Prevalence and predictors of right ventricular dysfunction in patients with left ventricular systolic dysfunction: Insights from cardiac magnetic resonance

Abstract Background Heart failure (HF) is a major health problem. Cardiac and renal diseases interact in a complex bidirectional manner in both acute and chronic settings. Renal dysfunction in the setting of heart failure, termed the cardio renal syndrome (CRS), has been considered consequence of left ventricular dysfunction (LVD), whereby decreasing cardiac output (COP) results in renal under perfusion and consequent decreased glomerular filtration rate (GFR). Main body of the abstract This study showed that 500 patients were admitted to internal care unit (ICU), and out of them, 100 (20%) patients developed acute kidney injury (AKI) while 400 (80%) patients did not develop AKI. It is also showed that 67 (67%) of those with AKI and 100 (25%) of those with no-AKI had baseline ventricular systolic dysfunction, left ventricular dysfunction (LVD), right ventricular dysfunction (RVD), and biventricular dysfunction (BiVD)presented in 23 (23%), 16 (16%), and 28 (28%) patients of AKI group, respectively, and presented in 60 (15%), 30 (7.50%), and 10 (2.50%) patients, respectively, in patients without acute kidney injury (AKI) Short conclusion Our study revealed that AKI has highest incidence in patient with biventricular dysfunction followed by left ventricular dysfunction and lastly those with right ventricular dysfunction.

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P118When coronary angiography is not enough: the role of cardiac magnetic resonance in differential diagnosis of atypical chest pain and left ventricular systolic dysfunction

European Heart Journal - Cardiovascular Imaging ◽

10.1093/ehjci/jez110.016 ◽

2019 ◽

Vol 20 (Supplement_2) ◽

Author(s):

V Melita ◽

S Pica ◽

A Camporeale ◽

C Geppert ◽

K Chow ◽

...

Keyword(s):

Differential Diagnosis ◽

Cardiac Magnetic Resonance ◽

Chest Pain ◽

Magnetic Resonance ◽

Left Ventricular Systolic Dysfunction ◽

Systolic Dysfunction ◽

Left Ventricular ◽

Ventricular Systolic Dysfunction ◽

Atypical Chest Pain

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Impact of contrast echocardiography on accurate discrimination of specific degree of left ventricular systolic dysfunction and comparison with cardiac magnetic resonance imaging

Echocardiography ◽

10.1111/echo.14152 ◽

2018 ◽

Vol 35 (11) ◽

pp. 1746-1754 ◽

Cited By ~ 3

Author(s):

Aws Alherbish ◽

Harald Becher ◽

Wendimagegn Alemayehu ◽

D. Ian Paterson ◽

Craig R. Butler ◽

...

Keyword(s):

Magnetic Resonance Imaging ◽

Cardiac Magnetic Resonance ◽

Magnetic Resonance ◽

Left Ventricular Systolic Dysfunction ◽

Systolic Dysfunction ◽

Contrast Echocardiography ◽

Left Ventricular ◽

Ventricular Systolic Dysfunction ◽

Resonance Imaging ◽

Specific Degree

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Relationship Between CHA2DS2-VASc Score and Right Ventricular Dysfunction in Patients With Acute Pulmonary Thromboembolism

Clinical and Applied Thrombosis/Hemostasis ◽

10.1177/1076029618785771 ◽

2018 ◽

Vol 24 (9_suppl) ◽

pp. 56S-62S ◽

Cited By ~ 4

Author(s):

Murat Gök ◽

Alparslan Kurtul ◽

Murat Harman ◽

Meryem Kara ◽

Muhammed Süleymanoglu ◽

...

Keyword(s):

Right Ventricular ◽

Ventricular Dysfunction ◽

Pulmonary Thromboembolism ◽

Left Ventricular Systolic Dysfunction ◽

Systolic Dysfunction ◽

Right Ventricular Dysfunction ◽

Left Ventricular ◽

Systolic Pulmonary Artery Pressure ◽

Characteristic Analysis ◽

Acute Pulmonary Thromboembolism

In this study, the association between the right ventricular dysfunction (RVD) and CHA2DS2-VASc (C: congestive heart failure or left ventricular systolic dysfunction, H: hypertension, A: age of ≥ 75 years, D: diabetes mellitus, S: previous stroke, V: vascular disease, A: age between 65 and 74 years, Sc: female gender) scores was investigated in patients with acute pulmonary thromboembolism (PTE). The patients have been assigned to 3 subgroups as massive, submassive, and nonmassive PTE. The CHA2DS2-VASc scores were calculated for all of the patients, and the scores have been classified into 3 groups as the scores between 0 and 1, the scores of 2, and the scores of 3 and over. The independent predictors of the RVD were investigated by the univariate and multivariate regression analyses. The independent predictors of the RVD were determined to be the CHA2DS2-VASc scores ( P = .034), the systolic pulmonary artery pressure ( P < .001), the presence of acute deep vein thrombosis ( P = .007), high simplified Pulmonary Embolism Severity Index ( P < .001), D-dimer ( P < .006), and the mean platelet volume ( P < .001). The CHA2DS2-VASc scores predicted the RVD with 70% sensitivity and 50% specificity as determined by the receiver operating characteristic analysis. The CHA2DS2-VASc score is an independent predictor of the RVD in patients with acute PTE.

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