Publications by authors named "Athanasios Frydas"

Aims: The purpose of this retrospective analysis was to examine the association of left atrial (LA) strain (i.e. LA reservoir function) with left ventricular diastolic dysfunction (DD) in patients with heart failure with reduced and preserved left ventricular ejection fraction (LVEF).

View Article and Find Full Text PDF
Article Synopsis
  • The study aimed to analyze a new left atrial (LA) filling index using 2D echocardiography to help estimate left ventricular (LV) filling pressures in patients with normal LV function.
  • The LA filling index, calculated as the mitral inflow peak velocity divided by LA strain, showed strong diagnostic accuracy in identifying elevated LV filling pressures across different patient groups.
  • Additionally, an increased E/LA strain ratio was linked to a higher risk of heart failure hospitalization, indicating its potential clinical importance for patient outcomes.
View Article and Find Full Text PDF

We aimed to explore left atrial (LA) remodeling in the patients with solid cancer before initiation of chemo- or radiotherapy. This retrospective investigation included 92 chemo- and radiotherapy-naive cancer patients and 40 age- and gender-matched controls with a similar cardiovascular risk profile as the cancer group. All participants underwent comprehensive echocardiographic examination before the start of chemo- or radiotherapy.

View Article and Find Full Text PDF

Aims: The purpose of this pilot study was to assess the potential usefulness of diastolic stress test (DST) echocardiography in patients with suspected heart failure with preserved ejection fraction (HFpEF).

Methods And Results: Patients with suspected HFpEF (left ventricular ejection fraction ≥ 50%, exertional dyspnoea, septal E/e' at rest 9-14, and N-terminal pro-B-type natriuretic peptide (NT-proBNP) at rest < 220 pg/mL; n = 13) and a control group constituted from asymptomatic patients with arterial hypertension (n = 19) and healthy subjects (n = 18) were included. All patients were analysed by two-dimensional and Doppler echocardiography at rest and during exercise (DST) and underwent cardiopulmonary exercise testing and NT-proBNP analysis during exercise.

View Article and Find Full Text PDF

Heart failure with preserved ejection fraction (HFpEF) is an entity that still raises many questions. The agreement about definition, pathophysiology, and therapeutic approach is still missing. Arterial hypertension is present in majority of patients with HFpEF, and it is still not clear if it represent a risk factor or "sine qua non" condition for HFpEF development.

View Article and Find Full Text PDF

This study sought to examine whether early cardiac alterations could be detected by left atrial (LA) strain in patients with risk for cardiac abnormalities. In this cross-sectional and retrospective study, we included patients with (n = 234) and without (n = 48) risk for cardiac abnormalities (i.e.

View Article and Find Full Text PDF
Article Synopsis
  • This study aimed to evaluate how useful left atrial (LA) strain is when combined with left atrial volume index (LAVI) for detecting left ventricular diastolic dysfunction (LVDD) in patients who have a normal left ventricular ejection fraction (LVEF).
  • Analyzing 517 patients, the researchers found that abnormal LA strain was detected in a significantly higher number compared to abnormal LAVI, leading to an overall increase in LVDD detection rates when LA strain was included in the evaluation.
  • Clinically, an abnormal LA strain was linked to worse heart function and a higher risk of heart failure hospitalization within two years, indicating its importance even when LAVI results are normal.
View Article and Find Full Text PDF

Background: The purpose of this meta-analysis was to confirm if the global longitudinal systolic function of the left ventricle (LV) is altered in patients with heart failure with preserved ejection fraction (HFpEF).

Methods: We searched in different databases (Medline, Embase and Cochrane) studies that analysed LV global longitudinal systolic strain (GLS) in patients with HFpEF and in controls (such as healthy subjects or asymptomatic patients with arterial hypertension, diabetes mellitus or coronary artery disease).

Results: Twenty-two studies (2284 patients with HFpEF and 2302 controls) were included in the final analysis.

View Article and Find Full Text PDF

Aims: The aim of the present study was to determine the lower limit of normality and the clinical relevance of left ventricular (LV) early diastolic strain rate (LVSRe) for the detection of LV diastolic dysfunction (LVDD).

Methods And Results: Using 2D speckle-tracking echocardiography, we analysed 377 healthy subjects and 475 patients with risk for LVDD with preserved LV ejection fraction (LVEF). The normal range of LVSRe analysing the healthy subjects was 1.

View Article and Find Full Text PDF

Unlabelled: Tumor-induced osteomalacia (TIO) is a rare paraneoplastic syndrome caused primarily by benign mesenchymal tumors. These tumors typically follow a benign clinical course and local recurrence occurs in <5% of cases. We investigated a 49-year-old man with a recurrent mesenchymal phosphaturic tumor showing no signs of malignancy.

View Article and Find Full Text PDF