review and meta-analysis. Intensive Care Med. 2015;41:1004–133.PubMed

44.

Mahjoub Y, Benoit-Fallet H, Airapetian N, Lorne E, Levrard M, Seydi AA, et al. Improvement of left ventricular relaxation as assessed by tissue Doppler imaging in fluid-responsive critically ill septic patients. Intensive Care Med. 2012;38:1461–70.PubMed

45.

Clancy DJ, Slama M, Huang S, Scully T, McLean AS, Orde SR. Detecting impaired myocardial relaxation in sepsis with a novel tissue Doppler parameter (septal e’/s’). Crit Care Lond Engl. 2017;21:175.

46.

Clancy DJ, Scully T, Slama M, Huang S, McLean AS, Orde SR. Application of updated guidelines on diastolic dysfunction in patients with severe sepsis and septic shock. Ann Intensive Care. 2017;7:121.PubMedPubMedCentral

47.

Raj S, Killinger JS, Gonzalez JA, Lopez L. Myocardial dysfunction in pediatric septic shock. J Pediatr. 2014;164:72–7.PubMed

48.

Williams FZ, Sachdeva R, Travers CD, Walson KH, Hebbar KB. Characterization of myocardial dysfunction in fluid- and catecholamine-refractory pediatric septic shock and its clinical significance. J Intensive Care Med. 2019;34:17–25.PubMed

49.

Harada K, Tamura M, Toyono M, Yasuoka K. Effect of dobutamine on a Doppler echocardiographic index of combined systolic and diastolic performance. Pediatr Cardiol. 2002;23:613–7.PubMed

50.

Morelli A, Ertmer C, Westphal M, Rehberg S, Kampmeier T, Ligges S, et al. Effect of heart rate control with esmolol on hemodynamic and clinical outcomes in patients with septic shock: a randomized clinical trial. JAMA. 2013;310:1683–91.PubMed

51.

Monnet X, Teboul JL. Dysfonction cardiaque gauche lors du sevrage de la ventilation mécanique. Réanimation. 2006;15:124–30.

52.

Marcelino P, Fernandes AP, Marum S, Ribeiro JP. The influence of cardiac diastole on weaning from mechanical ventilation. Rev Port Cardiol Orgão Of Soc Port Cardiol Port J Cardiol Off J Port Soc Cardiol. 2002;21:849–57.

53.

Lamia B, Maizel J, Ochagavia A, Chemla D, Osman D, Richard C, et al. Echocardiographic diagnosis of pulmonary artery occlusion pressure elevation during weaning from mechanical ventilation. Crit Care Med. 2009;37:1696–701.PubMed

54.

Bader FM, Islam N, Mehta NA, Worthen N, Ishihara S, Stehlik J, et al. Noninvasive diagnosis of cardiac allograft rejection using echocardiography indices of systolic and diastolic function. Transplant Proc. 2011;43:3877–81.PubMed

55.

Strigl S, Hardy R, Glickstein JS, Hsu DT, Addonizio LJ, Lamour JM, et al. Tissue Doppler-derived diastolic myocardial velocities are abnormal in pediatric cardiac transplant recipients in the absence of endomyocardial rejection. Pediatr Cardiol. 2008;29:749–54.PubMed

56.

Yoldaş T, Yeşil Ş, Karademir S, Şahin G, Örün UA, Doğan V, et al. Evaluation of long-term cardiac side effects of anthracycline chemotherapy by conventional and non-conventional echocardiographic methods in childhood cancer survivors. Cardiol Young. 2019;29:904–9.PubMed

57.

Shigemitsu S, Takahashi K, Yazaki K, Kobayashi M, Yamada M, Akimoto K, et al. New insight into the intraventricular pressure gradient as a sensitive indicator of diastolic cardiac dysfunction in patients with childhood cancer after anthracycline therapy. Heart Vessels. 2019;34:992–1001.PubMed

Titel: Assessment of left-ventricular diastolic function in pediatric intensive-care patients: a review of parameters and indications compared with those for adults
verfasst von: Morgan Recher
Astrid Botte
Jerome Soquet
Jean-Benoit Baudelet
François Godart
Stephane Leteurtre
Publikationsdatum: 06.06.2020
Verlag: Springer Singapore
Erschienen in: World Journal of Pediatrics / Ausgabe 1/2021
Print ISSN: 1708-8569
Elektronische ISSN: 1867-0687
DOI: https://doi.org/10.1007/s12519-020-00369-x

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Assessment of left-ventricular diastolic function in pediatric intensive-care patients: a review of parameters and indications compared with those for adults

Abstract

Background

Data sources

Results

Conclusion

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Abstract

Background

Data sources

Results

Conclusion

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