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Determinants of Right Ventricular Failure in Patients Admitted With Acute Left Heart Failure
| Content Provider | Scilit |
|---|---|
| Author | Berkowitz, Robert Alhaj, Eyad Manchikalapudi, Rama Bindu Satya, Kumar Dadfarmay, Sina Zakir, Ramzan |
| Copyright Year | 2010 |
| Description | Journal: Congestive Heart Failure Pulmonary hypertension, which may lead to right ventricular (RV) failure, increases with left ventricular (LV) diastolic dysfunction severity. The prevalence and determinants of RV failure were analyzed in 120 patients admitted with acute left heart (LH) failure. Patients were divided into RV failure (n=50) and non-RV failure (n=70) groups. The prevalence of RV failure was found to be 42%. In both groups, two thirds of the patients had isolated LV diastolic dysfunction and the rest had combined LV systolic and diastolic dysfunction. Patients in the RV failure group were characterized by higher LV diastolic grade (2.2 ± 0.6 vs 1.84 ± 0.7; P=.0070), pulmonary artery systolic pressure (PASP; 57.8 ± 15.3 vs 50.14 ± 12.1 mm Hg; P=.0028), right atrial enlargement (92% vs 25.7%; P=.000001), and more-than-moderate tricuspid regurgitation (58% vs 27.1%; P=.0006). RV failure is a frequent finding in patients with advanced LH failure. It is strongly associated with the severity of LV diastolic dysfunction and the severity of PASP. |
| Related Links | http://onlinelibrary.wiley.com/doi/10.1111/j.1751-7133.2010.00184.x/pdf |
| Ending Page | 248 |
| Page Count | 6 |
| Starting Page | 243 |
| ISSN | 15275299 |
| e-ISSN | 17517133 |
| DOI | 10.1111/j.1751-7133.2010.00184.x |
| Journal | Congestive Heart Failure |
| Issue Number | 6 |
| Volume Number | 16 |
| Language | English |
| Publisher | Wiley-Blackwell |
| Publisher Date | 2010-08-31 |
| Access Restriction | Open |
| Subject Keyword | Journal: Congestive Heart Failure Cardiology and Cardiovascular Diseases Pulmonary Artery Right Ventricular Pulmonary Hypertension Admitted with Acute Dysfunction Severity Acute Left Heart Failure |
| Content Type | Text |
| Resource Type | Article |
| Subject | Emergency Medicine Emergency Nursing Cardiology and Cardiovascular Medicine |
