Official journal of the Slovak Society of Cardiology,
Slovak Society of Hypertension and Slovak Association for Cardiac Arrhythmias

Cardiology Letters 2013, 22(4):299-307

Impact of left ventricular systolic dysfunction on the right ventricle in terms of three-dimensional echocardiography

Fojtiková L, Valočik G, Farkašová Ľ, Vachalcová M
Klinika kardiológie, Východoslovenský ústav srdcových a cievnych chorôb a.s. a Lekárska fakulta Univerzita Pavla Jozefa Šafárika v Košiciach, Slovenská republika

There is a need to assess the right ventricle in the diagnosis of chronic heart failure, because its function is proved to be an important indicator of prognosis, exercise tolerance and quality of life for the failure of the left ventricle.

Aims: The target was to investigate the relationship between systolic dysfunction of the left ventricle (LV) and right ventricle (RV) by three-dimensional echocardiography.

Methods: Off-line analysis of echocardiographic results were obtained in 55 patients (42 men, 13 women, mean age 62,6 ± 11,8 years) using three-dimensional echocardiography (3DE) and two-dimensional echocardiography (2DE) with LV systolic dysfunction (ejection fraction < 50%). Determined were parameters of systolic and diastolic LV function, volume and shape of the LV, RV volume and function, pulmonary artery acceleration time and presented quantified tricuspid regurgitation, all by software off-line analysis.

Results: We noticed a correlation between right ventricular ejection fraction (RV EF) and LV mass indexed to body surface area (LV MASS/BSA) (p = 0.02). Other echocardiographic parameters in relation to RV EF were proved to be statistically insignificant. We observed the relationship between the NYHA functional group and RV EF (p = 0.046). There was no correlation between NYHA and LV EF (p = 0.493). Statistically significant was the relationship between the value of nocturnal dyspnoea and RV EF (p = 0.014) and no correlation with LV EF (p = 0.99).

Conclusion: We have shown a statistical dependency between RV EF and LV MASS/BSA, GLS and PV AT. NYHA functional classas nocturnal dyspnoea data in patients with LV systolic dysfunction was dependent on the RV EF.

Keywords: three-dimensional echocardiography; left ventricle; right ventricle; chronic heart failure

Published: April 1, 2013  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Fojtiková L, Valočik G, Farkašová Ľ, Vachalcová M. Impact of left ventricular systolic dysfunction on the right ventricle in terms of three-dimensional echocardiography. Cardiology Letters. 2013;22(4):299-307.
Share...
Download citation
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Open full article

    References

    1. Šimková I, Podracký J, Brtko M et al. Menej časté príčiny dysfunkcie pravej komory. Cardiol 2009;18(1):29-39.
    2. Podracký J, Studenčan M, Ignác J. 3D echokardiografia v klinickej kardiológii - trojročné skúsenosti. Cardiol 2009;18(5):225-243.
    3. Smith JL, Bolson EL, Wong SP, et al. Three-dimensional assessment of two-dimensional technique for evaluation of right ventricular function by tricuspid annulus motion. Int J Card Imag 2003;19(3):189-197. Go to original source...
    4. Shiota T, et al. 3D Echocardiography. 1st ed. London: Informa Healthcare; 2007:166. ISBN 1-84184-632-635.
    5. Tamborini G, Marsan NA, Gripari P, et al. Reference values for right ventricular volumes and ejection fraction with real-time threedimensional echocardiography: evaluation in a large series of normal subjects. J Am Soc Echocardiogr 2010;23(2):109-115. Go to original source...
    6. Jenkins C, Chan J, Bricknell K, et al. Reproducibility of right ventricular volumes and ejection fraction using real-time threedimensional echocardiography - comparison with cardiac MRI. CHEST 2007;131(6):1844-1851. Go to original source...
    7. Fujimoto S, Mizuno R, Nakagawa Y, et al. Estimation of the right ventricular volume and ejection fraction by transthoracic threedimensional echocardiography. A validation study using magnetic resonance imaging. Int J Card Imag 1998;14(6):385-390. Go to original source...
    8. Leibundgut G, Kessel A, Bernheim A, et al. Assessment of right ventricular function by real-time 3D echocardiography closely agrees with magnetic resonance imaging. Circulation 2008;118:101.
    9. Alpert JS. The effect of right ventricular dysfunction on left ventricular form and function. CHEST 2001;119(6):16321633. Go to original source...
    10. Koren MJ, Devereux RB, Casale PN, et al. Relation of left ventricular mass and geometry to morbidity and mortality in uncomplicated essential hypertension. Ann Intern Med 1991;114(5):345-352. Go to original source...
    11. Ofili EO, Cohen JD, St Vrain JA, et al. Effect of treatment of iso­ lated systolic hypertension on left ventricular mass. JAMA 1998;279(10):778-780. Go to original source...
    12. Liao Y, Cooper RS, McGee DL, et al. The relative effects of left ventricular hypertrophy, coronary artery disease, and ventricular dysfunction on survival among black adults. JAMA 1995;273(20):1592-1597. Go to original source...
    13. Burke AP, Farb A, Liang Y, et al. Effect of hypertension and cardiac hypertrophy on coronary artery morphology in sudden cardiac death. Circulation 1996;94(12):3138-3145. Go to original source...
    14. Gradman AH, Alfayoumi F. From left ventricular hypertrophy to congestive heart failure: management of hypertensive heart disease. Prog Cardiovasc Dis 2006;48(5):326-341. Go to original source...
    15. Monaghan MJ. Role of real-time 3D echocardiography in evaluating the left ventricle. Heart 2006;92(1):131-136. Go to original source...
    16. Motoki H, Borowski AG, Shrestha K, et al. Incremental prognostic value of assessing left ventricular myocardial mechanics in patients with chronic systolic heart failure. J Am Coll Cardiol 2012;60(20):2074-2081. Go to original source...
    17. Marcu CB, Beek AM, vanRossum AC. Cardiovascular magnetic resonance imaging for the assessment of right heart involve­ ment in cardiac and pulmonary disease. Heart Lung Circ 2006;15(6):362-370. Go to original source...
    18. Juilliére Y, Barbier G, Feldmann L, et al. Additional predictive value of both left and right ventricular ejection fractions on long-term survival in idiopathic dilated cardiomyopathy. Eur Heart J 1997;18(2):276-280. Go to original source...
    19. Gavazzi A, Berzuini C, Campana C, et al. Value of right ventricular ejection fraction in predicting short-term prognosis of patients with severe chronic heart failure. J Heart Lung Transplant 1997;16(7):774-785.

    Return to the content