Abstract
In patients with heart failure, exercise echocardiography can help in risk stratification and decision making. The prognostic significance of exercise pulmonary hypertension (PH) in patients with secondary mitral regurgitation (MR) remains unknown. The aim of the present study was to assess the prognostic value of exercise PH in patients with secondary MR and narrow QRS intervals. From 2005 to 2012, 159 consecutive patients with secondary MR, narrow QRS intervals, left ventricular dysfunction (mean ejection fraction 36 ± 7%), and measurable systolic pulmonary arterial pressure (SPAP) during exercise echocardiography were included. Resting and exercise PH were defined as SPAP >50 and >60 mm Hg, respectively. Exercise PH was more frequent than resting PH (40% vs 13%, p <0.0001). On multivariate logistic regression, the independent determinants of exercise PH were resting SPAP (p <0.0001), exercise MR severity (p <0.0001), and e'-wave velocity (p = 0.004). The incidence of cardiac events during follow-up was significantly higher in patients with exercise PH compared with those without exercise PH (4 years: 40 ± 7% vs 20 ± 5%, p <0.0001). Patients with exercise PH exhibited higher rates of cardiac events and death than those with r...Continue Reading
References
Nov 9, 2000·Circulation·E SchwammenthalM S Feinberg
Nov 13, 2001·Journal of the American College of Cardiology·F LebrunL A Piérard
Oct 16, 2004·The New England Journal of Medicine·Luc A Piérard, Patrizio Lancellotti
Nov 19, 2008·Circulation·Ronald J Oudiz, Lewis J Rubin
Jun 23, 2010·Circulation·Julien MagneLuc A Piérard
Jul 17, 2010·Journal of the American College of Cardiology·Julien MagneLuc A Piérard
Feb 5, 2011·Circulation. Heart Failure·Gregory D LewisMarc J Semigran
Feb 18, 2011·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Eric BrochetAlec Vahanian
Jul 27, 2012·Circulation·Patrizio LancellottiLuc A Pierard
Aug 28, 2012·European Heart Journal·UNKNOWN Joint Task Force on the Management of Valvular Heart Disease of the European Society of Cardiology (ESC)Marian Zembala
Aug 28, 2012·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Alec VahanianUNKNOWN European Association for Cardio-Thoracic Surgery (EACTS)
Jan 8, 2013·European Heart Journal·Patrizio LancellottiGerald Maurer
Jan 30, 2013·Circulation. Cardiovascular Imaging·Kenya KusunoseThomas H Marwick
Sep 21, 2013·Circulation. Cardiovascular Imaging·Patrizio Lancellotti, Julien Magne
Sep 26, 2013·Circulation·Gregory D LewisMelvyn Rubenfire
Nov 23, 2013·Journal of Cardiac Failure·Pierre Vladimir EnnezatThierry H Le Jemtel
Feb 15, 2014·JACC. Cardiovascular Imaging·Julien MagneLuc A Piérard
Mar 5, 2014·Circulation·Rick A NishimuraJames D Thomas
Citations
Jan 14, 2016·Journal of Echocardiography·Masaki Izumo, Yoshihiro J Akashi
Oct 29, 2015·European Heart Journal·Stephan RosenkranzJean-Luc Vachiéry
Apr 2, 2016·Journal of cardiology·Kenji YasuiTetsuji Miura
May 20, 2015·Current Treatment Options in Cardiovascular Medicine·Shweta R Motiwala, Francesca N Delling
Jun 7, 2016·The American Journal of Cardiology·Marlieke L A HaeckVictoria Delgado
Jul 9, 2016·Progress in Cardiovascular Diseases·Christophe MartinezPatrizio Lancellotti
Sep 30, 2016·European Heart Journal Cardiovascular Imaging·A Young LimSeung Woo Park
Sep 29, 2017·Heart·William H Gaasch, Theo E Meyer
Jan 18, 2017·Circulation·Philippe B BertrandPieter M Vandervoort
May 5, 2016·Circulation·Marco GuazziCarl J Lavie
Oct 16, 2016·Echo Research and Practice·Boyang LiuRichard P Steeds
Feb 2, 2019·Heart·Rajdeep S Khattar, Roxy Senior
Aug 5, 2020·Expert Review of Cardiovascular Therapy·Ross ArenaAntonio Abbate
Aug 29, 2020·European Heart Journal Cardiovascular Imaging·Masaki IzumoYoshihiro J Akashi
May 4, 2016·European Heart Journal·Marco GuazziCarl J Lavie
Jan 10, 2019·The International Journal of Cardiovascular Imaging·Yasuhiro HamataniChisato Izumi
Oct 31, 2018·Journal of Echocardiography·Tomomi SuzukiYoshihiro J Akashi
Jul 19, 2019·Herz·S RosenkranzM M Hoeper
Jul 18, 2019·Herz·T TichelbäckerS Rosenkranz
Nov 24, 2016·European Heart Journal Cardiovascular Imaging·Patrizio LancellottiAlbert Varga
Jun 8, 2018·Journal of Echocardiography·Kengo SuzukiMakoto Akaishi
Jun 8, 2018·Frontiers in Cardiovascular Medicine·Micha T MaederHans Rickli
Feb 7, 2021·Heart and Vessels·Megumi HoshiaiTakanori Yasu
May 6, 2020·IJC Heart & Vasculature·Arudo HiraokaTaichi Sakaguchi
Apr 6, 2021·Journal of Cardiovascular and Thoracic Research·Simon WernhartEberhard Weihe