Assessment of Right and Left Ventricular Diastolic
Functions with Tissue Doppler Echocardiography
in Congestive Heart Failure Patients
with Coexisting Acute Pulmonary Embolism

Gromadziński, Leszek; Targoński, Ryszard; Pruszczyk, Piotr

doi:10.17219/acem/37127

Cited by 7 publications

(3 citation statements)

References 19 publications

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“…Some studies have noted a parallel decrease in both systolic and diastolic RV function [14,15]. At the same time, it was shown that RV diastolic dysfunction can be detected with preserved systolic function in patients with diabetes [16], in patients with congestive heart failure and pulmonary embolism [17].…”

Section: Discussionmentioning

confidence: 97%

Impaired right ventricular filling in patients with a chronic coronary syndrome

2021

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Aim: The prognostic value of right ventricle (RV) systolic dysfunction is known but the RV diastolic dysfunction (RVDD) is less investigated, thus the purpose of this study was to assess the incidence of RVDD in patients with coronary artery disease (CAD) and to identify factors associated with its presence. Material and methods: We examined 200 patients with stable CAD (153 men). RV diastolic parameters were studied by echocardiography: peak velocity of early (Et) and late (At) RV fill-ing and their ratio, velocities at the tricuspid annulus (et’, a’t, s’t). Patients were divided into 2 groups: with (n=92) and without RVDD (n=108). Results: Old myocardial infarction (MI) (p=0.007), anterior MI (p=0.001), congestive heart failure (p=0.030) and peripheral arterial disease (p=0.030) were more prevalent in patients with RVDD. The end-systolic dimensions were higher (p=0.010), while left ventricular (LV) ejection fraction (EF) (p=0.044) and the mitral E/A ratio (p<0.001) were lower in this group. No significant differences were found between the groups in the coronary artery stenosis. Independent predictors of the RVDD presence were increased age, old MI, hyperlipidemia, moderate chronic heart failure, peripheral arterial disease, and decreased LVEF. Conclusions: The RV diastolic dysfunction is much more common than systolic dysfunction in patients with stable CAD (46% and 7.5%, respectively). The RVDD presence was predominantly associated with an increase in age and LV systolic dysfunction, but not with coronary artery lesions. The predictive value of RVDD requires further research.

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Section: Discussionmentioning

confidence: 97%

Impaired right ventricular filling in patients with a chronic coronary syndrome

2021

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“…We focused on the RV diastolic function since its development precedes systolic dysfunction both in experiment 26 , 27 and during the disease’s development 10 , 28 , adversely affecting the prognosis at the same time 7 , 29 . Our study confirmed the influence of the above factors on the presence of RVDD.…”

Section: Discussionmentioning

confidence: 99%

Ethnic differences in right ventricular structure and function in urbanized hypertensive patients in the Gornaya Shoriya region

Sumin

Gomozova

Щеглова

et al. 2023

Sci Rep

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Aim of this study was to compare right ventricular echocardiography parameters in urbanized hypertensive patients of the Shor and non-indigenous ethnic groups in the Mountain Shoria region. The study included patients with arterial hypertension: 58 Shors and 50 non-indigenous urbanized residents, comparable in age, and divided by ethnicity and gender into 4 groups: Shors men (n = 20), Shors women (n = 38) , non-indigenous men (n = 15) and non-indigenous women (n = 35). All underwent echocardiographic examination, and the right heart parameters were studied. Shor men with arterial hypertension had the lowest values of the pulmonary artery index (p = 0.05), the right atrium dimensions (p = 0.04), and the highest values of the blood flow velocity in the right ventricle, et' (p = 0.05) and st' (p = 0.05) in comparison with non-indigenous men. Shor women have the lowest values Et/At ratios (p = 0.05). RV diastolic dysfunction was detected mainly in women compared with men (23.1% and 1.9%, p = 0.0014), somewhat more often in Shors. Ethnicity was one of the factors associated with the right ventricular diastolic dysfunction presence (p = 0.002). Among the factors associated with the RV diastolic dysfunction were risk factors (smoking, obesity), blood pressure, gender, ethnicity, and left ventricular parameters (diastolic dysfunction and the myocardial mass increase). Thus, our study established the influence of ethnic differences on the right heart echocardiographic parameters in Shors and Caucasians with arterial hypertension. The effect of sex on RV diastolic dysfunction was a lot bigger compared to the effect of ethnicity. The revealed differences should improve the assessment of the right heart structure and function in patients with arterial hypertension from small ethnic groups, which will help to improve the diagnosis and treatment of such patients.

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“…Chest radiographs may show an enlarged cardiac silhouette, edema at the bases of the lungs, and vascular congestion, all signs of congestive heart failure. On chest radiographs, Kerley B lines can be detected in florid heart failure [11,12]. Unscheduled short-term readmission may be avoided with proper assessment of heart filling pressures and appropriate prognostication.…”

Section: Introductionmentioning

confidence: 99%

Overview on Congestive Heart Failure Imaging

El-Kenawy¹,

Altuwayhir

Fatani³

et al. 2022

SMHJ

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Background: Heart failure is a complex clinical syndrome that results from a functional or structural heart disorder. Acute heart failure is one of the main diagnostic and therapeutic challenges in clinical practice due to a non-specific clinical manifestation and the urgent need for timely and tailored management at the same time. During the first hours of admission the point-of-care focused on cardiac and lung ultrasound examination that are invaluable tool for rapid differential diagnosis of acute dyspnoea, which are highly feasible and relatively easy to learn. Objective: The study aimed to investigate the role of several portable and stationary imaging modalities, which are being increasingly used for the evaluation of cardiac structure and function, haemodynamic and volume status, precipitating myocardial ischaemia or valvular abnormalities, and systemic and pulmonary congestion. Methods: For article selection, the PubMed database and EBSCO Information Services were used. All articles relevant with our topic and other articles were used in our review. Other articles that were not related to this field were excluded. The data was extracted in a specific format that was reviewed by the group members. Conclusion: Heart failure is a main cause of mortality and morbidity worldwide. Assessment of the case is essential to determine the etiology and the best treatment strategy. For the assessment of HF patients, a variety of imaging techniques are used, each with advantages and disadvantages. For its accessibility, affordability, and utility, echocardiography remains the preferred method. It offers the majority of the data necessary it has been improved with the addition of 3DE and strain for the management and follow-up of patients with HF. In particular cases like ischemic heart disease, other methods may be helpful. It should be noted that the right imaging choice can assist in the management of the patient with HF.

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Assessment of Right and Left Ventricular Diastolic Functions with Tissue Doppler Echocardiography in Congestive Heart Failure Patients with Coexisting Acute Pulmonary Embolism

Cited by 7 publications

References 19 publications

Impaired right ventricular filling in patients with a chronic coronary syndrome

Impaired right ventricular filling in patients with a chronic coronary syndrome

Ethnic differences in right ventricular structure and function in urbanized hypertensive patients in the Gornaya Shoriya region

Overview on Congestive Heart Failure Imaging

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