Usefulness of echocardiographic determined tricuspid regurgitation in predicting event-free survival in severe heart failure secondary to idiopathic-dilated cardiomyopathy or to ischemic cardiomyopathy

Hung, Judy; Koelling, Todd M.; Semigran, Marc J.; Dec, G. William; Levine, Robert A.; Salvo, Thomas G. Di

doi:10.1016/s0002-9149(98)00624-9

Cited by 123 publications

(57 citation statements)

References 8 publications

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“…Functional tricuspid regurgitation (TR) is a common finding in patients with left-sided heart valve diseases (9)(10)(11)(12)(13)(14)(15). Several studies have reported an increased risk of mortality in chronic heart failure patients having moderate or severe TR (9,14,16,17).…”

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confidence: 99%

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Tricuspid Regurgitation Is Associated With Increased Risk of Mortality in Patients With Low-Flow Low-Gradient Aortic Stenosis and Reduced Ejection Fraction

Dahou

Magné

Clavel

et al. 2015

JACC: Cardiovascular Interventions

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confidence: 99%

“…Several studies have reported an increased risk of mortality in chronic heart failure patients having moderate or severe TR (9,14,16,17).…”

mentioning

confidence: 99%

Tricuspid Regurgitation Is Associated With Increased Risk of Mortality in Patients With Low-Flow Low-Gradient Aortic Stenosis and Reduced Ejection Fraction

Dahou

Magné

Clavel

et al. 2015

JACC: Cardiovascular Interventions

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“…Functional TR in the absence of leaflet abnormalities frequently occurs in patients with heart failure by annulus dilatation and leaflet tethering1, 2, 3 and is associated with unfavorable outcomes 8, 9, 10, 11. Koelling et al demonstrated that severe functional TR was an independent predictor for all‐cause mortality in 1421 patients with LVEF <35% 9.…”

Section: Discussionmentioning

confidence: 99%

“…The occurrence of TR initiates a vicious cycle of further RV dilatation and dysfunction and, consequently, worsening of TR 7. TR severity is independently associated with worse survival in heart failure patients8, 9, 10, 11 as well as in patients with isolated TR 12, 13…”

Section: Introductionmentioning

confidence: 99%

Prevalence, Predictors, and Prognostic Value of Residual Tricuspid Regurgitation in Patients With Left Ventricular Assist Device

Nakanishi

Homma

Han

et al. 2018

JAHA

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BackgroundAlthough implantation of a left ventricular assist device (LVAD) generally improves tricuspid regurgitation (TR) in short‐term follow‐up, the clinical significance of residual TR in patients with mid‐ to long‐term LVAD support is unknown. This study aimed to identify the prevalence, predictors, and prognostic value of residual TR in LVAD patients in association with tricuspid valve (TV) deformation.Methods and ResultsThe study cohort consisted of 127 patients who underwent LVAD implantation without TV procedure and were supported with LVAD at least 1 year. All patients underwent echocardiographic examination preoperatively and 1 year after LVAD implantation. TR was quantitatively assessed by ratio of TR color jet area/right atrial area, and significant residual TR was defined as ≥20% of %TR at follow‐up echocardiographic examination. Detailed echocardiographic measurements were also performed, including TV annulus diameter, TV leaflet displacement, and left ventricular and right ventricular systolic function. LVAD implantation significantly improved ratio of TR color jet area/right atrial area as well as left ventricular and right ventricular systolic function and tethering distance (all P<0.05), whereas it enlarged TV annulus diameter (P=0.002). Significant residual TR was observed in 30 (23.6%) patients. Age, preoperative TV annulus diameter, and residual mitral regurgitation were significantly associated with significant residual TR (all P<0.05), whereas TV tethering was not. During a mean follow‐up of 21±17 months, patients with residual TR had significantly higher mortality than those without residual TR (log‐rank P<0.001).ConclusionsSignificant residual TR was observed in ≈25% patients supported with LVAD over 1 year and was associated with unfavorable outcome.

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“…Обычно она является доброкачественной, если не ассоциирована с выраженной легочной гипертензией и/или дисфункцией левого желудочка [2][3][4]. С пато-физиологической точки зрения ТР бывает двух типов: функциональная (ассоциирована с пато-логией «левого» или «правого» сердца) и струк-турная (развивается вследствие первичной пато-логии структур клапана).…”

Section: имплантация антиаритмических устройств является методом выбоunclassified

Tricuspid Valve Regurgitation After Antiarrhythmic Device Implantation

Кропоткин¹,

Ivanitskiy²

2017

Ann aritmol

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Usefulness of echocardiographic determined tricuspid regurgitation in predicting event-free survival in severe heart failure secondary to idiopathic-dilated cardiomyopathy or to ischemic cardiomyopathy

Cited by 123 publications

References 8 publications

Tricuspid Regurgitation Is Associated With Increased Risk of Mortality in Patients With Low-Flow Low-Gradient Aortic Stenosis and Reduced Ejection Fraction

Tricuspid Regurgitation Is Associated With Increased Risk of Mortality in Patients With Low-Flow Low-Gradient Aortic Stenosis and Reduced Ejection Fraction

Prevalence, Predictors, and Prognostic Value of Residual Tricuspid Regurgitation in Patients With Left Ventricular Assist Device

Tricuspid Valve Regurgitation After Antiarrhythmic Device Implantation

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