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

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dc.contributor.authorDinc Asarcikli, Lale
dc.contributor.authorInan, Duygu
dc.contributor.authorMurat, Selda
dc.contributor.authorColluoglu, Inci Tugce
dc.contributor.authorBakhshaliyev, Nijat
dc.contributor.authorUlutas, Zeynep
dc.contributor.authorCabuk, Gizem
dc.date.accessioned2026-04-04T13:33:22Z
dc.date.available2026-04-04T13:33:22Z
dc.date.issued2024
dc.departmentİnönü Üniversitesi
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.
dc.identifier.doi10.1111/echo.15959
dc.identifier.issn0742-2822
dc.identifier.issn1540-8175
dc.identifier.issue10
dc.identifier.orcid0000-0002-7828-9487
dc.identifier.orcid0000-0003-3921-6469
dc.identifier.orcid0000-0001-6078-7480
dc.identifier.orcid0000-0002-0954-6347
dc.identifier.pmid39403019
dc.identifier.scopus2-s2.0-85206275009
dc.identifier.scopusqualityQ3
dc.identifier.urihttps://doi.org/10.1111/echo.15959
dc.identifier.urihttps://hdl.handle.net/11616/109106
dc.identifier.volume41
dc.identifier.wosWOS:001336809500001
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherWiley
dc.relation.ispartofEchocardiography-A Journal of Cardiovascular Ultrasound and Allied Techniques
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WOS_20250329
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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