2021
DOI: 10.1002/ehf2.13448
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Grading right ventricular dysfunction in left ventricular disease using echocardiography: a proof of concept using a novel multiparameter strategy

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 resultsWe 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… Show more

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Cited by 15 publications
(12 citation statements)
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“…In the present study, we sought for other indices that could identify different hemodynamic profiles. We hypothesized that a score system consisting of multiple parameters related to RVD could improve the detection and differentiation of hemodynamic profiles [ 6 ]. Our results show that a stepwise impairment in LV function is associated with a corresponding augmentation of the RV afterload, higher RV filling pressure, RV dilatation, reduced longitudinal RV function and more frequent moderate or severe tricuspid regurgitation.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…In the present study, we sought for other indices that could identify different hemodynamic profiles. We hypothesized that a score system consisting of multiple parameters related to RVD could improve the detection and differentiation of hemodynamic profiles [ 6 ]. Our results show that a stepwise impairment in LV function is associated with a corresponding augmentation of the RV afterload, higher RV filling pressure, RV dilatation, reduced longitudinal RV function and more frequent moderate or severe tricuspid regurgitation.…”
Section: Discussionmentioning
confidence: 99%
“…Since the extent of RVD is related to the degree of LV backward failure, it is likely that an echocardiographic assessment of RV function will mirror the degree of LVD. In the present study we hypothesized that using a novel RVD score [ 6 ], that is a lumped measure of severity of RVD, can facilitate the characterization of hemodynamic profiles in patients with chronic LVD.…”
Section: Introductionmentioning
confidence: 99%
“…SFF has been proposed as a parameter to estimate CVP [ 13 , 20 ], but this study noticed that it has the potential to alert physicians the existence of RV dysfunction. Higher CVP is usually deemed as an indicator of RV dysfunction [ 21 ]. This study revealed that, when CVP is low, decreased SFF might serve as a sign of RV systolic dysfunction.…”
Section: Discussionmentioning
confidence: 99%
“…However, RV quantification guidelines are now available 5 . At present, a multiparametric strategy is recommended for the classification of RV dysfunction 11 .…”
Section: Discussionmentioning
confidence: 99%