Grading right ventricular dysfunction in left ventricular disease using echocardiography: a proof of concept using a novel multiparameter strategy

Aims Grading right ventricular dysfunction (RVD) in patients with left ventricular (LV) disease has earned little attention. In the present study, we established an echocardiographic RVD score and investigated how increments of the score correspond to RVD at right heart catheterization. Methods and...

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Bibliographic Details
Published in:ESC Heart Failure 2021-08, Vol.8 (4), p.3223-3236
Main Authors: Bech‐Hanssen, Odd, Astengo, Marco, Fredholm, Martin, Bergh, Niklas, Hjalmarsson, Clara, Polte, Christian Lars, Ricksten, Sven‐Erik, Bollano, Entela
Format: Article
Language:English
Subjects:
Cardiac and Cardiovascular Systems
Cardiac catheterization
Disease
Echocardiography
Ejection fraction
Heart failure
Intubation
Kardiologi
Left ventricular disease
Original
Original s
Patients
Pulmonary arteries
Pulmonary hypertension
Right heart catheterization
Right ventricle
Right ventricular dysfunction
Veins & arteries
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Summary:Aims Grading right ventricular dysfunction (RVD) in patients with left ventricular (LV) disease has earned little attention. In the present study, we established an echocardiographic RVD score and investigated how increments of the score correspond to RVD at right heart catheterization. Methods and results We included 95 patients with LV disease consecutively referred for heart transplant or heart failure work‐up with catheterization and echocardiography within 48 h. The RVD score (5 points) included well‐known characteristics of the development from compensated to decompensated right ventricular (RV) function: pulmonary hypertension, reduced RV strain, RV area dilatation, moderate/severe tricuspid regurgitation, and increased right atrial pressure (RAP) by echocardiography. Comparing three groups with increments of RVD score [1 (mild), 2–3 (moderate), and 4–5 (severe)] showed more advanced RVD with increasing RV end‐diastolic pressure (P 
ISSN:2055-5822
2055-5822
DOI:10.1002/ehf2.13448