|
| HOME | SUBSCRIPTIONS | CURRENT ISSUE | PAST ISSUES | CARDIOSOURCE | SEARCH | HELP | FEEDBACK |
|
|
|
|||||||||
|
|||||||||||
|
J Am Coll Cardiol, 1998; 32:948-954 © 1998 by the American College of Cardiology Foundation |
a Service de Cardiologie C, Hôpital Cardiologique, Lille, France
* the Service Central de Médecine Nucléaire et Imagerie Fonctionnelle, Hôpital Roger Salengro, Lille, France
Manuscript received January 21, 1998; revised manuscript received May 26, 1998, accepted June 5, 1998.
Address for correspondence: Dr. Pascal de Groote, Service de Cardiologie C, Hôpital Cardiologique, CHRU, Boul Prof J Leclercq, 59037 Lille Cedex, France
pdegroote{at}chru-lille.fr
Objectives. We sought to study the relationship between survival and right ventricular ejection fraction (RVEF) in a subgroup of patients with moderate congestive heart failure (CHF).
Background. It has been demonstrated that RVEF is an independent predictor of survival in patients with advanced CHF.
Methods. Cardiopulmonary exercise testing and radionuclide angiography (to determine right and left ventricular ejection fraction) were prospectively performed in 205 consecutive patients with moderate CHF (140 patients in New York Heart Association [NYHA] class II, 65 in class III).
Results. Left ventricular ejection fraction was 29.3% ± 10.1%, RVEF was 37.5% ± 14.6% and peak oxygen consumption (VO2) was 16.2 ± 5.4 ml/min/kg (60.2% ± 19% of maximal predicted VO2). After a median follow-up period of 755 days, there were 44 cardiac-related deaths, 3 deaths from noncardiac causes and 15 transplantations of whom 2 were urgent; 1 patient was lost to follow-up. Multivariate analysis showed that three variables—NYHA classification, percent of maximal predicted VO2 and RVEF—were independent predictors of both survival and event-free cardiac survival. Left ventricular ejection fraction and peak VO2 normalized to body weight had no predictive value. The event-free survival rates from cardiovascular mortality and urgent transplantation at 1 year were 80%, 90% and 95% in patients with an RVEF <25%, with a RVEF 
25% and <35% and with a RVEF 35%, respectively. At 2 years, survival rates were 59%, 77% and 93% in the same subgroups, respectively.
Conclusions. In addition to the NYHA classification and to the percent of maximal predicted VO2, RVEF is an independent predictor of survival in patients with moderate CHF.
| ||||||||||||||||
This article has been cited by other articles:
|
|
 |
|
  S. Gupta, F. Khan, M. Shapiro, S. G. Weeks, S. E. Litwin, and A. D. Michaels The associations between tricuspid annular plane systolic excursion (TAPSE), ventricular dyssynchrony, and ventricular interaction in heart failure patients Eur J Echocardiogr, April 19, 2008; (2008) jen147v1. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 K. Aghasadeghi and A. Aslani Differentiation of Ischemic and Dilated Cardiomyopathy on Electrocardiograms Asian Cardiovasc Thorac Ann, April 1, 2008; 16(2): 103 - 106. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 F. Haddad, R. Doyle, D. J. Murphy, and S. A. Hunt Right Ventricular Function in Cardiovascular Disease, Part II: Pathophysiology, Clinical Importance, and Management of Right Ventricular Failure Circulation, April 1, 2008; 117(13): 1717 - 1731. [Full Text] [PDF]
|
|
|
|
 |
|
 B G. Svealv, E L Olofsson, and B Andersson Ventricular long-axis function is of major importance for long-term survival in patients with heart failure Heart, March 1, 2008; 94(3): 284 - 289. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
E. Donal, M. Roulaud, P. Raud-Raynier, C. De Bisschop, C. Leclercq, G. Derumeaux, J.-C. Daubert, P. Mabo, and A. Denjean Echocardiographic right ventricular strain analysis in chronic heart failure Eur J Echocardiogr, December 1, 2007; 8(6): 449 - 456. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. Bangalore, S.-S. Yao, and F. A. Chaudhry Role of Right Ventricular Wall Motion Abnormalities in Risk Stratification and Prognosis of Patients Referred for Stress Echocardiography J. Am. Coll. Cardiol., November 13, 2007; 50(20): 1981 - 1989. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. Di Mauro, A. M. Calafiore, M. Penco, S. Romano, G. Di Giammarco, and S. Gallina Mitral valve repair for dilated cardiomyopathy: predictive role of right ventricular dysfunction Eur. Heart J., October 2, 2007; 28(20): 2510 - 2516. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. D. Lewis, R. Shah, K. Shahzad, J. M. Camuso, P. P. Pappagianopoulos, J. Hung, A. Tawakol, R. E. Gerszten, D. M. Systrom, K. D. Bloch, et al. Sildenafil Improves Exercise Capacity and Quality of Life in Patients With Systolic Heart Failure and Secondary Pulmonary Hypertension Circulation, October 2, 2007; 116(14): 1555 - 1562. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. Javaheri, R. Shukla, H. Zeigler, and L. Wexler Central Sleep Apnea, Right Ventricular Dysfunction, and Low Diastolic Blood Pressure Are Predictors of Mortality in Systolic Heart Failure J. Am. Coll. Cardiol., May 22, 2007; 49(20): 2028 - 2034. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 E. Donal, N. Vignat, C. De Place, E. Leray, C. Crocq, P. Mabo, J.-C. Daubert, and C. Leclercq Acute effects of biventricular pacing on right ventricular function assessed by tissue Doppler imaging Europace, February 1, 2007; 9(2): 108 - 112. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. A.F. Tulner, J. J. Bax, G. B. Bleeker, P. Steendijk, R. J.M. Klautz, E. R. Holman, M. J. Schalij, R. A.E. Dion, and E. E. van der Wall Beneficial Hemodynamic and Clinical Effects of Surgical Ventricular Restoration in Patients With Ischemic Dilated Cardiomyopathy Ann. Thorac. Surg., November 1, 2006; 82(5): 1721 - 1727. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
N. F. Voelkel, R. A. Quaife, L. A. Leinwand, R. J. Barst, M. D. McGoon, D. R. Meldrum, J. Dupuis, C. S. Long, L. J. Rubin, F. W. Smart, et al. Right Ventricular Function and Failure: Report of a National Heart, Lung, and Blood Institute Working Group on Cellular and Molecular Mechanisms of Right Heart Failure Circulation, October 24, 2006; 114(17): 1883 - 1891. [Full Text] [PDF]
|
|
|
|
|
|
G B Bleeker, P Steendijk, E R Holman, C-M Yu, O A Breithardt, T A M Kaandorp, M J Schalij, E E van der Wall, P Nihoyannopoulos, and J J Bax Assessing right ventricular function: the role of echocardiography and complementary technologies Heart, April 1, 2006; 92(suppl_1): i19 - i26. [Full Text] [PDF]
|
|
|
|
|
|
P. d. Groote, J. Dagorn, B. Soudan, N. Lamblin, E. Mc Fadden, and C. Bauters Reply J. Am. Coll. Cardiol., January 4, 2005; 45(1): 163 - 164. [Full Text] [PDF]
|
|
|
|
|
|
P. de Groote, J. Dagorn, B. Soudan, N. Lamblin, E. McFadden, and C. Bauters B-type natriuretic peptide and peak exercise oxygen consumption provide independent information for risk stratification in patients with stable congestive heart failure J. Am. Coll. Cardiol., May 5, 2004; 43(9): 1584 - 1589. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. de Groote, N. Lamblin, F. Mouquet, D. Plichon, E. McFadden, E. Van Belle, and C. Bauters Impact of diabetes mellitus on long-term survival in patients with congestive heart failure Eur. Heart J., April 2, 2004; 25(8): 656 - 662. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F. Mizon-Gerard, P. de Groote, N. Lamblin, X. Hermant, J. Dallongeville, P. Amouyel, C. Bauters, and N. Helbecque Prognostic impact of matrix metalloproteinase gene polymorphisms in patients with heart failure according to the aetiology of left ventricular systolic dysfunction Eur. Heart J., April 2, 2004; 25(8): 688 - 693. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J Meluzin, L Spinarova, L Dusek, J Toman, P Hude, and J Krejci Prognostic Importance of the Right Ventricular Function Assessed by Doppler Tissue Imaging Eur J Echocardiogr, December 1, 2003; 4(4): 262 - 271. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P. De Bondt, K. Nichols, S. Vandenberghe, P. Segers, O. De Winter, C. Van de Wiele, P. Verdonck, A. Shazad, A. H. Shoyeb, and J. De Sutter Validation of Gated Blood-Pool SPECT Cardiac Measurements Tested Using a Biventricular Dynamic Physical Phantom J. Nucl. Med., June 1, 2003; 44(6): 967 - 972. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. D. Maslow, M. M. Regan, P. Panzica, S. Heindel, J. Mashikian, and M. E. Comunale Precardiopulmonary Bypass Right Ventricular Function Is Associated with Poor Outcome After Coronary Artery Bypass Grafting in Patients with Severe Left Ventricular Systolic Dysfunction Anesth. Analg., December 1, 2002; 95(6): 1507 - 1518. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. A. M. Zornoff, H. Skali, M. A. Pfeffer, M. St. John Sutton, J. L. Rouleau, G. A. Lamas, T. Plappert, J. R. Rouleau, L. A. Moye, S. J. Lewis, et al. Right ventricular dysfunction and risk of heart failure and mortality after myocardial infarction J. Am. Coll. Cardiol., May 1, 2002; 39(9): 1450 - 1455. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. Drozdz, M. Krzeminska-Pakula, M. Plewka, M. Ciesielczyk, and J. D. Kasprzak Prognostic Value of Low-Dose Dobutamine Echocardiography in Patients With Idiopathic Dilated Cardiomyopathy* Chest, April 1, 2002; 121(4): 1216 - 1222. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. Ghio, A. Gavazzi, C. Campana, C. Inserra, C. Klersy, R. Sebastiani, E. Arbustini, F. Recusani, and L. Tavazzi Independent and additive prognostic value of right ventricular systolic function and pulmonary artery pressure in patients with chronic heart failure J. Am. Coll. Cardiol., January 1, 2001; 37(1): 183 - 188. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K. Onoda, F. Yasuda, M. Takao, T. Shimono, K. Tanaka, H. Shimpo, and I. Yada Long-term follow-up after carpentier-Edwards ring annuloplasty for tricuspid regurgitation Ann. Thorac. Surg., September 1, 2000; 70(3): 796 - 799. [Abstract] [Full Text] [PDF]
|
|
| HOME | SUBSCRIPTIONS | CURRENT ISSUE | PAST ISSUES | CARDIOSOURCE | SEARCH | HELP | FEEDBACK |
