The Determinants of Right Ventricular Failure in Patients Admitted with Acute Left Heart Failure

Predictors of Right Ventricular Systolic Dysfunction in Compensated and Decompensated Heart Failure

“…While Berkowitz and colleagues limited their patient populations to NYHA III and IV and decompensated HF, our patients were studied at two points in time corresponding to different states in the course of HF. Unlike other authors, 9 we found an association between RV systolic dysfunction and LV systolic dysfunction in decompensation but not in the stable condition. However, because we focused on echocardiographically measured RV systolic function, not on the clinical syndrome of RV failure, we likely picked up subclinical changes that did not result in symptoms.…”

“…A recent article 9 analyzed the determinants of clinical RV failure in HF. Unlike the ESCAPE dataset, where all patients had decreased LVEF, the Berkowitz study's patient population was a mix of symptomatic HF with preserved (two thirds) and reduced (one third) systolic function.…”

“…Their findings agree well with the concept that pulmonary pressure is determined by parameters of congestion, namely elevated filling pressures and diastolic dysfunction. 9 The mechanism for the increase in pulmonary arterial pressure in patients with preserved and reduced systolic function is similar.…”

Identification of clinical risk factors of atrial fibrillation in congestive heart failure

“…An association between both of these parameters has been shown in the course of CHF. Berkowitz et al [18] observed that the severity of pulmonary hypertension increased with the severity of LV diastolic dysfunction. It also has been shown that LA volume was depended on the severity of LV diastolic dysfunction [19].…”

Left Ventricular Dysfunction With Pulmonary Hypertension

“…81 Finally, reduced RV systolic function is more frequently encountered among patients with nonischemic cause of LV systolic dysfunction, independent of PH and LV status. 82 …”