Value of Virtual Touch Quantification Elastography for Assessing Liver Congestion in Patients With Heart Failure
Background:Heart failure (HF) causes organ congestion, which is thought to increase organ stiffness. The virtual touch quantification (VTQ) method can be used to assess liver stiffness in patients with chronic liver diseases. This study aimed to measure liver and kidney stiffness using VTQ and to de...
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| Published in | Circulation Journal Vol. 80; no. 5; pp. 1187 - 1195 |
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| Main Authors | , , , , , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Japan
The Japanese Circulation Society
25.04.2016
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| Subjects | |
| Online Access | Get full text |
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| Abstract | Background:Heart failure (HF) causes organ congestion, which is thought to increase organ stiffness. The virtual touch quantification (VTQ) method can be used to assess liver stiffness in patients with chronic liver diseases. This study aimed to measure liver and kidney stiffness using VTQ and to determine its value for assessing organ congestion in patients with HF.Methods and Results:This study included 10 normal subjects and 38 HF patients (age 52.3±16.7 years, left ventricular ejection fraction 27.0±9.4%, plasma B-type natriuretic peptide [BNP] 1,297.3±1,155.1 pg/ml). We investigated the relationships between clinical characteristics and hemodynamics and liver and kidney stiffness, and assessed the effects of medical treatment on these measurements. Liver stiffness was significantly higher in HF patients (1.17±0.13 m/s vs. 2.03±0.91 m/s, P=0.004) compared with normal subjects, but kidney stiffness was similar in both groups. Central venous pressure (CVP) (P=0.021) and BNP (P=0.025) were independent predictive factors for increased liver stiffness in HF patients. Liver stiffness decreased significantly from 2.37±1.09 to 1.27±0.33 m/s (P<0.001) after treatment. Changes in liver stiffness in HF patients significantly correlated with changes in CVP (R=0.636, P=0.014) and cardiac index (R=−0.557, P=0.039) according to univariate analysis, and with changes in CVP in multivariate analysis.Conclusions:Liver stiffness measured by noninvasive VTQ methods can be used to assess liver congestion and therapeutic effects in patients with HF. (Circ J 2016; 80: 1187–1195) |
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| AbstractList | Heart failure (HF) causes organ congestion, which is thought to increase organ stiffness. The virtual touch quantification (VTQ) method can be used to assess liver stiffness in patients with chronic liver diseases. This study aimed to measure liver and kidney stiffness using VTQ and to determine its value for assessing organ congestion in patients with HF.
This study included 10 normal subjects and 38 HF patients (age 52.3±16.7 years, left ventricular ejection fraction 27.0±9.4%, plasma B-type natriuretic peptide [BNP] 1,297.3±1,155.1 pg/ml). We investigated the relationships between clinical characteristics and hemodynamics and liver and kidney stiffness, and assessed the effects of medical treatment on these measurements. Liver stiffness was significantly higher in HF patients (1.17±0.13 m/s vs. 2.03±0.91 m/s, P=0.004) compared with normal subjects, but kidney stiffness was similar in both groups. Central venous pressure (CVP) (P=0.021) and BNP (P=0.025) were independent predictive factors for increased liver stiffness in HF patients. Liver stiffness decreased significantly from 2.37±1.09 to 1.27±0.33 m/s (P<0.001) after treatment. Changes in liver stiffness in HF patients significantly correlated with changes in CVP (R=0.636, P=0.014) and cardiac index (R=-0.557, P=0.039) according to univariate analysis, and with changes in CVP in multivariate analysis.
Liver stiffness measured by noninvasive VTQ methods can be used to assess liver congestion and therapeutic effects in patients with HF. (Circ J 2016; 80: 1187-1195). Background:Heart failure (HF) causes organ congestion, which is thought to increase organ stiffness. The virtual touch quantification (VTQ) method can be used to assess liver stiffness in patients with chronic liver diseases. This study aimed to measure liver and kidney stiffness using VTQ and to determine its value for assessing organ congestion in patients with HF.Methods and Results:This study included 10 normal subjects and 38 HF patients (age 52.3±16.7 years, left ventricular ejection fraction 27.0±9.4%, plasma B-type natriuretic peptide [BNP] 1,297.3±1,155.1 pg/ml). We investigated the relationships between clinical characteristics and hemodynamics and liver and kidney stiffness, and assessed the effects of medical treatment on these measurements. Liver stiffness was significantly higher in HF patients (1.17±0.13 m/s vs. 2.03±0.91 m/s, P=0.004) compared with normal subjects, but kidney stiffness was similar in both groups. Central venous pressure (CVP) (P=0.021) and BNP (P=0.025) were independent predictive factors for increased liver stiffness in HF patients. Liver stiffness decreased significantly from 2.37±1.09 to 1.27±0.33 m/s (P<0.001) after treatment. Changes in liver stiffness in HF patients significantly correlated with changes in CVP (R=0.636, P=0.014) and cardiac index (R=−0.557, P=0.039) according to univariate analysis, and with changes in CVP in multivariate analysis.Conclusions:Liver stiffness measured by noninvasive VTQ methods can be used to assess liver congestion and therapeutic effects in patients with HF. (Circ J 2016; 80: 1187–1195) Heart failure (HF) causes organ congestion, which is thought to increase organ stiffness. The virtual touch quantification (VTQ) method can be used to assess liver stiffness in patients with chronic liver diseases. This study aimed to measure liver and kidney stiffness using VTQ and to determine its value for assessing organ congestion in patients with HF.BACKGROUNDHeart failure (HF) causes organ congestion, which is thought to increase organ stiffness. The virtual touch quantification (VTQ) method can be used to assess liver stiffness in patients with chronic liver diseases. This study aimed to measure liver and kidney stiffness using VTQ and to determine its value for assessing organ congestion in patients with HF.This study included 10 normal subjects and 38 HF patients (age 52.3±16.7 years, left ventricular ejection fraction 27.0±9.4%, plasma B-type natriuretic peptide [BNP] 1,297.3±1,155.1 pg/ml). We investigated the relationships between clinical characteristics and hemodynamics and liver and kidney stiffness, and assessed the effects of medical treatment on these measurements. Liver stiffness was significantly higher in HF patients (1.17±0.13 m/s vs. 2.03±0.91 m/s, P=0.004) compared with normal subjects, but kidney stiffness was similar in both groups. Central venous pressure (CVP) (P=0.021) and BNP (P=0.025) were independent predictive factors for increased liver stiffness in HF patients. Liver stiffness decreased significantly from 2.37±1.09 to 1.27±0.33 m/s (P<0.001) after treatment. Changes in liver stiffness in HF patients significantly correlated with changes in CVP (R=0.636, P=0.014) and cardiac index (R=-0.557, P=0.039) according to univariate analysis, and with changes in CVP in multivariate analysis.METHODS AND RESULTSThis study included 10 normal subjects and 38 HF patients (age 52.3±16.7 years, left ventricular ejection fraction 27.0±9.4%, plasma B-type natriuretic peptide [BNP] 1,297.3±1,155.1 pg/ml). We investigated the relationships between clinical characteristics and hemodynamics and liver and kidney stiffness, and assessed the effects of medical treatment on these measurements. Liver stiffness was significantly higher in HF patients (1.17±0.13 m/s vs. 2.03±0.91 m/s, P=0.004) compared with normal subjects, but kidney stiffness was similar in both groups. Central venous pressure (CVP) (P=0.021) and BNP (P=0.025) were independent predictive factors for increased liver stiffness in HF patients. Liver stiffness decreased significantly from 2.37±1.09 to 1.27±0.33 m/s (P<0.001) after treatment. Changes in liver stiffness in HF patients significantly correlated with changes in CVP (R=0.636, P=0.014) and cardiac index (R=-0.557, P=0.039) according to univariate analysis, and with changes in CVP in multivariate analysis.Liver stiffness measured by noninvasive VTQ methods can be used to assess liver congestion and therapeutic effects in patients with HF. (Circ J 2016; 80: 1187-1195).CONCLUSIONSLiver stiffness measured by noninvasive VTQ methods can be used to assess liver congestion and therapeutic effects in patients with HF. (Circ J 2016; 80: 1187-1195). |
| Author | Yamada, Satoshi Tsutsui, Hiroyuki Kudou, Yusuke Yoshitani, Takashi Noguchi, Keiji Asakawa, Naoya Kamiya, Kiwamu Tokuda, Yusuke Sakakibara, Mamoru Iwano, Hiroyuki Nishida, Mutsumi Shimizu, Chikara Amano, Toraji |
| Author_xml | – sequence: 1 fullname: Yoshitani, Takashi organization: Department of Cardiovascular Medicine, Hokkaido University Graduate School of Medicine – sequence: 2 fullname: Asakawa, Naoya organization: Department of Cardiovascular Medicine, Hokkaido University Graduate School of Medicine – sequence: 3 fullname: Sakakibara, Mamoru organization: Department of Cardiovascular Medicine, Hokkaido University Graduate School of Medicine – sequence: 4 fullname: Noguchi, Keiji organization: Department of Cardiovascular Medicine, Hokkaido University Graduate School of Medicine – sequence: 5 fullname: Tokuda, Yusuke organization: Department of Cardiovascular Medicine, Hokkaido University Graduate School of Medicine – sequence: 6 fullname: Kamiya, Kiwamu organization: Department of Cardiovascular Medicine, Hokkaido University Graduate School of Medicine – sequence: 7 fullname: Iwano, Hiroyuki organization: Department of Cardiovascular Medicine, Hokkaido University Graduate School of Medicine – sequence: 8 fullname: Yamada, Satoshi organization: Department of Cardiovascular Medicine, Hokkaido University Graduate School of Medicine – sequence: 9 fullname: Kudou, Yusuke organization: Division of Laboratory and Transfusion Medicine, Hokkaido University Hospital – sequence: 10 fullname: Nishida, Mutsumi organization: Division of Laboratory and Transfusion Medicine, Hokkaido University Hospital – sequence: 11 fullname: Shimizu, Chikara organization: Division of Laboratory and Transfusion Medicine, Hokkaido University Hospital – sequence: 12 fullname: Amano, Toraji organization: Clinical Research and Medical Innovation Center, Hokkaido University Hospital – sequence: 13 fullname: Tsutsui, Hiroyuki organization: Department of Cardiovascular Medicine, Hokkaido University Graduate School of Medicine |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/27026257$$D View this record in MEDLINE/PubMed |
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| References_xml | – reference: 11. Chatterjee K. Neurohormonal activation in congestive heart failure and the role of vasopressin. Am J Cardiol 2005; 95: 8b–13b. – reference: 29. Taniguchi T, Sakata Y, Ohtani T, Mizote I, Takeda Y, Asano Y, et al. Usefulness of transient elastography for noninvasive and reliable estimation of right-sided filling pressure in heart failure. Am J Cardiol 2014; 113: 552–558. – reference: 2. Tsutsui H, Tsuchihashi-Makaya M, Kinugawa S, Goto D, Takeshita A. Clinical characteristics and outcome of hospitalized patients with heart failure in Japan. Circ J 2006; 70: 1617–1623. – reference: 31. Hopper I, Kemp W, Porapakkham P, Sata Y, Condon E, Skiba M, et al. Impact of heart failure and changes to volume status on liver stiffness: Non-invasive assessment using transient elastography. Eur J Heart Fail 2012; 14: 621–627. – reference: 25. Castera L, Foucher J, Bernard PH, Carvalho F, Allaix D, Merrouche W, et al. Pitfalls of liver stiffness measurement: A 5-year prospective study of 13,369 examinations. Hepatology 2010; 51: 828–835. – reference: 30. Jalal Z, Iriart X, De Ledinghen V, Barnetche T, Hiriart JB, Vergniol J, et al. Liver stiffness measurements for evaluation of central venous pressure in congenital heart diseases. Heart 2015; 101: 1499–1504. – reference: 27. Toshima T, Shirabe K, Takeishi K, Motomura T, Mano Y, Uchiyama H, et al. New method for assessing liver fibrosis based on acoustic radiation force impulse: A special reference to the difference between right and left liver. J Gastroenterol 2011; 46: 705–711. – reference: 16. Wong VW, Chan HL. Transient elastography. J Gastroenterol Hepatol 2010; 25: 1726–1731. – reference: 9. Poelzl G, Auer J. Cardiohepatic syndrome. Curr Heart Fail Rep 2015; 12: 68–78. – reference: 18. Boursier J, Isselin G, Fouchard-Hubert I, Oberti F, Dib N, Lebigot J, et al. 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| Snippet | Background:Heart failure (HF) causes organ congestion, which is thought to increase organ stiffness. The virtual touch quantification (VTQ) method can be used... Heart failure (HF) causes organ congestion, which is thought to increase organ stiffness. The virtual touch quantification (VTQ) method can be used to assess... |
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| SubjectTerms | Adult Aged Case-Control Studies Central Venous Pressure - physiology Congestion Elasticity Imaging Techniques - methods Elastography Heart failure Heart Failure - complications Humans Liver Diseases - diagnostic imaging Liver Diseases - etiology Middle Aged Natriuretic Peptide, Brain - blood Organ stiffness |
| Title | Value of Virtual Touch Quantification Elastography for Assessing Liver Congestion in Patients With Heart Failure |
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