Prognostic Importance of Various Echocardiographic Right Ventricular Functional Parameters in Patients with Symptomatic Heart Failure

作者: Jaroslav Meluzin , Lenka Spinarová , Petr Hude , Jan Krejcí , Vladimír Kincl

DOI: 10.1016/J.ECHO.2005.02.004

关键词: Relative riskIn patientHeart failureCardiologyEjection fractionDecompensationAnnular velocityMedicineIsovolumetric contractionDiastoleInternal medicine

摘要: Little is known about the prognostic importance of right ventricular (RV) systolic and diastolic function. The purpose this study was to determine power RV functional parameters derived from Doppler tissue imaging tricuspid annular motion assess whether their combination might improve risk stratification patients with heart failure. In all, 140 symptomatic failure left ejection fraction 40% or less underwent standard echocardiography, motion, catheterization. They were followed up for a mean period 17 months cardiac-related death nonfatal cardiac events including implantation cardioverter-defibrillator hospitalization decompensation. A total 48 occurred; 19 died, 26 hospitalized decompensation, 3 because need cardioverter-defibrillator. peak velocity during 10.8 cm/s less, early 8.9 acceleration isovolumic contraction 2.52 m/s 2 index (Tei index) 1.20 more found significantly worsen survival event-free survival. However, exceeded predictive potential individual parameters. worst predicted by plus (relative 6.17, P

参考文章(27)
Won-Ho Kim, Yutaka Otsuji, Toshinori Yuasa, Shinichi Minagoe, James B Seward, Chuwa Tei, Evaluation of right ventricular dysfunction in patients with cardiac amyloidosis using tei index Journal of The American Society of Echocardiography. ,vol. 17, pp. 45- 49 ,(2004) , 10.1016/J.ECHO.2003.09.006
Henry C. M. Yu, John E. Sanderson, Different prognostic significance of right and Left ventricular diastolic dysfunction in Heart failure Clinical Cardiology. ,vol. 22, pp. 504- 512 ,(1999) , 10.1002/CLC.4960220804
Kenji Harada, Masamichi Tamura, Manatomo Toyono, Kenji Yasuoka, Comparison of the right ventricular Tei index by tissue Doppler imaging to that obtained by pulsed Doppler in children without heart disease. American Journal of Cardiology. ,vol. 90, pp. 566- 569 ,(2002) , 10.1016/S0002-9149(02)02541-9
C.M. Yu, J.E. Sanderson, Skiva Chan, Leata Yeung, Y.T. Hung, K.S. Woo, Right ventricular diastolic dysfunction in heart failure. Circulation. ,vol. 93, pp. 1509- 1514 ,(1996) , 10.1161/01.CIR.93.8.1509
Maged F Nageh, Helen A Kopelen, William A Zoghbi, Miguel A Quiñones, Sherif F Nagueh, Estimation of mean right atrial pressure using tissue Doppler imaging. American Journal of Cardiology. ,vol. 84, pp. 1448- 1451 ,(1999) , 10.1016/S0002-9149(99)00595-0
Pascal de Groote, Alain Millaire, Claude Foucher-Hossein, Olivier Nugue, Xavier Marchandise, Gérard Ducloux, Jean-Marc Lablanche, Right ventricular ejection fraction is an independent predictor of survival in patients with moderate heart failure. Journal of the American College of Cardiology. ,vol. 32, pp. 948- 954 ,(1998) , 10.1016/S0735-1097(98)00337-4
J Meluzın, Lenka Špinarová, Ladislav Dušek, Jiří Toman, Petr Hude, J Krejčı́, Prognostic importance of the right ventricular function assessed by Doppler tissue imaging. European Journal of Echocardiography. ,vol. 4, pp. 262- 271 ,(2003) , 10.1016/S1525-2167(03)91081-X
Chuwa Tei, Karl S. Dujardin, David O. Hodge, Kent R. Bailey, Michael D. McGoon, A.Jamil Tajik, James B. Seward, Doppler echocardiographic index for assessment of global right ventricular function Journal of The American Society of Echocardiography. ,vol. 9, pp. 838- 847 ,(1996) , 10.1016/S0894-7317(96)90476-9
Jean-Louis Vincent, Right ventricular ejection fraction. Intensive Care Medicine. ,vol. 14, pp. 447- 447 ,(1988) , 10.1007/BF00256957
Joseph F. Polak, B. Leonard Holman, Joshua Wynne, Wilson S Colucci, Right ventricular ejection fraction: An indicator of increased mortality in patients with congestive heart failure associated with coronary artery disease Journal of the American College of Cardiology. ,vol. 2, pp. 217- 224 ,(1983) , 10.1016/S0735-1097(83)80156-9