Valvular & structural heart disease

Non-invasive myocardial work in aortic stenosis: validation and improvement in left ventricular pressure estimation

Eur Heart J Cardiovasc ImagingPublished Validation study

Authors' conclusion

This study confirms the validity of the non-invasive MWI in patients with AS. The accuracy of estimated LVP curves improved when matching AVO to the diastolic pressure in the original model, mirroring that of the AS-specific model.

Study context

Population
Patients with severe aortic stenosis (AS)
Participants
20 patients
Comparison
Estimated left ventricular pressure (LVP) vs invasive LVP for non-invasive myocardial work index
Outcome
Agreement of estimated vs invasive LVP and MWI
Methodological detailssame-beat comparison of invasive and estimated LVP
  • Same-beat comparison of invasive and estimated LVP

Performance

As reported in the abstract

Model 1 overestimated early systolic pressure at aortic valve opening (AVO) vs Models 2 and 3 (significant)

61 ± 5 mmHg

Correlation of myocardial work index (MWI) with estimated (all models) vs invasive LVP; good agreement

r = 0.98

P < 0.001

Original publication

Non-invasive myocardial work in aortic stenosis: validation and improvement in left ventricular pressure estimation. Eur Heart J Cardiovasc Imaging. Published 6 September 2023. doi:10.1093/ehjci/jead227

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