Relationship between right and left ventricular function in candidates for implantable cardioverter defibrillator with low left ventricular ejection fraction

Autor: Laura Jimenez-Juan, MD, Gauri R. Karur, MD, Kim A. Connelly, MD, PhD, Djeven Deva, MD, Raymond T. Yan, MD, Rachel M. Wald, MD, Sheldon Singh, MD, General Leung, PhD, Anastasia Oikonomou, MD, PhD, Paul Dorian, MD, Paul Angaran, MD, Andrew T. Yan, MD
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: Journal of Arrhythmia, Vol 33, Iss 2, Pp 134-138 (2017)
Druh dokumentu: article
ISSN: 1880-4276
DOI: 10.1016/j.joa.2016.07.005
Popis: Background: Indications for the primary prevention of sudden death using an implantable cardioverter defibrillator (ICD) are based predominantly on left ventricular ejection fraction (LVEF). However, right ventricular ejection fraction (RVEF) is also a known prognostic factor in a variety of structural heart diseases that predispose to sudden cardiac death. We sought to investigate the relationship between right and left ventricular parameters (function and volume) measured by cardiovascular magnetic resonance (CMR) among a broad spectrum of patients considered for an ICD. Methods: In this retrospective, single tertiary-care center study, consecutive patients considered for ICD implantation who were referred for LVEF assessment by CMR were included. Right and left ventricular function and volumes were measured. Results: In total, 102 patients (age 62±14 years; 23% women) had a mean LVEF of 28±11% and RVEF of 44±12%. The left ventricular and right ventricular end diastolic volume index was 140±42 mL/m2 and 81±27 mL/m2, respectively. Eighty-six (84%) patients had a LVEF
Databáze: Directory of Open Access Journals