Application of an echocardiographic index to characterize right ventricular-pulmonary arterial coupling in heart failure.
ESC Heart Fail
; 11(3): 1290-1304, 2024 Jun.
Article
em En
| MEDLINE
| ID: mdl-38229524
ABSTRACT
Heart failure (HF), with its high morbidity and mortality, remains a global public health issue. Right ventricular (RV) dysfunction is a sign of deterioration in the natural history of HF, and a thorough evaluation of the relationship between RV contractility and its afterload through RV-pulmonary arterial (RV-PA) coupling can aid in accurately assessing overall RV function. The ratio of RV end-systolic elastance (Ees) to pulmonary arterial elastance (Ea) invasively measured by right heart catheterization served as the gold standard for evaluating RV-PA coupling. An echocardiographic index termed tricuspid annular plane systolic excursion/pulmonary artery systolic pressure (TAPSE/PASP) has been shown to correlate well with Ees/Ea. TAPSE/PASP is recognized as a non-invasive surrogate of RV-PA coupling and has been extensively studied in patients with HF. This review briefly describes the methods of assessing RV-PA coupling, mainly discussing echocardiography, summarizes the clinical utility of TAPSE/PASP in patients with different HF types, and provides an overview of the available literature.
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Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
Artéria Pulmonar
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Ecocardiografia
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Função Ventricular Direita
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Disfunção Ventricular Direita
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Insuficiência Cardíaca
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Ventrículos do Coração
Limite:
Humans
Idioma:
En
Revista:
ESC Heart Fail
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
China