Evaluation of right-ventricular function by two-dimensional echocardiography and two-dimensional speckle-tracking echocardiography in patients with successful RCA CTO recanalization
- Publikationstyp:
- Zeitschriftenaufsatz
- Metadaten:
-
- Abstract
- <jats:title>Abstract</jats:title><jats:sec> <jats:title>Objectives</jats:title> <jats:p>Chronic total occlusion (CTO) of the right coronary artery (RCA) is common in patients with coronary artery disease. Although revascularization techniques and success rates have improved significantly in recent years, there are still no studies investigating possible effects of successful recanalization of RCA CTO on the right-ventricular (RV) function. With this study, we aimed to evaluate RV function after recanalization of the RCA by two-dimensional transthoracic echocardiography (2DE) and additional two-dimensional speckle-tracking echocardiography (2DSTE).</jats:p> </jats:sec><jats:sec> <jats:title>Methods and results</jats:title> <jats:p>Our analysis included 102 patients undergoing successful RCA CTO recanalization at the University Medical Center of Mainz. All patients underwent 2DE and 2DSTE to assess RV function before PCI procedure and 6 months after successful revascularization. We found an altered RV function in our collective at baseline assessed by 2DSTE with a significant improvement at 6 month follow-up (baseline RV free wall strain: − 20.7 [− 6.3 to − 32.0] % vs. − 23.4 [− 8.3 to − 39.3] % at follow-up, <jats:italic>p</jats:italic> < 0.001 and baseline RV global strain − 15.9 [− 6.0 to − 25.7] % vs. − 17.9 [− 7.0 to − 29.5] % at follow-up, <jats:italic>p</jats:italic> < 0.001).</jats:p> </jats:sec><jats:sec> <jats:title>Conclusion</jats:title> <jats:p>RV function was altered in patients with RCA CTO and showed significant improvement after successful recanalization. We also noticed an improvement in patient-reported clinical symptoms. Our study suggests that CTO procedure is a beneficial treatment option in symptomatic patients with RCA CTO.</jats:p> </jats:sec>
- Autoren
- Recha Blessing
- Ioannis Drosos
- Michael Molitor
- Thomas Münzel
- Philip Wenzel
- Tommaso Gori
- Zisis Dimitriadis
- DOI
- 10.1007/s00392-023-02259-4
- eISSN
- 1861-0692
- ISSN
- 1861-0684
- Ausgabe der Veröffentlichung
- 10
- Zeitschrift
- Clinical Research in Cardiology
- Sprache
- en
- Online publication date
- 2023
- Paginierung
- 1454 - 1462
- Datum der Veröffentlichung
- 2023
- Status
- Published
- Herausgeber
- Springer Science and Business Media LLC
- Herausgeber URL
- http://dx.doi.org/10.1007/s00392-023-02259-4
- Datum der Datenerfassung
- 2023
- Titel
- Evaluation of right-ventricular function by two-dimensional echocardiography and two-dimensional speckle-tracking echocardiography in patients with successful RCA CTO recanalization
- Ausgabe der Zeitschrift
- 112
Datenquelle: Crossref
- Andere Metadatenquellen:
-
- Author's licence
- CC-BY
- Autoren
- Recha Blessing
- Ioannis Drosos
- Michael Molitor
- Thomas Münzel
- Philip Wenzel
- Tommaso Gori
- Zisis Dimitriadis
- Hosting institution
- Universitätsbibliothek Mainz
- Sammlungen
- DFG-491381577-H
- Resource version
- Published version
- DOI
- 10.1007/s00392-023-02259-4
- Funding acknowledgements
- Deutsche Forschungsgemeinschaft (DFG)|491381577|Open-Access-Publikationskosten 2022–2024 Universität Mainz - Universitätsmedizin
- File(s) embargoed
- false
- Open access
- true
- ISSN
- 1861-0692
- Zeitschrift
- Clinical research in cardiology
- Schlüsselwörter
- 610 Medizin
- 610 Medical sciences
- Sprache
- eng
- Open access status
- Open Access
- Datum der Veröffentlichung
- 2023
- Public URL
- https://openscience.ub.uni-mainz.de/handle/20.500.12030/9492
- Herausgeber
- Springer
- Datum der Datenerfassung
- 2023
- Datum, an dem der Datensatz öffentlich gemacht wurde
- 2023
- Zugang
- Public
- Titel
- Evaluation of right-ventricular function by two-dimensional echocardiography and two-dimensional speckle-tracking echocardiography in patients with successful RCA CTO recanalization
- Ausgabe der Zeitschrift
- Version of Record (VoR)
Files
evaluation_of_rightventricula-20230821182420764.pdf
Datenquelle: OPENSCIENCE.UB