Right ventricular function in patients with preserved and reduced ejection fraction heart failure

Sarinya Puwanant, Tiffany C. Priester, Farouk Mookadam, Charles J Bruce, Margaret May Redfield, Krishnaswamy Chandrasekaran

Research output: Contribution to journalArticle

59 Citations (Scopus)

Abstract

Aims: To determine the prevalence of right ventricular (RV) dysfunction in patients with preserved left ventricular (LV) ejection fraction (EF) heart failure (HF) and to compare RV function between patients with preserved EF HF and those with reduced EF HF.Methods and results: Hundred patients (72 ± 14 years, 59% male) with HF were prospectively enrolled. Fifty-one had preserved EF HF (LVEF > 50%). The prevalence of RV systolic dysfunction in patients with preserved EF HF was 33, 40, and 50%, by using RV fractional area change (FAC), tricuspid annular motion (TAM), and peak systolic tricuspid annular tissue velocity (S′) criteria, respectively. Tricuspid S′ and TAM correlated the best with LVEF (r = 0. 48, P < 0.01). Patients with preserved EF HF had higher RV FAC (54 ± 18 vs. 36 ± 20%, P < 0.01), TAM (17 ± 1 vs.11 ± 1 mm, P < 0.01), and tricuspid S′ (14 ± 6 vs. 9 ± 4 cm/s, P < 0.01) compared with those with reduced EF HF. Of those 51 patients, 34% had tricuspid E/e′ > 6 suggestive of elevated RV filling pressures. Early tricuspid inflow (E), early diastolic tricuspid annular tissue (e′), tricuspid E/e′, and hepatic vein systolic velocities were also higher in patients with preserved EF HF.Conclusion: The prevalence of RV systolic and diastolic dysfunctions was not uncommon in patients with preserved EF HF. However, patients with preserved EF HF had milder degree of RV systolic and diastolic dysfunctions compared with those with reduced EF HF.

Original languageEnglish (US)
Pages (from-to)733-737
Number of pages5
JournalEuropean Journal of Echocardiography
Volume10
Issue number6
DOIs
StatePublished - Aug 2009

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Right Ventricular Function
Heart Failure
Right Ventricular Dysfunction
Hepatic Veins
Ventricular Pressure
Stroke Volume

Keywords

  • Dysfunction
  • Echocardiography
  • Heart failure
  • Preserved ejection fraction
  • Right ventricle

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Radiology Nuclear Medicine and imaging

Cite this

Right ventricular function in patients with preserved and reduced ejection fraction heart failure. / Puwanant, Sarinya; Priester, Tiffany C.; Mookadam, Farouk; Bruce, Charles J; Redfield, Margaret May; Chandrasekaran, Krishnaswamy.

In: European Journal of Echocardiography, Vol. 10, No. 6, 08.2009, p. 733-737.

Research output: Contribution to journalArticle

Puwanant, Sarinya ; Priester, Tiffany C. ; Mookadam, Farouk ; Bruce, Charles J ; Redfield, Margaret May ; Chandrasekaran, Krishnaswamy. / Right ventricular function in patients with preserved and reduced ejection fraction heart failure. In: European Journal of Echocardiography. 2009 ; Vol. 10, No. 6. pp. 733-737.
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abstract = "Aims: To determine the prevalence of right ventricular (RV) dysfunction in patients with preserved left ventricular (LV) ejection fraction (EF) heart failure (HF) and to compare RV function between patients with preserved EF HF and those with reduced EF HF.Methods and results: Hundred patients (72 ± 14 years, 59{\%} male) with HF were prospectively enrolled. Fifty-one had preserved EF HF (LVEF > 50{\%}). The prevalence of RV systolic dysfunction in patients with preserved EF HF was 33, 40, and 50{\%}, by using RV fractional area change (FAC), tricuspid annular motion (TAM), and peak systolic tricuspid annular tissue velocity (S′) criteria, respectively. Tricuspid S′ and TAM correlated the best with LVEF (r = 0. 48, P < 0.01). Patients with preserved EF HF had higher RV FAC (54 ± 18 vs. 36 ± 20{\%}, P < 0.01), TAM (17 ± 1 vs.11 ± 1 mm, P < 0.01), and tricuspid S′ (14 ± 6 vs. 9 ± 4 cm/s, P < 0.01) compared with those with reduced EF HF. Of those 51 patients, 34{\%} had tricuspid E/e′ > 6 suggestive of elevated RV filling pressures. Early tricuspid inflow (E), early diastolic tricuspid annular tissue (e′), tricuspid E/e′, and hepatic vein systolic velocities were also higher in patients with preserved EF HF.Conclusion: The prevalence of RV systolic and diastolic dysfunctions was not uncommon in patients with preserved EF HF. However, patients with preserved EF HF had milder degree of RV systolic and diastolic dysfunctions compared with those with reduced EF HF.",
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N2 - Aims: To determine the prevalence of right ventricular (RV) dysfunction in patients with preserved left ventricular (LV) ejection fraction (EF) heart failure (HF) and to compare RV function between patients with preserved EF HF and those with reduced EF HF.Methods and results: Hundred patients (72 ± 14 years, 59% male) with HF were prospectively enrolled. Fifty-one had preserved EF HF (LVEF > 50%). The prevalence of RV systolic dysfunction in patients with preserved EF HF was 33, 40, and 50%, by using RV fractional area change (FAC), tricuspid annular motion (TAM), and peak systolic tricuspid annular tissue velocity (S′) criteria, respectively. Tricuspid S′ and TAM correlated the best with LVEF (r = 0. 48, P < 0.01). Patients with preserved EF HF had higher RV FAC (54 ± 18 vs. 36 ± 20%, P < 0.01), TAM (17 ± 1 vs.11 ± 1 mm, P < 0.01), and tricuspid S′ (14 ± 6 vs. 9 ± 4 cm/s, P < 0.01) compared with those with reduced EF HF. Of those 51 patients, 34% had tricuspid E/e′ > 6 suggestive of elevated RV filling pressures. Early tricuspid inflow (E), early diastolic tricuspid annular tissue (e′), tricuspid E/e′, and hepatic vein systolic velocities were also higher in patients with preserved EF HF.Conclusion: The prevalence of RV systolic and diastolic dysfunctions was not uncommon in patients with preserved EF HF. However, patients with preserved EF HF had milder degree of RV systolic and diastolic dysfunctions compared with those with reduced EF HF.

AB - Aims: To determine the prevalence of right ventricular (RV) dysfunction in patients with preserved left ventricular (LV) ejection fraction (EF) heart failure (HF) and to compare RV function between patients with preserved EF HF and those with reduced EF HF.Methods and results: Hundred patients (72 ± 14 years, 59% male) with HF were prospectively enrolled. Fifty-one had preserved EF HF (LVEF > 50%). The prevalence of RV systolic dysfunction in patients with preserved EF HF was 33, 40, and 50%, by using RV fractional area change (FAC), tricuspid annular motion (TAM), and peak systolic tricuspid annular tissue velocity (S′) criteria, respectively. Tricuspid S′ and TAM correlated the best with LVEF (r = 0. 48, P < 0.01). Patients with preserved EF HF had higher RV FAC (54 ± 18 vs. 36 ± 20%, P < 0.01), TAM (17 ± 1 vs.11 ± 1 mm, P < 0.01), and tricuspid S′ (14 ± 6 vs. 9 ± 4 cm/s, P < 0.01) compared with those with reduced EF HF. Of those 51 patients, 34% had tricuspid E/e′ > 6 suggestive of elevated RV filling pressures. Early tricuspid inflow (E), early diastolic tricuspid annular tissue (e′), tricuspid E/e′, and hepatic vein systolic velocities were also higher in patients with preserved EF HF.Conclusion: The prevalence of RV systolic and diastolic dysfunctions was not uncommon in patients with preserved EF HF. However, patients with preserved EF HF had milder degree of RV systolic and diastolic dysfunctions compared with those with reduced EF HF.

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