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01-12-2019 | Echocardiography | Nonpharmacologic Therapy: Surgery, Ventricular Assist Devices, Biventricular Pacing, and Exercise (A Hasan, Section Editor)

Right Ventricular Strain to Assess Early Right Heart Failure in the Left Ventricular Assist Device Candidate

Authors: Fatih Gumus, Cahit Sarıcaoglu, Mustafa Bahadir Inan, Ahmet Ruchan Akar

Published in: Current Heart Failure Reports | Issue 6/2019

Abstract

Purpose of Review

Right heart failure (RHF) following left ventricular assist device implantation (LVAD) remains the primary cause of postoperative mortality and morbidity, and prediction of RHF is the main interest of the transplantation community. In this review, we outline the role and impact of right ventricular strain in the evaluation of the right ventricle function before LVAD implantation.

Recent Findings

Accumulating data suggest that measurement of right ventricular longitudinal strain (RVLS) has a critical role in predicting RHF preoperatively and may improve morbidity and mortality following LVAD implantation. However, the significant intraobserver, interobserver variability, the lack of multicenter, prospective studies, and the need for a learning curve remain the most critical limitations in the clinical practice at present.

Summary

This review highlighted the importance of right ventricular strain in the diagnosis of RHF preoperatively and revealed that RVLS might have a crucial clinical measurement for the selection and management of LVAD patients in the future with the more extensive multicenter studies.

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Title: Right Ventricular Strain to Assess Early Right Heart Failure in the Left Ventricular Assist Device Candidate
Authors: Fatih Gumus
Cahit Sarıcaoglu
Mustafa Bahadir Inan
Ahmet Ruchan Akar
Publication date: 01-12-2019
Publisher: Springer US
Keywords: Echocardiography
Implantable Cardioverter Defibrillator
Heart Failure
Echocardiography
Published in: Current Heart Failure Reports / Issue 6/2019
Print ISSN: 1546-9530
Electronic ISSN: 1546-9549
DOI: https://doi.org/10.1007/s11897-019-00445-y

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Purpose of Review

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