Right ventricular systolic function in hypertensive heart failure
OA Oketona,1 MO Balogun,2 AO Akintomide,2 OE Ajayi,2 RA Adebayo,2 TO Mene-Afejuku,3 OT Oketona,1 OJ Bamikole2 1Fort Nelson General Hospital, Fort Nelson, BC, Canada; 2Cardiology Unit, Department of Medicine, Obafemi Awolowo University Teaching Hospitals Complex, Ife, Osun State, Nigeria; 3Department...
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doaj-456cdac7de5b4b4780f92333fa11e7a12020-11-24T23:29:21ZengDove Medical PressVascular Health and Risk Management1178-20482017-09-01Volume 1335336034913Right ventricular systolic function in hypertensive heart failureOketona OABalogun MOAkintomide AOAjayi OEAdebayo RAMene-Afejuku TOOketona OTBamikole OJOA Oketona,1 MO Balogun,2 AO Akintomide,2 OE Ajayi,2 RA Adebayo,2 TO Mene-Afejuku,3 OT Oketona,1 OJ Bamikole2 1Fort Nelson General Hospital, Fort Nelson, BC, Canada; 2Cardiology Unit, Department of Medicine, Obafemi Awolowo University Teaching Hospitals Complex, Ife, Osun State, Nigeria; 3Department of Medicine, Metropolitan Hospital Center, New York, NY, USA Background: Heart failure (HF) is a major cause of cardiovascular admissions and hypertensive heart failure (HHF) is the most common cause of HF admissions in sub-Saharan Africa, Nigeria inclusive. Right ventricular (RV) dysfunction is being increasingly recognized in HF and found to be an independent predictor of adverse outcomes in HF. This study aimed to determine the prevalence of RV systolic dysfunction in HHF by several echocardiographic parameters.Methodology: One hundred subjects with HHF were recruited consecutively into the study along with 50 age and sex-matched controls. All study participants gave written informed consent, and had a full physical examination, blood investigations, 12-lead electrocardiogram, and transthoracic echocardiography. RV systolic function was assessed in all subjects using different methods based on the American Society of Echocardiography guidelines for echocardiographic assessment of the right heart in adults. This included tricuspid annular plane systolic excursion (TAPSE), RV myocardial performance index (MPI), and RV systolic excursion velocity by tissue Doppler (S′).Results: RV systolic dysfunction was found in 53% of subjects with HHF by TAPSE, 56% by RV MPI, and 48% by tissue Doppler systolic excursion S′. RV systolic dysfunction increased with reducing left ventricular ejection fraction (LVEF) in subjects with HHF.Conclusion: A high proportion of subjects with HHF were found to have RV systolic functional abnormalities using TAPSE, RV MPI, and RV S′. Prevalence of RV systolic dysfunction increased with reducing LVEF. Keywords: right ventricle, systolic function, TAPSE, RV MPI, RV S′, hypertensive heart failurehttps://www.dovepress.com/right-ventricular-systolic-function-in-hypertensive-heart-failure-peer-reviewed-article-VHRMRight ventriclesystolic functionTAPSERV MPIRV S’ |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Oketona OA Balogun MO Akintomide AO Ajayi OE Adebayo RA Mene-Afejuku TO Oketona OT Bamikole OJ |
spellingShingle |
Oketona OA Balogun MO Akintomide AO Ajayi OE Adebayo RA Mene-Afejuku TO Oketona OT Bamikole OJ Right ventricular systolic function in hypertensive heart failure Vascular Health and Risk Management Right ventricle systolic function TAPSE RV MPI RV S’ |
author_facet |
Oketona OA Balogun MO Akintomide AO Ajayi OE Adebayo RA Mene-Afejuku TO Oketona OT Bamikole OJ |
author_sort |
Oketona OA |
title |
Right ventricular systolic function in hypertensive heart failure |
title_short |
Right ventricular systolic function in hypertensive heart failure |
title_full |
Right ventricular systolic function in hypertensive heart failure |
title_fullStr |
Right ventricular systolic function in hypertensive heart failure |
title_full_unstemmed |
Right ventricular systolic function in hypertensive heart failure |
title_sort |
right ventricular systolic function in hypertensive heart failure |
publisher |
Dove Medical Press |
series |
Vascular Health and Risk Management |
issn |
1178-2048 |
publishDate |
2017-09-01 |
description |
OA Oketona,1 MO Balogun,2 AO Akintomide,2 OE Ajayi,2 RA Adebayo,2 TO Mene-Afejuku,3 OT Oketona,1 OJ Bamikole2 1Fort Nelson General Hospital, Fort Nelson, BC, Canada; 2Cardiology Unit, Department of Medicine, Obafemi Awolowo University Teaching Hospitals Complex, Ife, Osun State, Nigeria; 3Department of Medicine, Metropolitan Hospital Center, New York, NY, USA Background: Heart failure (HF) is a major cause of cardiovascular admissions and hypertensive heart failure (HHF) is the most common cause of HF admissions in sub-Saharan Africa, Nigeria inclusive. Right ventricular (RV) dysfunction is being increasingly recognized in HF and found to be an independent predictor of adverse outcomes in HF. This study aimed to determine the prevalence of RV systolic dysfunction in HHF by several echocardiographic parameters.Methodology: One hundred subjects with HHF were recruited consecutively into the study along with 50 age and sex-matched controls. All study participants gave written informed consent, and had a full physical examination, blood investigations, 12-lead electrocardiogram, and transthoracic echocardiography. RV systolic function was assessed in all subjects using different methods based on the American Society of Echocardiography guidelines for echocardiographic assessment of the right heart in adults. This included tricuspid annular plane systolic excursion (TAPSE), RV myocardial performance index (MPI), and RV systolic excursion velocity by tissue Doppler (S′).Results: RV systolic dysfunction was found in 53% of subjects with HHF by TAPSE, 56% by RV MPI, and 48% by tissue Doppler systolic excursion S′. RV systolic dysfunction increased with reducing left ventricular ejection fraction (LVEF) in subjects with HHF.Conclusion: A high proportion of subjects with HHF were found to have RV systolic functional abnormalities using TAPSE, RV MPI, and RV S′. Prevalence of RV systolic dysfunction increased with reducing LVEF. Keywords: right ventricle, systolic function, TAPSE, RV MPI, RV S′, hypertensive heart failure |
topic |
Right ventricle systolic function TAPSE RV MPI RV S’ |
url |
https://www.dovepress.com/right-ventricular-systolic-function-in-hypertensive-heart-failure-peer-reviewed-article-VHRM |
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