Importance of the right ventricle in valvular heart disease.

Details

Serval ID
serval:BIB_4E0BE28CAEAD
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Importance of the right ventricle in valvular heart disease.
Journal
European Heart Journal
Author(s)
Nagel E., Stuber M., Hess O.M.
ISSN
0195-668X[print], 0195-668X[linking]
Publication state
Published
Issued date
1996
Volume
17
Number
6
Pages
829-836
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't ; Review
Abstract
The importance of the right ventricle as a determinant of clinical symptoms, exercise capacity, peri-operative survival and postoperative outcome has been underestimated for a long time. Right ventricular ejection fraction has been used as a measure of right ventricular function but has been found to be dependent on loading conditions, ventricular interaction as well as on myocardial structure. Altered left ventricular function in patients with valvular disease influences right ventricular performance mainly by changes in afterload but also by ventricular interaction. Right ventricular function and regional wall motion can be determined with right ventricular angiography, radionuclide ventriculography, two-dimensional echocardiography or magnetic resonance imaging. However, the complex structure of the right ventricle and its pronounced translational movements render quantification difficult. True regional wall motion analysis is, however, possible with myocardial tagging based on magnetic resonance techniques. With this technique a baso-apical shear motion of the right ventricle was observed which was enhanced in patients with aortic stenosis.
Keywords
Aortic Valve/surgery, Heart Valve Diseases/physiopathology, Heart Valve Diseases/surgery, Humans, Mitral Valve/surgery, Postoperative Complications/physiopathology, Prognosis, Stroke Volume, Tricuspid Valve/surgery, Ventricular Function, Right/physiology
Pubmed
Web of science
Create date
02/03/2010 16:04
Last modification date
20/08/2019 14:03
Usage data