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Grading right ventricular dysfunction in left ventricular disease using echocardiography: a proof of concept using a novel multiparameter strategy

Authors :
Sven-Erik Ricksten
Niklas Bergh
Entela Bollano
Odd Bech-Hanssen
Christian L. Polte
Marco Astengo
Clara Hjalmarsson
Martin Fredholm
Source :
ESC Heart Failure, ESC Heart Failure, Vol 8, Iss 4, Pp 3223-3236 (2021)
Publication Year :
2021
Publisher :
John Wiley and Sons Inc., 2021.

Abstract

Aims Grading right ventricular dysfunction (RVD) in patients with left ventricular (LV) disease has earned little attention. In the present study, we established an echocardiographic RVD score and investigated how increments of the score correspond to RVD at right heart catheterization. Methods and results We included 95 patients with LV disease consecutively referred for heart transplant or heart failure work‐up with catheterization and echocardiography within 48 h. The RVD score (5 points) included well‐known characteristics of the development from compensated to decompensated right ventricular (RV) function: pulmonary hypertension, reduced RV strain, RV area dilatation, moderate/severe tricuspid regurgitation, and increased right atrial pressure (RAP) by echocardiography. Comparing three groups with increments of RVD score [1 (mild), 2–3 (moderate), and 4–5 (severe)] showed more advanced RVD with increasing RV end‐diastolic pressure (P

Details

Language :
English
ISSN :
20555822
Volume :
8
Issue :
4
Database :
OpenAIRE
Journal :
ESC Heart Failure
Accession number :
edsair.doi.dedup.....86ed7fd0e01eaaf00b14492c53a15d7d