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For: Monteagudo-Vela M, Tindale A, Monguió-Santín E, Reyes-Copa G, Panoulas V. Right ventricular failure: Current strategies and future development. Front Cardiovasc Med 2023;10:998382. [PMID: 37187786 PMCID: PMC10175590 DOI: 10.3389/fcvm.2023.998382] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2022] [Accepted: 04/03/2023] [Indexed: 05/17/2023] Open

For:	Monteagudo-Vela M, Tindale A, Monguió-Santín E, Reyes-Copa G, Panoulas V. Right ventricular failure: Current strategies and future development. Front Cardiovasc Med 2023;10:998382. [PMID: 37187786 PMCID: PMC10175590 DOI: 10.3389/fcvm.2023.998382] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2022] [Accepted: 04/03/2023] [Indexed: 05/17/2023] Open

Number

Cited by Other Article(s)

Gerhardy B, Sivapathan S, Bowcock E, Orde S, Morgan L. Right Ventricular Dysfunction on Transthoracic Echocardiography and Long-Term Mortality in the Critically Unwell: A Systematic Review and Meta-Analysis. J Intensive Care Med 2024;39:203-216. [PMID: 38056074 DOI: 10.1177/08850666231218713] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/08/2023]

Abstract

OBJECTIVE

Right ventricular dysfunction (RVD) is common in the critically ill. To date studies exploring RVD sequelae have had heterogenous definitions and diagnostic methods, with limited follow-up. Additionally much literature has been pathology specific, limiting applicability to the general critically unwell patient.

METHOD AND STUDY DESIGN

We conducted a systematic review and meta-analysis to evaluate the impact of RVD diagnosed with transthoracic echocardiography (TTE) on long-term mortality in unselected critically unwell patients compared to those without RVD. A systematic search of EMBASE, Medline and Cochrane was performed from inception to March 2022. All RVD definitions using TTE were included. Patients were those admitted to a critical or intensive care unit, irrespective of disease processes. Long-term mortality was defined as all-cause mortality occurring at least 30 days after hospital admission. A priori subgroup analyses included disease specific and delayed mortality (death after hospital discharge/after the 30th day from hospital admission) in patients with RVD. A random effects model analysis was performed with the Dersimionian and Laird inverse variance method to generate effect estimates.

RESULTS

Of 5985 studies, 123 underwent full text review with 16 included (n = 3196). 1258 patients had RVD. 19 unique RVD criteria were identified. The odds ratio (OR) for long term mortality with RVD was 2.92 (95% CI 1.92-4.54, I2 76.4%) compared to no RVD. The direction and extent was similar for cardiac and COVID19 subgroups. Isolated RVD showed an increased risk of delayed mortality when compared to isolated left/biventricular dysfunction (OR 2.01, 95% CI 1.05-3.86, I2 46.8%).

CONCLUSION

RVD, irrespective of cause, is associated with increased long term mortality in the critically ill. Future studies should be aimed at understanding the pathophysiological mechanisms by which this occurs. Commonly used echocardiographic definitions of RVD show significant heterogeneity across studies, which contributes to uncertainty within this dataset.

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Alcidi G, Pugliese R, Ioannoni S, Romano M, Palmieri G, Tabella E, Correale M, Di Biase M, Brunetti ND, Iacoviello M. Improvement in Left and Right Ventricular Function after Introduction of SGLT2 Inhibitors in Heart Failure Outpatients with Reduced Ejection Fraction. Clin Pract 2023;13:1303-1312. [PMID: 37987417 PMCID: PMC10660544 DOI: 10.3390/clinpract13060116] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2023] [Revised: 10/17/2023] [Accepted: 10/23/2023] [Indexed: 11/22/2023] Open

Affiliation(s)

Gianmarco Alcidi School of Cardiology, Department of Medical and Surgical Sciences, University of Foggia, 71122 Foggia, Italy; (G.A.); (R.P.); (S.I.); (M.R.); (G.P.); (E.T.); (M.D.B.); (N.D.B.)
Rosanna Pugliese School of Cardiology, Department of Medical and Surgical Sciences, University of Foggia, 71122 Foggia, Italy; (G.A.); (R.P.); (S.I.); (M.R.); (G.P.); (E.T.); (M.D.B.); (N.D.B.)
Sara Ioannoni School of Cardiology, Department of Medical and Surgical Sciences, University of Foggia, 71122 Foggia, Italy; (G.A.); (R.P.); (S.I.); (M.R.); (G.P.); (E.T.); (M.D.B.); (N.D.B.)
Matteo Romano School of Cardiology, Department of Medical and Surgical Sciences, University of Foggia, 71122 Foggia, Italy; (G.A.); (R.P.); (S.I.); (M.R.); (G.P.); (E.T.); (M.D.B.); (N.D.B.)
Gianpaolo Palmieri School of Cardiology, Department of Medical and Surgical Sciences, University of Foggia, 71122 Foggia, Italy; (G.A.); (R.P.); (S.I.); (M.R.); (G.P.); (E.T.); (M.D.B.); (N.D.B.)
Erika Tabella School of Cardiology, Department of Medical and Surgical Sciences, University of Foggia, 71122 Foggia, Italy; (G.A.); (R.P.); (S.I.); (M.R.); (G.P.); (E.T.); (M.D.B.); (N.D.B.)
Michele Correale Cardiology Unit, University Polyclinic Hospital of Foggia, 71122 Foggia, Italy;
Matteo Di Biase School of Cardiology, Department of Medical and Surgical Sciences, University of Foggia, 71122 Foggia, Italy; (G.A.); (R.P.); (S.I.); (M.R.); (G.P.); (E.T.); (M.D.B.); (N.D.B.)
Natale Daniele Brunetti School of Cardiology, Department of Medical and Surgical Sciences, University of Foggia, 71122 Foggia, Italy; (G.A.); (R.P.); (S.I.); (M.R.); (G.P.); (E.T.); (M.D.B.); (N.D.B.) Cardiology Unit, University Polyclinic Hospital of Foggia, 71122 Foggia, Italy;
Massimo Iacoviello School of Cardiology, Department of Medical and Surgical Sciences, University of Foggia, 71122 Foggia, Italy; (G.A.); (R.P.); (S.I.); (M.R.); (G.P.); (E.T.); (M.D.B.); (N.D.B.) Cardiology Unit, University Polyclinic Hospital of Foggia, 71122 Foggia, Italy;

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