Evaluation of right ventricular functions in patients with nasal polyposis: an observational study

Şimşek, Eda; Şimşek, Ziya; Taş, Muhammed Hakan; Kucur, Cüneyt; Günay, Ersin; Üçüncü, Neslihan

doi:10.5152/akd.2013.072

Cited by 6 publications

(7 citation statements)

References 23 publications

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“…RV systolic and diastolic dysfunction is common in patients with HF and is associated with a poor long-term prognosis (16-19). The MPI, which is also known as the Tei index, has been described as a non-invasive measurement of ventricular function.…”

Section: Discussionmentioning

confidence: 99%

Coronary sinus dilatation is a sign of impaired right ventricular function in patients with heart failure

Cakici

Doğan²,

Çetın³

et al. 2015

Anatol J Cardiol

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Objective:The coronary sinus (CS) has been largely ignored by physicians due to a lack of adequate data about the importance of CS enlargement in patients with heart failure (HF). We aimed to assess whether CS dilatation develops in patients with HF and to demonstrate its relation with global myocardial function of the right ventricle (RV).Methods:In this cross-sectional study, 45 healthy subjects and 95 HF patients exhibiting left ventricular systolic dysfunction on echocardiographic examination (EF <45%) secondary to ischemic (n=56) or idiopathic dilated cardiomyopathy (DCM) (n=39) were enrolled. Patients with severe renal dysfunction and/or valve disease were excluded. CS was measured by echocardiography from the posterior atrioventricular groove in the apical four-chamber view. The RV myocardial performance index (MPI), which reflects both systolic and diastolic function of the ventricle, was detected using tissue Doppler imaging, and patients with an RV MPI >0.55 were defined as having impaired RV myocardial function. ANOVA, Kruskal-Wallis, Pearson’s correlation, and multivariate logistic regression analyses were used for the statistical analysis.Results:The CS and RV MPI values were significantly greater both in patients with ischemic and idiopathic DCM than in controls (8.79±1.7 mm and 8.33±2.1 mm vs. 5.74±0.6 mm, and 0.64±0.07 and 0.62±0.08 vs. 0.43±0.02; p<0.001 for both, respectively). For the prediction of HF patients with impaired RV function, the cut-off value for the diameter of the CS was 7.35 mm, with a sensitivity of 83% and a specificity of 79%.Conclusion:The CS diameter can be used as a novel echocardiographic marker that provides information about impaired RV function in patients with HF.

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Section: Discussionmentioning

confidence: 99%

Coronary sinus dilatation is a sign of impaired right ventricular function in patients with heart failure

Cakici

Doğan²,

Çetın³

et al. 2015

Anatol J Cardiol

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“…It would be interesting investigating subclinical dysfunction with the strain (S technology) and strain rate (SR). In 2013 a study [4] was performed, in which echocardiography S and SR showed a subclinical deficiency of the longitudinal right functions in patients with nasal polyposis, where a simple echocardiogram showed no alterations of the right sections [4].…”

Section: Archives Of Medicine Issn 1989-5216mentioning

confidence: 99%

“…Apart from the unlikely possibility that this association is due to chance, there are at least two plausible interpretations [1][2][3][4].…”

Section: Introductionmentioning

confidence: 99%

Endothelial Functionality and Echocardiographic Parameters in Patients with Rhinitis and Nasal Polyps

Bulzis¹,

Carbonara²,

Dentamaro³

et al. 2016

Arch Med

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Background: Chronic inflammation is associated with accelerated atherosclerosis, endothelial dysfunction and with early cardiovascular disease. Rhinitis and nasal polyps are inflammatory diseases and the local inflammation is often associated with systemic events that they see as a primary cause the endothelial dysfunction. Studies have shown a higher incidence of cardiovascular events such as stroke, intermittent claudication and myocardial infarction in patients with polyposis and/or rhinitis, but studies that have focused on myocardial injury are few and showed echocardiography as a subclinical deficiency of the right longitudinal functions in patients with nasal polyposis.

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“…Firstly, thank you for your comments about our paper published in The Anatolian Journal of Cardiology (1).If the patients with nasal polyposis left untreated, it could affect firstly right ventricle functions and then it could cause cardiovascular complications. However, at the present time there is not any cut-off value (for hypoxia and pulmonary arterial pressure value) for these cardiovascular complications.…”

mentioning

confidence: 99%

“…Firstly, thank you for your comments about our paper published in The Anatolian Journal of Cardiology (1).…”

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confidence: 99%

The heart project: a cost-effective method to save a life

Vural¹

2013

Anadolu Kardiyol Derg

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We have read the letter to the editor with great interest. Firstly, thank you for your comments about our paper published in The Anatolian Journal of Cardiology (1).If the patients with nasal polyposis left untreated, it could affect firstly right ventricle functions and then it could cause cardiovascular complications. However, at the present time there is not any cut-off value (for hypoxia and pulmonary arterial pressure value) for these cardiovascular complications. Vonk-Noordegraf et al. (2) reported that left ventricle functions preserved in chronic obstructive pulmonary disease patients with mild hypoxemia by a study with MRI (magnetic resonance imaging). Amano et al. (3) showed left ventricle systolic functions did not change and irresponsive to even if right ventricle systolic pressures decreased in patients with pulmonary hypertension. In chronic hypoxemia it is expected that primarily effects on left ventricle diastolic functions. Increased right ventricle pressures and volume overload deviate interventricular septum to the left and decrease left ventricular filling and this could cause diastolic dysfunction (4). This effect compensates by increased atrial contraction in patients with chronic and mild pulmonary hypertension. However in acute and excessive pressure overload it could not compensate and develops diastolic dysfunction (5). Patient group of our study included chronic and mild pulmonary hypertension (31.2±5.8 mmHg) patients.Right ventricular functions can be evaluated by different echocardiographic techniques (RV MPI, TAPSE, RV IVA, RV FAC etc.). At the present time the most important limitations of conventional echocardiographic measurements are relation with operator and subjective values of measurements. Strain-strain rate echocardiographic evaluation of right ventricle functions are effective techniques because of minimal operator dependency and very low intra-interobserver variability rates (6, 7). Therefore, in our study we choose these techniques for evaluation of right ventricle functions.

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Evaluation of right ventricular functions in patients with nasal polyposis: an observational study

Cited by 6 publications

References 23 publications

Coronary sinus dilatation is a sign of impaired right ventricular function in patients with heart failure

Coronary sinus dilatation is a sign of impaired right ventricular function in patients with heart failure

Endothelial Functionality and Echocardiographic Parameters in Patients with Rhinitis and Nasal Polyps

The heart project: a cost-effective method to save a life

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