RV Fractional Area Change and TAPSE as Predictors of Severe Right Ventricular Dysfunction in Pulmonary Hypertension: A CMR Study

Lung ◽  
2018 ◽  
Vol 196 (2) ◽  
pp. 157-164 ◽  
Author(s):  
Susana Hoette ◽  
Nicolas Creuzé ◽  
Sven Günther ◽  
David Montani ◽  
Laurent Savale ◽  
...  
Keyword(s):  
Pulmonary Hypertension ◽  
Right Ventricular ◽  
Ventricular Dysfunction ◽  
Right Ventricular Dysfunction ◽  
Area Change ◽  
Fractional Area Change ◽  
Fractional Area

Right ventricular dysfunction in stress cardiomyopathy: The prognostic value of fractional area change

2020 ◽  
Vol 37 (9) ◽  
pp. 1366-1373
Author(s):  
Muthiah Subramanian ◽  
Hisham Ahamed ◽  
Chirag Reddy ◽  
Navin Mathew ◽  
Rajiv Chandrasekhar
Keyword(s):  
Right Ventricular ◽  
Prognostic Value ◽  
Ventricular Dysfunction ◽  
Right Ventricular Dysfunction ◽  
Stress Cardiomyopathy ◽  
Area Change ◽  
Fractional Area Change ◽  
Fractional Area

The strain-encoded (SENC) MR imaging for detection of global right ventricular dysfunction in pulmonary hypertension

2012 ◽  
Vol 29 (2) ◽  
pp. 371-378 ◽  
Author(s):  
Noriko Oyama-Manabe ◽  
Takahiro Sato ◽  
Ichizo Tsujino ◽  
Kohsuke Kudo ◽  
Osamu Manabe ◽  
...  
Keyword(s):  
Pulmonary Hypertension ◽  
Mr Imaging ◽  
Right Ventricular ◽  
Ventricular Dysfunction ◽  
Right Ventricular Dysfunction

Clinical utility of right ventricular fractional area change in preterm infants

2016 ◽  
Vol 92 ◽  
pp. 19-23 ◽  
Author(s):  
Adam T. James ◽  
John David Corcoran ◽  
Orla Franklin ◽  
Afif Faisal EL-Khuffash
Keyword(s):  
Right Ventricular ◽  
Preterm Infants ◽  
Clinical Utility ◽  
Area Change ◽  
Fractional Area Change ◽  
Fractional Area

Worsened Tricuspid Regurgitation Following Pericardiectomy for Constrictive Pericarditis

2021 ◽  
Author(s):  
Ray S. Tabucanon ◽  
Tom Kai Ming Wang ◽  
Michael Chetrit ◽  
Muhammad M. Furqan ◽  
Nicholas Chan ◽  
...  
Keyword(s):  
Right Ventricular ◽  
Tricuspid Regurgitation ◽  
Constrictive Pericarditis ◽  
Left Atrial ◽  
Left Atrial Volume ◽  
Atrial Volume ◽  
Area Change ◽  
Fractional Area Change ◽  
Fractional Area

Background: Worsening tricuspid regurgitation (TR) severity may occur after pericardiectomy surgery for constrictive pericarditis patients; however, its mechanisms and predictors are not well established. We evaluated the clinical characteristics, associated factors, and outcomes of worsening TR after pericardiectomy. Methods: Consecutive patients undergoing pericardiectomy for constrictive pericarditis without tricuspid valve surgery and with pre- and postoperative echocardiography available during 2000 to 2017 were retrospectively studied. Clinical, imaging, hemodynamic, and mortality characteristics were analyzed by those with and without worsening TR by at least one grade. Results: Among 381 patients (age 61 [17] years, 318 [83.5%] male), 193 (50.7%) had worsening TR post-operatively, and 75 died during the 2.5 (5.4) years follow-up. In univariable analysis, worsening TR was associated with a history of congestive heart failure (47.2% versus 31.9%, P =0.003), increased left atrial volume indexed (23 versus 20 mL/m 2 , P =0.020), reduced right ventricular fractional area change (47% versus 54%, P <0.001), and worsening mitral regurgitation (39.7% versus 16.6%, P <0.001). Worsened TR had a trend toward reduced survival during follow-up (log-rank P =0.080), especially those with worsened TR but no recovery of TR grade on subsequent echocardiography within the first year compared with those without worsened TR (log-rank P =0.02). In multivariable analysis, right ventricular fractional area change, left atrial volume indexed, left ventricular mass indexed, pulmonary artery systolic pressure, and right atrial pressure/pulmonary capillary wedge pressure ratio were most associated with worsened TR, while blood urea nitrogen, hematocrit, lateral and medial e’ tissue Doppler and heart rate were most associated with mortality during follow-up. Conclusions: Worsening TR severity was prevalent after pericardiectomy and had a trend toward reduced survival, especially if TR severity did not recover on subsequent echocardiography. Presence of parameters associated with worsened TR and reduced survival should alert clinicians to carefully manage these patients during follow-up.

Sign in / Sign up

Export Citation Format

Share Document