Associations Between Echocardiographic Right Heart Measurements With Short-Term Prognosis in Heart Failure: A Prospective Study

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dc.authorscopusidTolga Sinan Güvenç / 6602421975
dc.authorwosidTolga Sinan Güvenç / JQN-5460-2023
dc.contributor.authorDinç Asarcıklı, Lale
dc.contributor.authorİnan, Duygu
dc.contributor.authorMurat, Selda
dc.contributor.authorÇöllüoğlu, İnci Tuğçe
dc.contributor.authorBakhshaliyev, Nijat
dc.contributor.authorUlutaş, Zeynep
dc.contributor.authorÇabuk, Gizem
dc.contributor.authorHasırcı, Senem
dc.contributor.authorNaser, Abdulrahman
dc.contributor.authorÜnal Dayı, Şennur
dc.contributor.authorÇelik, Ahmet
dc.contributor.authorGüvenç, Tolga Sinan
dc.date.accessioned2025-06-03T12:41:27Z
dc.date.available2025-06-03T12:41:27Z
dc.date.issued2024
dc.departmentİstinye Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü
dc.description.abstractBackground: Echocardiographic right ventricular (RV) dysfunction is a strong risk determinant for prognosis in patients with heart failure (HF). Although parameters of RV systolic function are widely used to define RV dysfunction, there is scarce data to suggest these parameters are best suited to predict HF-related outcomes. Aims: We aimed to understand which morphologic or functional parameters are most closely associated with short-term mortality and HF-related hospitalization in patients with HF. Methods: A total of 191 patients from eight study centers were included to this study. A detailed echocardiographic examination was done at enrollment, and patients were followed up for 6 months via direct interviews or phone calls. Results: All right-sided echocardiographic parameters other than tricuspid annular plane systolic excursion were associated with outcomes. In a proportional hazards model that included right-heart parameters, RV longitudinal diameter (HR: 1.07, 95%CI: 1.04–1.10, p < 0.001), wall thickness (HR: 1.3, 95%CI: 1.13–1.50, p < 0.001), and tricuspid annular systolic velocity (HR: 0.90, 95%CI: 0.82–0.96, p = 0.02) were found as the independent predictors. However, only RV longitudinal dimension (HR: 1.04, 95%CI: 1.01–1.08, p = 0.01) and RV wall thickness (HR: 1.32, 95%CI: 1.10–1.60, p = 0.004) were associated with short-term outcomes after adjusting for other clinical and left-sided echocardiographic variables. On a Bayesian logistic regression model that included right-sided echocardiography variables, there was strong evidence for including either RV longitudinal diameter (BF10: 190.4) or wall thickness (BF10: 30.7) to the final model. Conclusion: Parameters of RV morphology were better predictors of short-term outcomes in HF patients. © 2024 Wiley Periodicals LLC.
dc.identifier.citationDinç Asarcıklı, L., İnan, D., Murat, S., Çöllüoğlu, İ. T., Bakhshaliyev, N., Ulutaş, Z., ... & Güvenç, T. S. (2024). Associations Between Echocardiographic Right Heart Measurements With Short‐Term Prognosis in Heart Failure: A Prospective Study. Echocardiography, 41(10), e15959.
dc.identifier.doi10.1111/echo.15959
dc.identifier.issn07422822
dc.identifier.issue10
dc.identifier.pmid39403019
dc.identifier.scopusqualityQ3
dc.identifier.urihttp://dx.doi.org/10.1111/echo.15959
dc.identifier.urihttps://hdl.handle.net/20.500.12713/7275
dc.identifier.volume41
dc.identifier.wosWOS:001336809500001
dc.identifier.wosqualityQ3
dc.indekslendigikaynakScopus
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakPubMed
dc.institutionauthorGüvenç, Tolga Sinan
dc.institutionauthoridTolga Sinan Güvenç / 0000-0002-6738-266X
dc.language.isoen
dc.publisherJohn Wiley and Sons Inc
dc.relation.ispartofEchocardiography
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectEchocardiography
dc.subjectHeart Failure
dc.subjectRight Ventricle
dc.titleAssociations Between Echocardiographic Right Heart Measurements With Short-Term Prognosis in Heart Failure: A Prospective Study
dc.typeArticle

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