Abstract

Methods Healthy controls and patients with heart failure related structural heart disease underwent a standard cardiac magnetic resonance examination. Right and left ventricular ejection fraction (EF) and end diastolic volumes (EDV) were traced from cine imaging. RVD was defined as RVEF less than mean minus 2 standard deviations of healthy gender matched controls. RVE was defined as either indexed RVEDV or RVEDV/LVEDV exceeding mean plus 2 standard deviations of healthy gender matched controls. The prevalence of RV abnormalities and pattern of ventricular remodeling was compared among patient subgroups.

Highlights

  • Right ventricular dysfunction (RVD) and enlargement (RVE) are increasingly associated with poor outcomes their prevalence among patients with heart failure and those at risk has not been well characterized

  • RV dysfunction and/or enlargement are prevalent among patients with heart failure related structural heart disease

  • Routine assessment is recommended in 3-D cardiac imaging

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Summary

Introduction

Right ventricular dysfunction (RVD) and enlargement (RVE) are increasingly associated with poor outcomes their prevalence among patients with heart failure and those at risk has not been well characterized. Right ventricular remodeling and dysfunction among the spectrum of heart failure phenotypes Harris Wang1, Lingyu Xu1, Kelvin Chow2, Joseph J Pagano2, Anna Schmidt3, James A White3, Evangelos Michelakis4, Justin Ezekowitz1, Jason Dyck4, Mark Haykowsky4, Gavin Y Oudit1, Richard B Thompson2, Ian Paterson1* From 19th Annual SCMR Scientific Sessions Los Angeles, CA, USA. Background Right ventricular dysfunction (RVD) and enlargement (RVE) are increasingly associated with poor outcomes their prevalence among patients with heart failure and those at risk has not been well characterized.

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