PMID- 31617033 OWN - NLM STAT- MEDLINE DCOM- 20210705 LR - 20210705 IS - 1573-7322 (Electronic) IS - 1382-4147 (Linking) VI - 25 IP - 6 DP - 2020 Nov TI - Basic and advanced echocardiography in advanced heart failure: an overview. PG - 937-948 LID - 10.1007/s10741-019-09865-3 [doi] AB - Advanced chronic heart failure (ACHF) is the last phase in the evolution of heart failure and is characterized by high hospitalization and mortality rates and is refractory to medical therapy, therefore requiring more aggressive therapies, such as mechanical circulatory support or heart transplantation. Over the last years, the incidence of ACHF was continuously growing, together with the increase in population survival rates. Therefore, the early recognition of the transition to ACHF is of crucial importance in HF patients, which also helps in prognostication of such patients, since advanced therapeutic options are limited to selected patients and they also have some important risk implications. Echocardiography is the gold standard tool for the evaluation of patients with HF; moreover, the recent technological advances provided new structural and functional indices of the four cardiac chambers that showed to be comparable to advanced imaging or invasive hemodynamic parameters. This allows us to operate an accurate study of ACHF with first- and second-level echocardiographic techniques, which are now being integrated in daily clinical practice. The present review presents an overview of the currently available tools for the echocardiographic examination of patients with ACHF, with its advantages and limitations, based on the latest supporting evidences. FAU - Pastore, Maria Concetta AU - Pastore MC AUID- ORCID: 0000-0002-7223-141X AD - Department of Cardiovascular Diseases, University of Siena, Viale Bracci 1, Siena, Italy. pastore2411@gmail.com. FAU - Mandoli, Giulia Elena AU - Mandoli GE AD - Department of Cardiovascular Diseases, University of Siena, Viale Bracci 1, Siena, Italy. FAU - Aboumarie, Hatem Soliman AU - Aboumarie HS AD - Adult Intensive Care Unit, Royal Brompton and Harefield NHS Foundation Trust, London, UK. FAU - Santoro, Ciro AU - Santoro C AD - Department of Advanced Biomedical Science, Federico II University Hospital Naples, Naples, Italy. FAU - Bandera, Francesco AU - Bandera F AD - Cardiology University Department, Heart Failure Unit, IRCCS, Policlinico San Donato, San Donato Milanese and Department of Biomedical Sciences for Health, University of Milano, Milan, Italy. FAU - D'Andrea, Antonello AU - D'Andrea A AD - Division of Cardiology, Umberto I' Hospital Nocera Inferiore (Salerno), Luigi Vanvitelli University, Caserta, Italy. FAU - Benfari, Giovanni AU - Benfari G AD - Division of Cardiology, Department of Medicine, University of Verona, Verona, Italy. FAU - Esposito, Roberta AU - Esposito R AD - Department of Advanced Biomedical Science, Federico II University Hospital Naples, Naples, Italy. FAU - Evola, Vincenzo AU - Evola V AD - Department of Health Promotion Sciences, Maternal-Infant Care, Internal Medicine and Specialities of Excellence "G. D'Alessandro," University of Palermo, Cardiology Unit, University Hospital P. Giaccone, Palermo, Italy. FAU - Sorrentino, Regina AU - Sorrentino R AD - Department of Advanced Biomedical Science, Federico II University Hospital Naples, Naples, Italy. FAU - Cameli, Paolo AU - Cameli P AD - Department of Clinical Medical and Neurosciences, Respiratory Disease and Lung Transplantation Section, Le Scotte Hospital, University of Siena, Siena, Italy. FAU - Valente, Serafina AU - Valente S AD - Department of Cardiovascular Diseases, University of Siena, Viale Bracci 1, Siena, Italy. FAU - Mondillo, Sergio AU - Mondillo S AD - Department of Cardiovascular Diseases, University of Siena, Viale Bracci 1, Siena, Italy. FAU - Galderisi, Maurizio AU - Galderisi M AD - Department of Advanced Biomedical Science, Federico II University Hospital Naples, Naples, Italy. FAU - Cameli, Matteo AU - Cameli M AD - Department of Cardiovascular Diseases, University of Siena, Viale Bracci 1, Siena, Italy. CN - Working Group of Echocardiography of the Italian Society of Cardiology LA - eng PT - Journal Article PT - Review PL - United States TA - Heart Fail Rev JT - Heart failure reviews JID - 9612481 SB - IM MH - Echocardiography/*methods MH - Heart Failure/*diagnosis/physiopathology MH - Heart Ventricles/*diagnostic imaging/physiopathology MH - Humans MH - Stroke Volume/*physiology OTO - NOTNLM OT - 3D echocardiography OT - Advanced heart failure OT - Echocardiography OT - LVAD OT - Speckle tracking EDAT- 2019/10/17 06:00 MHDA- 2021/07/06 06:00 CRDT- 2019/10/17 06:00 PHST- 2019/10/17 06:00 [pubmed] PHST- 2021/07/06 06:00 [medline] PHST- 2019/10/17 06:00 [entrez] AID - 10.1007/s10741-019-09865-3 [pii] AID - 10.1007/s10741-019-09865-3 [doi] PST - ppublish SO - Heart Fail Rev. 2020 Nov;25(6):937-948. doi: 10.1007/s10741-019-09865-3.