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      Study of correlation between 2D echocardiographic assessment of right ventricle and outcome of acute heart failure patients

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          Abstract

          Background

          Hospital length of stay (LOS) is a key determinant of heart failure hospitalization costs and performance of medical care quality. Right ventricular (RV) dysfunction predicted poor outcome in patients with acute heart failure (AHF).

          Aim

          To study the effect of right ventricular function on length of hospital stay as a predictor in patients with acute heart failure.

          Methods

          A prospective cohort study was conducted in Cardiology Care Units (CCUs) in Zagazig University Hospital and Shark El Madina Hospital from September 2019 to February 2020, we included in this study 99 patients admitted with AHF. Clinical data and baseline RV function assessed by tricuspid annular plane systolic excursion (TAPSE) and S' velocity were collected. Clinical comorbidities including worsening renal function (WRF) were monitored during hospitalization. The primary outcome was hospital LOS.

          Results

          There was statistically significant correlation between WRF, right ventricular systolic dysfunction identified by TAPSE<16 mm and S' <9.5 cm/s and poor outcome in patients with acute heart failure including prolonged LOS.

          Conclusion

          Right ventricular (RV) systolic dysfunction as assessed by TAPSE and S' velocity and diastolic dysfunction were independent predictors of longer LOS in AHF patients. WRF had high prevalence among patients with AHF and associated with poor outcome in AHF patients and prolonged LOS.

          Abstract

          Heart, Failure, Right, Ventricle

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          Most cited references17

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          Recommendations for cardiac chamber quantification by echocardiography in adults: an update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging.

          Roberto Lang, Luigi Badano, Victor Mor-Avi … (2015)
          The rapid technological developments of the past decade and the changes in echocardiographic practice brought about by these developments have resulted in the need for updated recommendations to the previously published guidelines for cardiac chamber quantification, which was the goal of the joint writing group assembled by the American Society of Echocardiography and the European Association of Cardiovascular Imaging. This document provides updated normal values for all four cardiac chambers, including three-dimensional echocardiography and myocardial deformation, when possible, on the basis of considerably larger numbers of normal subjects, compiled from multiple databases. In addition, this document attempts to eliminate several minor discrepancies that existed between previously published guidelines.
          Article 0 comments Cited 2548 times – based on 0 reviews     Review now
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            Guidelines for the echocardiographic assessment of the right heart in adults: a report from the American Society of Echocardiography endorsed by the European Association of Echocardiography, a registered branch of the European Society of Cardiology, and the Canadian Society of Echocardiography.

            Lawrence G Rudski, Wyman W Lai, Jonathan Afilalo … (2010)
            Article 0 comments Cited 983 times – based on 0 reviews     Review now
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              Natural history of asymptomatic left ventricular systolic dysfunction in the community.

              S. Langley, C. Leroy, Emelia Benjamin … (2003)
              Information is limited regarding the rates of progression to congestive heart failure (CHF) and death in individuals with asymptomatic left ventricular systolic dysfunction (ALVD). We sought to characterize the natural history of ALVD, by studying unselected individuals with this condition in the community. We studied 4257 participants (1860 men) from the Framingham Study who underwent routine echocardiography. The prevalence of ALVD (visually estimated ejection fraction [EF] 50%, n=4128) and ALVD (n=129) were 0.7 and 5.8 per 100 person-years, respectively. After adjustment for cardiovascular disease risk factors, ALVD was associated with a hazards ratio (HR) for CHF of 4.7 (95% CI 2.7 to 8.1), compared with individuals without ALVD. An elevated risk of CHF after ALVD was observed even in individuals without prior myocardial infarction or valvular disease, with an adjusted HR of 6.5 (CI 3.1 to 13.5). Mild ALVD (EF 40% to 50%, n=78) and moderate-to-severe ALVD (EF <40%, n=51) were associated with adjusted HRs for CHF of 3.3 (CI 1.7 to 6.6) and 7.8 (CI 3.9 to 15.6), respectively. ALVD was also associated with an increased mortality risk (adjusted HR 1.6, CI 1.1 to 2.4). The median survival of ALVD subjects was 7.1 years. Individuals with ALVD in the community are at high risk of CHF and death, even when only mild impairment of EF is present. Additional studies are needed to define optimal therapy for mild ALVD.
              Article 0 comments Cited 103 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                Ahmed Magdi Mohamed Genedi
                Journal
                Journal ID (nlm-ta): Heliyon
                Journal ID (iso-abbrev): Heliyon
                Title: Heliyon
                Publisher: Elsevier
                ISSN (Electronic): 2405-8440
                Publication date PMC-release: 17 April 2021
                Publication date Collection: April 2021
                Publication date (Electronic): 17 April 2021
                Volume: 7
                Issue: 4
                Electronic Location Identifier: e06807
                Affiliations
                [a ]Resident of Cardiology, Shark Elmadina Hospital, Alexandria, Egypt
                [b ]Faculty of Medicine, Zagazig University, Egypt
                Author notes
                [∗ ]Corresponding author. ahmedgenedi1383933@ 123456gmail.com
                Article
                Publisher Item ID: S2405-8440(21)00910-5 Publisher ID: e06807
                DOI: 10.1016/j.heliyon.2021.e06807
                PMC ID: 8080040
                PubMed ID: 33948519
                SO-VID: 29d591f8-d077-4e35-9985-1ddf719a4763
                Copyright © © 2021 The Author(s)
                License:

                This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

                History
                Date received : 14 November 2020
                Date revision received : 12 December 2020
                Date accepted : 12 April 2021
                Categories
                Subject: Research Article

                Keywords: heart,failure,right,ventricle
                Data availability:
                Keywords: heart, failure, right, ventricle

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