Usefulness of right atrial volume index in predicting outcome in chronic systolic heart failure

Darahim, Khaled E.

doi:10.1016/j.jsha.2013.09.002

Cited by 17 publications

(18 citation statements)

References 14 publications

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“…Two earlier studies with chronic systolic HF patients found increased RA size, measured as RA volume, to be correlated to RV dysfunction and independently associated with adverse prognosis. 10,11 Both studies were conducted on younger populations than in our study, with a lower mean LVEF, a smaller patient group, and shorter follow-up periods. Furthermore, in the study by Sallach et al, 10 the LAV index was smaller than in our study.…”

Section: Discussionmentioning

confidence: 86%

“…Therefore, clinically applicable markers other than measures of left ventricular (LV) systolic function are needed to identify high‐risk elderly patients with HF. Increasing left atrial (LA) size is a well‐documented risk factor for adverse events in HF patients, but there is limited research on right atrial (RA) size as a prognostic factor in elderly HF patients …”

Section: Introductionmentioning

confidence: 99%

“…Increasing left atrial (LA) size is a well-documented risk factor for adverse events in HF patients, [7][8][9] but there is limited research on right atrial (RA) size as a prognostic factor in elderly HF patients. 10,11 In a healthy population, the LA and RA sizes are equal. 12 An increase in LV diastolic pressure in left-sided HF enlarges the LA and raises the systolic pulmonary artery pressure (SPAP) which in turn exposes the right ventricle (RV) to increased afterload and subsequent dysfunction.…”

Section: Introductionmentioning

confidence: 99%

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Larger right atrium than left atrium is associated with all‐cause mortality in elderly patients with heart failure

et al. 2017

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Section: Discussionmentioning

confidence: 86%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Larger right atrium than left atrium is associated with all‐cause mortality in elderly patients with heart failure

et al. 2017

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“…HFrEF-betegekben a JPVI összefüggést mutatott a betegek funkcionális állapotával, valamint a mortalitás és egyéb adverz események független prediktorának bizonyult (26)(27)(28)(29)(30). Hasonló eredmények születtek PAH-populációban is (31,32).…”

Section: A Jobb Pitvar Méretének Klinikai Jelentőségeunclassified

A jobb pitvari méret és funkció noninvazív vizsgálatának módszerei és jelentőségük

Nógrádi¹,

Faludi²

2020

Cardiologia Hungarica

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A szív képalkotó vizsgálatai hagyományosan a bal kamrára összpontosítottak, majd az utóbbi évtizedekben a bal pit-gálható a szívüregek közül utolsóként a jobb pitvar is. A pitvarméretek egy-majd kétdimenziós vizsgálata után ma már tak. A jobb pitvari morfológia és funkció részleteinek megismerése új adatokkal gazdagíthatja a diagnosztikát, valamint a rizikó és a prognózis becslését.The traditional target of the cardiovascular imaging was the left ventricle. In the last decades the left atrium and the right heart also gained importance. The development of new imaging modalities such as modern echocardiographic techniques, cardiac CT and MRI made it possible to acquire more exact and detailed knowledge of the right atrium, as the last cardiac chamber to be investigated. After the one-and two-dimensional evaluation of the right atrial size, assessment of the phases of right atrial function, providing more information on early functional impairment and compensatory mechanisms. The detailed knowledge of right atrial morphology and function allows for more exact diagnosis, risk assessment and prognostic evaluation. BevezetésRégen elmúlt már az a korszak, amikor a jobb szívfél ben. Napjainkban a jobb kamra (1, 2) mellett a jobb rek -modern echokardiográfiás technikák, CT, MRsegítségével egyre több diagnosztikus és prognosztiis.-ták, és ezek az adatok nagymértékben hozzájárultak a balszívfél-elégtelenség patofiziológiájának megértésépárhuzamosan egyre több adat áll rendelkezésre a JP-i mechanikával kapcsolatban is, amelyek figyelmet érdemelnek. Így jelen munkánk célja, hogy áttekintsük a JP-i méret-és funkció vizsgálatára szolgáló noninvazív kép-

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“…Further, right atrial (RA) volume and size is an important indicator of RV remodeling. Prior studies have shown that an increased RA volume is an independent predictor of adverse outcomes in patients with HF [4,5]. It has also been shown that the ratio of right atrial volume index (RAVI) to left atrial volume index (LAVI), RAVI/LAVI, is associated with adverse outcomes in pulmonary hypertension [6].Therefore, we hypothesized that the RAVI/LAVI, as measured by two dimensional doppler echocardiography, is independently associated with death and LVAD implantation in patients with HF presenting with CS.…”

Section: Introductionmentioning

confidence: 99%

Right Atrial Volume Index to Left Atrial Volume Index Ratio is Associated with Adverse Clinical Outcomes in Cardiogenic Shock

Patel

Stafford

Walker

et al. 2020

Preprint

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Background: Structural remodeling in chronic systolic heart failure (HF) is associated with neurohormonal and hemodynamic perturbations among HF patients presenting with cardiogenic shock (CS) and HF. Objectives: To test the hypothesis was that atrial remodeling marked by an increased right atrial volume index (RAVI) to left atrial volume index (LAVI) ratio is associated with adverse clinical outcomes in CS. Methods: Patients included were admitted to the intensive care unit with evidence of congestion (pulmonary capillary wedge pressure >15) and cardiogenic shock (cardiac index <2.2, systolic blood pressure <90 mmHg, and clinical evidence supporting CS) and had an admission echocardiogram. LAVI and RAVI were measured using the biplane disc summation method by two independent observers. Cox proportional hazards regression analysis was used to assess the association of RAVI-LAVI with the combined outcome of death or left ventricular assist device (LVAD). Results: Among 113 patients (mean age 59 ± 14.9 years, 29.2% female), median RAVI/LAVI was 0.84. During a median follow-up of 12 months, 43 patients died, and 65 patients had the combined outcomes of death or LVAD.Patients with RAVI/LAVI ratio above the median had a greater incidence of death or LVAD (Log-rank p=<0.001), and increasing RAVI/LAVI was significantly associated with the outcomes of death or LVAD (HR 1.71 95% CI 1.11-2.64, chi square 5.91, p=0.010) even after adjustment for patient characteristics and hemodynamic variables. Conclusion: RAVI/LAVI is an easily assessed novel echocardiographic parameter with strong associations with the survival or the need for mechanical circulatory support in patients with CS.

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Usefulness of right atrial volume index in predicting outcome in chronic systolic heart failure

Abstract: In patients with chronic systolic HF, RAVI is an independent predictor of adverse outcome with a threshold value of 29 ml/m(2).

Cited by 17 publications

References 14 publications

Larger right atrium than left atrium is associated with all‐cause mortality in elderly patients with heart failure

Larger right atrium than left atrium is associated with all‐cause mortality in elderly patients with heart failure

A jobb pitvari méret és funkció noninvazív vizsgálatának módszerei és jelentőségük

Right Atrial Volume Index to Left Atrial Volume Index Ratio is Associated with Adverse Clinical Outcomes in Cardiogenic Shock

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