清晨好,您是今天最早来到科研通的研友!由于当前在线用户较少,发布求助请尽量完整的填写文献信息,科研通机器人24小时在线,伴您科研之路漫漫前行!

Ratio between right ventricular longitudinal strain and pulmonary arterial systolic pressure: A novel prognostic parameter in patients with severe tricuspid regurgitation

医学 心脏病学 内科学 肺动脉 肺动脉高压 心力衰竭 血压 反流(循环) 单变量分析 多元分析
作者
Francesco Ancona,Davide Margonato,Giuseppe Di Menza,Matteo Bellettini,Francesco Melillo,Stefano Stella,Cristina Capogrosso,Giacomo Ingallina,Federico Biondi,Antonio Boccellino,Michele De Bonis,Alessandro Castiglioni,Paolo Denti,Francesco Maisano,Ottavio Alfieri,Marco Ancona,Matteo Montorfano,Alberto Margonato,Eustachio Agricola
出处
期刊:International Journal of Cardiology [Elsevier]
卷期号:384: 55-61 被引量:5
标识
DOI:10.1016/j.ijcard.2023.04.056
摘要

In terms of pathophysiology, tricuspid regurgitation (TR), right ventricular function and pulmonary artery pressure are linked to each other. Our aim was to analyze whether the echocardiography-derived right ventricular free wall longitudinal strain/pulmonary artery systolic pressures (RVFWLS/PASP) ratio can improve risk stratification in patients with severe tricuspid regurgitation (TR).In this single-center retrospective study, 250 consecutive patients with severe TR were enrolled from December 2015 to December 2018. Baseline clinical and echocardiographic parameters were collected. Echocardiography-derived TAPSE/PASP and RVFWLS/PASP were evaluated. The primary endpoint was all-cause mortality.Out of 250 consecutive patients, 171 meet inclusion criteria. Patients were predominantly female, with several cardiovascular risk factors and comorbidities. RVFWLS/PASP ≤0.34%/mmHg (AUC 0.68, p < 0.001, sensitivity 70%, specificity 67%) was associated with baseline clinical RV heart failure (p = 0.03). After univariate and multivariate analyses, RVFWLS/PASP, but not TAPSE/PASP, independently correlated with all-cause mortality (HR 0.004, p = 0.02). Patients with RVFWLS/PASP >0.26%/mmHg (AUC 0.74, p < 0.001, sensitivity 77%, specificity 52%) showed higher survival rates (p = 0.02). In addition at 24 months follow-up, the Kaplan-Meyer curves showed patients with RVFWLS >14% & RVFWLS/PASP >0.26%/mmHg had the best survival rate compared to patients without.RVFWLS/PASP is independently associated with baseline RV heart failure and poor long-term prognosis in patients with severe TR.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
大幅提高文件上传限制,最高150M (2024-4-1)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
震动的机器猫完成签到,获得积分10
39秒前
44秒前
1分钟前
1分钟前
壮观以松完成签到,获得积分20
1分钟前
music007完成签到,获得积分10
2分钟前
jyy应助科研通管家采纳,获得10
2分钟前
fareless完成签到 ,获得积分10
2分钟前
HLT完成签到 ,获得积分10
3分钟前
嬗变的天秤完成签到,获得积分10
3分钟前
4分钟前
4分钟前
4分钟前
4分钟前
5分钟前
5分钟前
5分钟前
5分钟前
5分钟前
5分钟前
5分钟前
5分钟前
6分钟前
6分钟前
6分钟前
6分钟前
6分钟前
7分钟前
科研通AI2S应助liudy采纳,获得10
7分钟前
7分钟前
QiaoHL完成签到 ,获得积分10
7分钟前
7分钟前
7分钟前
8分钟前
8分钟前
8分钟前
十二完成签到 ,获得积分10
8分钟前
8分钟前
Airi发布了新的文献求助10
9分钟前
9分钟前
高分求助中
The Oxford Handbook of Social Cognition (Second Edition, 2024) 1050
Kinetics of the Esterification Between 2-[(4-hydroxybutoxy)carbonyl] Benzoic Acid with 1,4-Butanediol: Tetrabutyl Orthotitanate as Catalyst 1000
The Young builders of New china : the visit of the delegation of the WFDY to the Chinese People's Republic 1000
Rechtsphilosophie 1000
юрские динозавры восточного забайкалья 800
English Wealden Fossils 700
Handbook of Qualitative Cross-Cultural Research Methods 600
热门求助领域 (近24小时)
化学 医学 生物 材料科学 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 基因 遗传学 催化作用 物理化学 免疫学 量子力学 细胞生物学
热门帖子
关注 科研通微信公众号,转发送积分 3139610
求助须知:如何正确求助?哪些是违规求助? 2790479
关于积分的说明 7795394
捐赠科研通 2446958
什么是DOI,文献DOI怎么找? 1301526
科研通“疑难数据库(出版商)”最低求助积分说明 626259
版权声明 601176