Tạp chí Tim mạch học Việt Nam

Article detail

Article detail description

Home
BÀI TỔNG QUAN Issue: Số 116 BỆNH SUY TIM SIÊU ÂM TIM

Left Ventricular Outflow Tract Velocity Time Integral: Old Echocardiography Parameter with New Evidence in Acute and Chronic Heart Failure

Nguyễn Qui: Trung Tâm Y Khoa Medic;
Published: August 29, 2025
Views: 93

Abstract

Heart failure remains a medical issue with a high burden of morbidity and mortality. Diagnosis, treatment, and heart failure monitoring continue to be challenges in clinical practice. Many factors have been proposed for the diagnosis, monitoring, and prognosis of heart failure, including left ventricular outflow tract velocity-time integral. Left ventricular outflow tract velocity-time integral is a hemodynamic parameter measured by echocardiography and has a long history of application in calculating stroke volume and cardiac output. Recently, there has been growing evidence suggesting that left ventricular outflow tract velocity-time integral has great potential in monitoring and predicting acute and chronic heart failure patients.

References

1.
Theresa A McDonagh, Marco Metra, Marianna Adamo, et al. 2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: Developed by the Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC) With the special contribution of the Heart Failure Association (HFA) of the ESC. European Heart Journal. 2021;42(36):3599-3726. doi:10.1093/eurheartj/ehab368 %J European Heart Journal
2.
Andrew P. Ambrosy, Gregg C. Fonarow, Javed Butler, et al. The Global Health and Economic Burden of Hospitalizations for Heart Failure: Lessons Learned From Hospitalized Heart Failure Registries. Journal of the American College of Cardiology. 2014;63(12):1123-1133. doi:https://doi.org/10.1016/j.jacc.2013.11.053
3.
Maria G. Crespo-Leiro, Stefan D. Anker, Aldo P. Maggioni, et al. European Society of Cardiology Heart Failure Long-Term Registry (ESC-HF-LT): 1-year follow-up outcomes and differences across regions. European Journal of Heart Failure. 2016;18(6):613-625. doi:https://doi.org/10.1002/ejhf.566
4.
Ò Miró, A. García Sarasola, C. Fuenzalida, et al. Departments involved during the first episode of acute heart failure and subsequent emergency department revisits and rehospitalisations: an outlook through the NOVICA cohort. European journal of heart failure. 2019;21(10):1231-1244. doi:10.1002/ejhf.1567
5.
O. Chioncel, A. Mebazaa, V. P. Harjola, et al. Clinical phenotypes and outcome of patients hospitalized for acute heart failure: the ESC Heart Failure Long-Term Registry. European journal of heart failure. 2017;19(10):1242-1254. doi:10.1002/ejhf.890
6.
O. Chioncel, A. Mebazaa, A. P. Maggioni, et al. Acute heart failure congestion and perfusion status - impact of the clinical classification on in-hospital and long-term outcomes; insights from the ESC-EORP-HFA Heart Failure Long-Term Registry. European journal of heart failure. 2019;21(11):1338-1352. doi:10.1002/ejhf.1492
7.
Jiayu Feng, Yuhui Zhang, Jian Zhang. Epidemiology and burden of heart failure in Asia. JACC: Asia. 2024;4(4):249-264. doi:https://doi.org/10.1253/circj.CJ-23-0350
8.
Hena N Patel, Tatsuya Miyoshi, Karima Addetia, et al. Normal values of cardiac output and stroke volume according to measurement technique, age, sex, and ethnicity: results of the world alliance of societies of echocardiography study. Journal of the American Society of Echocardiography. 2021;34(10):1077-1085. e1. doi:https://doi.org/10.1016/j.echo.2021.05.012
9.
Christian Villavicencio, Xavier Daniel, Marc Cartanyà, et al. Cardiac output in critically ill patients can be estimated easily and accurately using the minute distance obtained by pulsed-wave doppler. Shock. 2023;60(4):553-559. doi:DOI: 10.1097/SHK.0000000000002210
10.
Mauro Riccardi, Dario S Cani, Matteo Pagnesi, et al. Assessing aortic flow with doppler echocardiography in cardiogenic shock: A crucial diagnostic tool. Echocardiography. 2024;41(8):e15901. doi:https://doi.org/10.1111/echo.15901
11.
Eugene Yuriditsky, Oscar JL Mitchell, Rachel A Sibley, et al. Low left ventricular outflow tract velocity time integral is associated with poor outcomes in acute pulmonary embolism. Vascular Medicine. 2020;25(2):133-140. doi:https://doi.org/10.1177/1358863X19880268
12.
Issac Cheong, Victoria Otero Castro, Raúl Alejandro Gómez, et al. A modified subcostal view: a novel method for measuring the LVOT VTI. Journal of Ultrasound. 2023;26(2):429-434. doi:https://doi.org/10.1007/s40477-022-00671-6
13.
Bram J Geller, Shashank S Sinha, Navin K Kapur, et al. Escalating and de-escalating temporary mechanical circulatory support in cardiogenic shock: a scientific statement from the American Heart Association. Circulation. 2022;146(6):e50-e68.
14.
Marc Feissel, Frédéric Michard, Isabelle Mangin, et al. Respiratory changes in aortic blood velocity as an indicator of fluid responsiveness in ventilated patients with septic shock. Chest. 2001;119(3):867-873. doi:https://doi.org/10.1378/chest.119.3.867
15.
Jacob C Jentzer, Meir Tabi, Brandon M Wiley, et al. Doppler-derived haemodynamics performed during admission echocardiography predict in-hospital mortality in cardiac intensive care unit patients. European Heart Journal: Acute Cardiovascular Care. 2022;11(8):640-650. doi:https://doi.org/10.1093/ehjacc/zuac084
16.
You Zhong, Qays Almodares, JieFu Yang, et al. Reduced stroke distance of the left ventricular outflow tract is independently associated with long‐term mortality, in patients hospitalized due to heart failure. Clinical Physiology and Functional Imaging. 2018;38(5):881-888. doi: https://doi.org/10.1111/cpf.12500
17.
Kazunori Omote, Toshiyuki Nagai, Hiroyuki Iwano, et al. Left ventricular outflow tract velocity time integral in hospitalized heart failure with preserved ejection fraction. ESC heart failure. 2020;7(1):168-176. doi: https://doi.org/10.1002/ehf2.12541
18.
Jacob C Jentzer, Meir Tabi, Brandon M Wiley, et al. Echocardiographic correlates of mortality among cardiac intensive care unit patients with cardiogenic shock. Shock. 2022;57(3):336-343. doi:DOI: 10.1097/SHK.0000000000001877
19.
Noriaki Iwahashi, Jin Kirigaya, Takeru Abe, et al. Clinical usefulness of left ventricular outflow tract velocity time integral for heart failure with reduced ejection fraction with rapid atrial fibrillation during landiolol treatment. Journal of Cardiology. 2022;79(1):21-29. doi:10.1016/j.jjcc.2021.09.008
20.
Christina Tan, David Rubenson, Ajay Srivastava, et al. Left ventricular outflow tract velocity time integral outperforms ejection fraction and Doppler-derived cardiac output for predicting outcomes in a select advanced heart failure cohort. Cardiovascular ultrasound. 2017;15:1-8. doi:10.1186/s12947-017-0109-4
21.
Francesco Gentile, Paolo Sciarrone, Giorgia Panichella, et al. Echocardiography-Derived Forward Left Ventricular Output Improves Risk Prediction in Systolic Heart Failure. Journal of the American Society of Echocardiography. 2024;doi:https://doi.org/10.1016/j.echo.2024.06.008

Files

Article Views93
Document Views1
Downloads0
Section BÀI TỔNG QUAN
Issue Số 116
Category BỆNH SUY TIM, SIÊU ÂM TIM
Pages 25-30