535 Right ventricular dysfunction is independent predictor of in-hospital mortality in patients with low flow low gradient aortic stenosis

Autor: Angela Pamela Peluso, Germano Junior Ferruzzi, Tiziana Attisano, Serena Migliarino, Francesco Vigorito, Michele Bellino, Giuseppe Iuliano, Angelo Silverio, Mario Cristiano, Gennaro Provenza, Cesare Baldi, Michele Ciccarelli, Gennaro Galasso, Carmine Vecchione, Rodolfo Citro
Rok vydání: 2021
Předmět:
Zdroj: European Heart Journal Supplements. 23
ISSN: 1554-2815
1520-765X
DOI: 10.1093/eurheartj/suab132.013
Popis: Aims Aim of the study is to assess the prevalence and in-hospital death in patients with low flow low gradient aortic stenosis (LFLG-AS) and right ventricular dysfunction (RVD) hospitalized for heart failure in a single referral centre. Methods and results Complete demographic, clinical characteristics, and imaging data were collected. Patients with LFLG AS hospitalized for heart failure were prospectively enrolled from 2013 to 2021. LFLG-AS was defined as indexed aortic valve area (iAVA) ≤0.6 cm2/m2, mean transaortic gradient < 40 mmHg, and stroke volume index Conclusions RVD can be detected in more than one quarter of patient with new diagnosis of LFLG AS and is an independent predictor of all-cause in-hospital death. Quantification of right ventricular systolic function in these complex population give important information in identifying patients and higher risk requiring more aggressive therapy.
Databáze: OpenAIRE