1. Temporal trends in right heart strain in patients undergoing pulmonary thromboendarterectomy for chronic thromboembolic pulmonary hypertension
- Author
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James D. Thomas, Arvind Nishtala, Daniel Schimmel, Benjamin H. Freed, Christian Elenbaas, Ashwin Shaan Madhan, S. Christopher Malaisrie, Olga N. Kislitsina, Michael J. Cuttica, and Andrew C. Peters
- Subjects
medicine.medical_specialty ,Hypertension, Pulmonary ,Ventricular Dysfunction, Right ,medicine.medical_treatment ,Population ,Hemodynamics ,Speckle tracking echocardiography ,Endarterectomy ,Internal medicine ,medicine.artery ,Humans ,Medicine ,Radiology, Nuclear Medicine and imaging ,education ,education.field_of_study ,Pulmonary thromboendarterectomy ,business.industry ,medicine.disease ,Pulmonary hypertension ,medicine.anatomical_structure ,Pulmonary artery ,Ventricular Function, Right ,Cardiology ,Vascular resistance ,Vascular Resistance ,Right Ventricular Free Wall ,Pulmonary Embolism ,Cardiology and Cardiovascular Medicine ,business - Abstract
BACKGROUND Pulmonary thromboendarterectomy (PTE) is a curative procedure for chronic thromboembolic pulmonary hypertension (CTEPH). Right ventricular free wall strain (RV FWS) and right atrial strain (RAS) are not well studied in a CTEPH population. We sought to determine temporal trends in RAS and RV FWS in patients post-PTE. METHODS 28 patients undergoing PTE for CTEPH were prospectively enrolled in a surgical database. Comprehensive echocardiographic assessment of the right heart was performed including RV FWS, right atrial volume, and the three components of RAS: reservoir, conduit, and booster strain. RESULTS Patients undergoing PTE demonstrated improvement in NYHA functional class (P
- Published
- 2021
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