Title Characteristic echocardiographic parameters of right ventricular systolic dysfunction in acute dyspnea patients /
Authors Gabartaitė, Dovilė ; Būgaitė, Julija ; Norvilaitė, Rita ; Žiubrytė, Greta ; Montvilaitė, Aistė ; Barčiūnaitė, G ; Alitoit, Irina ; Krivickienė, Aušra ; Motiejūnaitė, Justina ; Žaliaduonytė-Pekšienė, Diana ; Jurgaitienė, Rūta ; Zakarkaitė, Diana ; Mebazaa, Alexandre ; Kavoliūnienė, Aušra ; Čelutkienė, Jelena
DOI 10.1002/ejhf.833
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Is Part of European journal of heart failure. Special Issue : Abstracts of the Heart Failure 2017 and the 4th World Congress on Acute Heart Failure : Paris, France, 29 April-2 May 2017 / European Society of Cardiology.. New York : Wiley-Blackwell. 2017, vol. 19, suppl. 1, p. 474-474, no. P1891.. ISSN 1388-9842. eISSN 1879-0844
Keywords [eng] Heart failure ; Ventricular dysfunction, right ; Systole ; Dyspnea, paroxysmal ; Echocardiography
Abstract [eng] Funding Acknowledgements: The work was supported by the Research Council of Lithuania, grant Nr. MIP-049/2015 and approved by Lithuanian Bioethics Com- mittee, Nr. L-15-01. Introduction: There is still a discussion about the best echocardiographic parame- ters of acute right ventricular systolic dysfunction (RVSD) in acute settings. Aim: To estimate the prevalence and to characterize RVSD by novel ultrasound parameters of RV longitudinal function, morphometric right heart parameters, asso- ciation with left ventricular (LV) systolic function and brain natriuretic peptide (BNP) level in acute dyspnea patients. Methods: Prospective study enrolled consecutive patients admitted to the emer- gency department of two university centers with acute dyspnea due to decom- pensated heart failure (HF) and other reasons. Data of 323 patients (mean age 68.8 ± 12.7 years, 39.3% women) were analysed. Echocardiography focused on RV parameters was performed during the first 48 hours after admission. TAPSE (tricus- pid annular plane systolic excursion), RV S’ (velocity of the tricuspid annular systolic motion), FAC (fractional area change), right atrial (RA) area, RV basal diameter, RV strain of 3 and 6 segments were measured. Blood sample for BNP level was taken during the first 4 hours. The RVSD was defined by reduced FAC < 35%, or, if FAC was not available, by TAPSE < 1.7 cm.esults: Two thirds of patients were diagnosed with chronic left HF (n = 216, 66.9%), reduced LV ejection fraction (LV EF) < 40% was measured in 104 patients (32.2%). More than half of study patients (n = 167, 51.7%) had RVSD. Most of them (68%) had a history of chronic left HF (n = 114, 35.3%), LV EF < 40% was found in 69 patients (21.4%). In patients with RVSD probability to have LV EF < 40% was 48.5% (p < 0.001), and BNP level > 1000 ng/l – 47.78% (p = 0.006).[...].
Published New York : Wiley-Blackwell
Type Conference paper
Language English
Publication date 2017