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Khalil Ur Rehman¹, Habib Ullah Shah², Majeed Ullah Buzdar³ and Shumaila Khalil⁴

ABSTRACT

Objective: To determine an effective time saving measure of Left Ventricular (LV) Systolic Function having good correlation with different classes of  New York Heart Association (NYHA) classification for Heart failure in patient with limited transthoracic window, Abnormal septal motions and Ischemic Cardiomayopathy with areas of hypokinesis, akinesis and dyskinesis.

Study Design: Prospective / Descriptive / cross sectional study

Place and Duration of Study: This study was conducted at the Department of Cardiology, DG Khan Medical College, Dera Ghazi Khan from October 2018 to December 2018.

Materials and Methods: A total number of 96 patients having cardiac failure with different classes of New York Heart Association Classification were divided into two groups. Patients in Group A has symmetrical LV geometry while in Patients in Group B has asymmetrical LV geometry. Ejection fraction and Aortic Stroke distance was calculated in both groups and these parameter were correlated and compared with different classes of NYHA classification.

Results: The ejection fraction and Aortic Stroke distance correlated very well with NYHA classes in patients with symmetrical LV geometry while in those with asymmetrical LV geometry the Aortic Stroke distance was a better correlate of  NYHA class. 

Conclusion: Aortic stroke distance is a better, time efficacious measure of  LV systolic function which can be easily determined in patients with limited trans-thoracic window.

Key Words: Aortic Stroke Distance, Ejection Fraction %, Left Ventricular Systolic Function, NYHA Class

Citation of article: Rehman K, Shah HU, Buzdar MU, Khalil S. Left Ventricular Systolic Function, Aortic

Stroke Distance, Ejection Fraction and New York Heart Association Classification. Med Forum 2020;