{"title":"The association between peak tricuspid regurgitation velocity and 1-year heart failure readmission in hospitalised patients with heart failure with preserved ejection fraction.","authors":"Tianbo Wang, Xiaohan Liu, Yue Zhang, Chenli Fang, Junbo Xu","doi":"10.1080/00015385.2024.2421638","DOIUrl":"10.1080/00015385.2024.2421638","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to evaluate the association between peak tricuspid regurgitation velocity (TRV) and 1-year heart failure (HF) readmission in hospitalised patients with HF with preserved ejection fraction (HFpEF) because the impact of peak TRV on the short-term prognosis of these patients has been unclear.</p><p><strong>Methods: </strong>From January 2020 to December 2021, 513 hospitalised HFpEF patients age ≥ 60 years with 1-year follow-up were included in this study. Peak TRV was classified as normal (≤ 2.8 m/s) and high (> 2.8 m/s) value according to pulmonary hypertension probability.</p><p><strong>Results: </strong>Approximately 68.23% of HFpEF patients had a high peak TRV value. In the final adjusted Cox regression model, peak TRV was still independently associated with HF readmission (HR: 1.74, 95% CI: 1.19-2.55, <i>p</i> = 0.004). Furthermore, patients with high peak TRV were also associated with an increased risk of HF readmission (HR: 2.30, 95% CI: 1.31-4.04, <i>p</i> = 0.004), compared to those with normal peak TRV. After inverse probability of weighting, the risk of HF readmission in patients with high peak TRV was 2.53 (95% CI: 1.35-4.75, <i>p</i> = 0.004) compared to those with normal peak TRV. Additionally, Subgroup analysis revealed very elderly patients, male, and patients with hypertension had a significantly worse prognosis.</p><p><strong>Conclusion: </strong>Peak TRV is independently associated with HF readmission in hospitalised HFpEF patients. High peak TRV has a higher risk of HF readmission in patients age ≥ 80 years, male and patients with hypertension, indicating that special attention should be paid to these patients.</p>","PeriodicalId":6979,"journal":{"name":"Acta cardiologica","volume":" ","pages":"1-8"},"PeriodicalIF":2.1,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142666824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Acta cardiologicaPub Date : 2024-11-01Epub Date: 2024-02-15DOI: 10.1080/00015385.2024.2313934
Remziye Doğan, Mehmet Saygı, Oğuzhan Birdal, Oktay Gülcü, Gamze Babur Güler, M Cüneyt Şeker, M Younus Atae, Arda Güler, Kaan Gökçe, Doğan Şen, Muhammed Bulut, Enver Yücel, Flora Özkalaycı, Ali Karagöz, İbrahim Halil Tanboğa
{"title":"Relation of thumb-palm test with ascending aortic diameter and aortic regurgitation.","authors":"Remziye Doğan, Mehmet Saygı, Oğuzhan Birdal, Oktay Gülcü, Gamze Babur Güler, M Cüneyt Şeker, M Younus Atae, Arda Güler, Kaan Gökçe, Doğan Şen, Muhammed Bulut, Enver Yücel, Flora Özkalaycı, Ali Karagöz, İbrahim Halil Tanboğa","doi":"10.1080/00015385.2024.2313934","DOIUrl":"10.1080/00015385.2024.2313934","url":null,"abstract":"","PeriodicalId":6979,"journal":{"name":"Acta cardiologica","volume":" ","pages":"995-1003"},"PeriodicalIF":2.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139734112","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Acta cardiologicaPub Date : 2024-11-01Epub Date: 2024-02-13DOI: 10.1080/00015385.2024.2313935
Leizhi Ku, Youping Chen, Xiaojing Ma
{"title":"A rare case of right-sided papillary fibroelastoma originating from the tricuspid valve.","authors":"Leizhi Ku, Youping Chen, Xiaojing Ma","doi":"10.1080/00015385.2024.2313935","DOIUrl":"10.1080/00015385.2024.2313935","url":null,"abstract":"","PeriodicalId":6979,"journal":{"name":"Acta cardiologica","volume":" ","pages":"1036-1037"},"PeriodicalIF":2.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139721140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Pulmonary artery pulsatility index is superior to right ventricular stroke work index in predicting elevated right atrial pressure.","authors":"Juthipong Benjanuwattra, Phichayut Phinyo, Nandini Nair","doi":"10.1080/00015385.2024.2396759","DOIUrl":"10.1080/00015385.2024.2396759","url":null,"abstract":"","PeriodicalId":6979,"journal":{"name":"Acta cardiologica","volume":" ","pages":"1055-1057"},"PeriodicalIF":2.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142103294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Acta cardiologicaPub Date : 2024-11-01Epub Date: 2024-05-31DOI: 10.1080/00015385.2024.2359657
Mohammad Abdelghani, Sheref Mohey, Ahmed M Elnahas, Khaled Ahmed Elshernouby, Mohamed Muharram, Mahmoud Gebaly, Bassam Mokhaimar, Mohamed Elbadawi, Rehab Adel Diab, Mahmoud Abdelshafy, Osama Soliman, Wael Attia
{"title":"Tricuspid valve and right-heart chamber remodelling in elderly subjects with secondary tricuspid regurgitation.","authors":"Mohammad Abdelghani, Sheref Mohey, Ahmed M Elnahas, Khaled Ahmed Elshernouby, Mohamed Muharram, Mahmoud Gebaly, Bassam Mokhaimar, Mohamed Elbadawi, Rehab Adel Diab, Mahmoud Abdelshafy, Osama Soliman, Wael Attia","doi":"10.1080/00015385.2024.2359657","DOIUrl":"10.1080/00015385.2024.2359657","url":null,"abstract":"<p><strong>Background: </strong>The prevalence of secondary tricuspid regurgitation (TR) increases with ageing, but the exact mechanisms and the pattern of tricuspid valve (TV) remodelling are yet to be defined. This knowledge is needed to guide patient selection for the evolving therapeutic options. We sought to explore the prevalence and predictors of secondary TR in the elderly, as well as the associated pattern of right-heart chamber and TV remodelling.</p><p><strong>Methods: </strong>Consecutive older subjects (60-year-old or older) were prospectively enrolled and detailed analysis of right-heart chambers and TV was conducted (ClinicalTrials.gov ID: NCT05784883). TR severity was defined based on a multiparametric approach.</p><p><strong>Results: </strong>Out of 213 patients (age, 67.1 ± 5.9 years, 52.6% female), 48.8% had mild and 15.5% had moderate-severe TR. The frequency of moderate-severe TR increased from 4.5% in those without to 32.9% in those with underlying abnormalities of the left/right heart. There was a significant trend of worsening right-heart chamber and TV remodelling across the three grades of TR severity (none-trace, mild, and moderate-severe; p-value for linear trend < 0.001). ROC curve-defined cut-points of TV remodelling parameters predicting moderate-severe TR were annular dilatation ≥3.75 cm (AUC: 0.74), tenting area ≥1.45 cm<sup>2</sup> (AUC: 0.67), and leaflet length ≥2.25 cm (AUC: 0.61) with increasing frequency of moderate-severe TR from 7.2% through 64.7%, in those with none vs. all three criteria (<i>p</i> < 0.001). The most important correlate of the three TV remodelling parameters was right ventricular and atrial (RV and RA) dilatation.</p><p><strong>Conclusion: </strong>Rather than ageing per se, the presence of underlying cardiac abnormalities determines the frequency of moderate-severe TR. Progressive remodelling of right-heart chambers and TV geometry starts with the development of mild TR. TA dilatation, increased tenting, and leaflet elongation are three important correlates of the development of TR that parallel progressive RV and RA dilatation.<b>Study Registration:</b> ClinicalTrials.gov ID: NCT05784883.</p>","PeriodicalId":6979,"journal":{"name":"Acta cardiologica","volume":" ","pages":"1011-1020"},"PeriodicalIF":2.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141178291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}