Right Ventricular Function After Cardiac Surgery Is a Strong Independent Predictor for Long-Term Mortality

Bootsma, Inge T.; Lange, Fellery de; Koopmans, Matty; Haenen, Jo; Boonstra, Piet W.; Symersky, Tomas; Boerma, E. Christiaan

doi:10.1053/j.jvca.2017.02.008

Cited by 82 publications

(47 citation statements)

References 20 publications

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“…RV dysfunction commonly developed and reported in >25% of patients after cardiac surgery. Either intraoperative or post-operative RV dysfunction highly associated with postoperative mortality [8]. In this study, male represented 61% of the studied patients while female patients are 39%, age of them ranged from 38 to 78 years with mean 57.02 years.…”

Section: Discussionmentioning

confidence: 76%

Evaluation of the effect of coronary artery bypass grafting on the right ventricular function using speckle tracking echocardiography

Abdelmoneum¹,

Elmeligy²,

Eldarky³

et al. 2019

J Cardiol Cardiovasc Med

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Purpose: This was a prospective study conducted at Benha University hospital and National Heart Institute on one hundred patients undwent coronary artery bypass grafting (CABG) to evaluate the effect of CABG on the right ventricular (RV) function using speckle tracking echocardiography (STE). Methods: All cases were subjected to detailed medical history, full physical examination, 12 leads electrocardiogram (ECG), routine laboratory tests including (complete blood picture, liver functions, renal functions and lipid profi le) and echocardiography either conventional echocardiography or STE, all parameters obtained before and within 2 weeks after surgery. Results: By conventional echocardiography there was statistically signifi cant decrease in peak right ventricle systolic velociy (RVS´) from (12.76 ± 1.72) to (7.33 ± 1.71) and tricuspid annular plane systolic excursion (TAPSE) from (22.8 ± 3.99) to (13.77 ± 4.63) among the studied patients after CABG. While there was signifi cant increase in right ventricle fractional area change (RVFAC) from (44.69 ± 3.25) to (49.01 ± 3.36). On the other hand, there was non-signifi cant change in right ventricle end diastolic diameter (RVEDD) at mid-cavity from (26.37 ± 2.72) to (26.53 ± 2.72) and basal segment from (36.05 ± 2.98) to (36.29 ± 3.04), right ventricle stroke volume (RVSV) from (65.44 ± 7.02) to (65.85 ± 6.86) and right myocardial performance index (RMPI) from (0.491 ± 0.088) to (0.498 ± 0.086). Statistical analysis Data analysis was performed using the software SPSS (Statistical Package for the Social Sciences) version 20.

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Section: Discussionmentioning

confidence: 76%

Evaluation of the effect of coronary artery bypass grafting on the right ventricular function using speckle tracking echocardiography

Abdelmoneum¹,

Elmeligy²,

Eldarky³

et al. 2019

J Cardiol Cardiovasc Med

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“…However, any further changes in right ventricular afterload will lead to right ventricular failure as the septum is unable compensate. Reduced global right ventricular function is associated with significantly reduced outcomes . Right ventricular dysfunction post‐left ventricular assist devices has also been linked to changes in septal geometry and function and is associated with a higher mortality (although the change in septal function is likely a different mechanism to routine cardiothoracic surgery).…”

Section: Haemodynamic Consequences Related To the Presence Of Septal mentioning

confidence: 99%

Paradoxical septal motion: A diagnostic approach and clinical relevance

Clancy

McLean

Slama

et al. 2018

Australas J Ultrason Med

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Abnormal septal motion (commonly referred to as septal bounce) is a common echocardiographic finding that occurs with several conditions, including the following: mitral stenosis, left bundle branch block, pericardial syndromes and severe pulmonary hypertension. We explore the subtle changes that occur on M-mode imaging of the septum, other associated echocardiographic features, the impact of inspiratory effort on septal motion and relevant clinical findings. Finally, we discuss the impact of abnormal septal motion on cardiac form and function, proposing there is a clinically significant impact on biventricular filling and ejection.

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“…21 Describing the RV as a passive conduit, however, is inconsistent with clinical experience involving patients across a spectrum of cardiopulmonary dysfunctions undergoing cardiac and noncardiac procedures. [22][23][24][25][26][27][28][29] Over the past 20-to-25 years, many reports associated outcome with RV systolic function, with some recognizing RV function as the stronger or sole predictor of outcome. 22,23,[29][30][31] When does the RV become a critically important chamber and how is this transition identified?…”

mentioning

confidence: 99%

“…Until recently, investigations have focused on right ventricular systolic function and associated outcomes. [22][23][24][25][26][27][28] In this issue of Journal of Cardiothoracic and Vascular Anesthesia, Sumin et al described the occurrence of right ventricular diastolic dysfunction (RVDD) and its association with outcome. 32 Patients with left ventricular ejection fraction > 40% and without significant valvular dysfunction, arrhythmias, or respiratory failure were scheduled for nonemergent coronary artery bypass graft surgery.…”

mentioning

confidence: 99%

Right Ventricular Diastolic Dysfunction: “The Missing Link”

Chen

Maslow

2021

Journal of Cardiothoracic and Vascular Anesthesia

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the Heart and Blood in Living Beings," recognized that pulsatile flow through the arterial vessels was coordinated with the contraction of the heart muscle. Harvey described a "double circulation" where ".. . the blood, forced by the action of the left ventricle into the arteries, was distributed to the body at large, and its several parts, in the same manner as it is sent through the lungs, impelled by the right ventricle into the pulmonary artery." 1,2

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Right Ventricular Function After Cardiac Surgery Is a Strong Independent Predictor for Long-Term Mortality

Abstract: Right ventricular function is associated independently with 2-year all-cause mortality in a heterogenic cardiac surgery population.

Cited by 82 publications

References 20 publications

Evaluation of the effect of coronary artery bypass grafting on the right ventricular function using speckle tracking echocardiography

Evaluation of the effect of coronary artery bypass grafting on the right ventricular function using speckle tracking echocardiography

Paradoxical septal motion: A diagnostic approach and clinical relevance

Right Ventricular Diastolic Dysfunction: “The Missing Link”

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