Prognostic Significance of Right Ventricular Dysfunction in Patients with Functional Mitral Regurgitation Undergoing MitraClip

Abstract Functional mitral regurgitation (MR) is common in patients with heart failure (HF) and left ventricular (LV) dysfunction. MitraClip (MC) is a novel therapeutic option for patients with high-risk MR. Similar to LV dysfunction, right ventricular dysfunction (RVD) is an important predictor of...

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Bibliographic Details
Published in:The American journal of cardiology 2016-12, Vol.118 (11), p.1717-1722
Main Authors: Kaneko, Hidehiro, MD, Neuss, Michael, MD, Weissenborn, Jens, MD, Butter, Christian, MD
Format: Article
Language:English
Subjects:
Cardiac arrhythmia
Cardiac Surgical Procedures - instrumentation
Cardiovascular
Catheters
Congenital diseases
Echocardiography, Transesophageal
Equipment Design
Female
Follow-Up Studies
Germany - epidemiology
Humans
Male
Mitral Valve Insufficiency - etiology
Mitral Valve Insufficiency - mortality
Mitral Valve Insufficiency - surgery
Prognosis
Retrospective Studies
Surgical Instruments
Survival Rate - trends
Ventricular Dysfunction, Right - complications
Ventricular Dysfunction, Right - diagnosis
Ventricular Dysfunction, Right - physiopathology
Ventricular Function, Right - physiology
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Summary:Abstract Functional mitral regurgitation (MR) is common in patients with heart failure (HF) and left ventricular (LV) dysfunction. MitraClip (MC) is a novel therapeutic option for patients with high-risk MR. Similar to LV dysfunction, right ventricular dysfunction (RVD) is an important predictor of patients with HF. We aimed to clarify the effect of RVD on outcomes of functional MR and LV dysfunction after MC implantation. We examined 117 patients with severe functional MR and reduced LV ejection fraction (LVEF) (≤40%) treated with MC. RVD was defined as tricuspid annular plane systolic excursion
ISSN:0002-9149
1879-1913
DOI:10.1016/j.amjcard.2016.08.054