-
Views
-
Cite
Cite
Laura Houard, Bernard Cosyns, Steven Droogmans, Old wine in a new bottle: non-invasive quantitative evaluation of pulmonary congestion with pulmonary blood volume index by cardiac magnetic resonance, European Heart Journal - Cardiovascular Imaging, Volume 20, Issue 12, December 2019, Pages 1377–1378, https://doi.org/10.1093/ehjci/jez239
- Share Icon Share
Extract
This editorial refers to ‘Pulmonary blood volume index as a quantitative biomarker of haemodynamic congestion in hypertrophic cardiomyopathy’, by F. Ricci et al., pp. 1368--1376.
Since haemodynamic congestion usually precedes clinical symptoms and represents a major parameter impacting the treatment and prognosis of patients with different kind of heart diseases, its assessment has become one of the new spotlights of modern cardiology.
Currently, several methods are used for the evaluation of the filling state, each with its strengths and drawbacks. To date, the gold standard for evaluating pulmonary congestion is right heart catheterization (RHC), but its invasive nature limits its use in clinical practice. Echocardiography is the non-invasive tool the most frequently used for the estimation of left ventricular (LV) filling pressure via the multi-integrative algorithm recommended by the EACVI.1 However, sensitivity and negative predictive value of LV filling pressures have been recently questioned by the results of the multicentre Euro-Filling study.2