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Grading right ventricular dysfunction in left ventricular disease using echocardiography: a proof of concept using a novel multiparameter strategy
- 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
- Subjects :
- medicine.medical_specialty
Heart Ventricles
Ventricular Dysfunction, Right
Left ventricular disease
Regurgitation (circulation)
Disease
030204 cardiovascular system & hematology
03 medical and health sciences
0302 clinical medicine
Internal medicine
medicine.artery
Original Research Articles
Diseases of the circulatory (Cardiovascular) system
Medicine
Humans
030212 general & internal medicine
Original Research Article
Right ventricular dysfunction
Right heart catheterization
Heart Failure
Receiver operating characteristic
business.industry
Area under the curve
Central venous pressure
medicine.disease
Pulmonary hypertension
Echocardiography
RC666-701
Heart failure
Pulmonary artery
Cardiology
Ventricular Function, Right
Right ventricle
Cardiology and Cardiovascular Medicine
business
Subjects
Details
- Language :
- English
- ISSN :
- 20555822
- Volume :
- 8
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- ESC Heart Failure
- Accession number :
- edsair.doi.dedup.....86ed7fd0e01eaaf00b14492c53a15d7d