Right Atrial Strain in the Assessment of Right Heart Mechanics in Patients with Heart Failure with Reduced Ejection Fraction

Farveh Vakilian; Alireza Tavallaie; Hedieh Alimi; Hoorak Poorzand; Maryam Salehi

추천

검색

자료유형: 학술저널

저자정보: Farveh Vakilian (Mashhad University of Medical Sciences) Alireza Tavallaie (Mashhad University of Medical Sciences) Hedieh Alimi (Mashhad University of Medical Sciences) Hoorak Poorzand (Mashhad University of Medical Sciences) Maryam Salehi (Mashhad University of Medical Sciences)

저널정보: 한국심초음파학회 Journal of Cardiovascular Imaging Journal of Cardiovascular Imaging 제29권 제2호

발행연도: 2021.1

수록면: 135 - 143 (9page)

이용수

📌

연구주제

📖

연구배경

🔬

연구방법

🏆

연구결과

초록· 키워드

오류제보하기

BACKGROUND: Cardiac catheterization is the gold standard for cardiopulmonary hemodynamic assessment, although its widespread use could be restricted due to its invasive nature. The aim of this study is to compare multiple echocardiography parameters, including right atrial (RA) strain, with right heart catheterization (RHC) data in patients with heart failure reduced ejection fraction (HFrEF) in the assessment of right heart hemodynamics. METHODS: Patients with HFrEF (defined by left ventricular ejection fraction [LVEF] ≤ 35%) were enrolled prospectively in this study. All patients underwent echocardiography and RHC. RA pressure (RAP), right ventricular end diastolic pressure (RVEDP), systolic pulmonary artery pressure (sPAP) and pulmonary vascular resistance (PVR) were calculated in RHC. Right ventricular (RV) diastolic and systolic function, RAP, RA size, sPAP and PVR were also measured by echocardiography. RESULTS: Fifty patients (36 men) aged 13?51 years with LVEF ≤ 35% were enrolled in this study. There was a significant correlation between echocardiography and catheterization data (r > 0.6, p < 0.001). The RV diastolic grading had significant relation with RA volume (p < 0.001) and RA strain (p < 0.001) in echocardiography, and with RVEDP (p = 0.01) and RAP (p < 0.001) in RHC. There were significant relations between the New York Heart Association classification and RV diastolic function grading (p < 0.001), with RA strain (p = 0.019), and size (p = 0.04). CONCLUSIONS: RA function, as assessed by strain imaging, correlates with right heart hemodynamics in patients with HFrEF.

#Cardiac catheterization #Echocardiography #Heart atria #Heart failure #Heart failure #systolic

참고문헌 (20)

참고문헌 신청

Hunt SA / 2009 / Focused update incorporated into the ACC/AHA 2005 guidelines for the diagnosis and management of heart failure in adults: a report of the American College of Cardiology Foundation/American Heart Association task force on practice guidelines developed in collaboration with the International Society for Heart and Lung Transplantation / J Am Coll Cardiol 53:e1~e90

Johnson LW / 1989 / Coronary arteriography 1984–1987: a report of the registry of the society for cardiac angiography and interventions. I. Results and complications / Cathet Cardiovasc Diagn 17:5~10

Dorros G / 1983 / Percutaneous transluminal coronary angioplasty: report of complications from the National Heart, Lung, and Blood Institute PTCA registry / Circulation 67:723~730

Kennedy JW / 1982 / Complications associated with cardiac catheterization and angiography / Cathet Cardiovasc Diagn 8:5~11

Noto TJ Jr / 1991 / Cardiac catheterization 1990 : a report of the registry of the Society for Cardiac Angiography and Interventions(SCA&I) / Cathet Cardiovasc Diagn 24:75~83

함께 읽어보면 좋을 논문

논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!