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Editorial
. 2014 Dec 23;130(25):2272-7.
doi: 10.1161/CIRCULATIONAHA.114.013536. Epub 2014 Nov 12.

It is time to look at heart failure with preserved ejection fraction from the right side

Neal A Chatterjee  1 , Johannes Steiner  1 , Gregory D Lewis  2
Affiliations
Editorial

It is time to look at heart failure with preserved ejection fraction from the right side

Neal A Chatterjee et al. Circulation. .
No abstract available

Keywords: Editorials; heart failure; heart ventricles; pulmonary circulation; ventricular dysfunction, right.

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Figures

Figure 1
Figure 1
(A) Schematic representation of progression of heart failure with preserved ejection fraction (HFpEF) as reflected by development of elevated left atrial pressures (LAP), development and progression of pulmonary hypertension (PH) subtypes, stages of right ventricular remodeling, and impact of co-morbidities. RV, right ventricular; TPG, transpulmonary gradient; PAP, pulmonary artery pressure; OSA, obstructive sleep apnea; COPD, chronic obstructive pulmonary disease; LV, left ventricle; LA, left atrium; MR, mitral regurgitation; HTN, hypertension; RVH, right ventricular hypertrophy; HK, hypokinesis; Afib, atrial fibrillation. (B) Imaging indices of abnormal right ventricular-pulmonary vascular (RV-PV) structure and function in HFpEF including echocardiography, MRI, PET, and invasive hemodynamics. PASP, pulmonary artery systolic pressure; PADP, pulmonary artery diastolic pressure; PVR, pulmonary vascular resistance; Eccentr, eccentricity; TAPSE, tricuspid annular plane systolic excursion; FAC, fractional area change; MPI, myocardial performance index; IVA, isovolumic acceleration; TR, tricuspid regurgitation; LGE, late gadolinium enhancement; FDG, fluorodeoxyglucose; RVEF, right ventricular ejection fraction; mPAP, mean pulmonary artery pressures; PCWP, pulmonary capillary wedge pressure; DPG, diastolic pulmonary gradient; PAC, pulmonary artery compliance (RV stroke volume/PA pulse pressure); RVSWI, right ventricular stroke work index; RVEDVI, right ventricular end-diastolic volume index; RAP, right atrial pressure; CO, cardiac output; Ex PAP, exercise pulmonary arterial pressure.
Figure 1
Figure 1
(A) Schematic representation of progression of heart failure with preserved ejection fraction (HFpEF) as reflected by development of elevated left atrial pressures (LAP), development and progression of pulmonary hypertension (PH) subtypes, stages of right ventricular remodeling, and impact of co-morbidities. RV, right ventricular; TPG, transpulmonary gradient; PAP, pulmonary artery pressure; OSA, obstructive sleep apnea; COPD, chronic obstructive pulmonary disease; LV, left ventricle; LA, left atrium; MR, mitral regurgitation; HTN, hypertension; RVH, right ventricular hypertrophy; HK, hypokinesis; Afib, atrial fibrillation. (B) Imaging indices of abnormal right ventricular-pulmonary vascular (RV-PV) structure and function in HFpEF including echocardiography, MRI, PET, and invasive hemodynamics. PASP, pulmonary artery systolic pressure; PADP, pulmonary artery diastolic pressure; PVR, pulmonary vascular resistance; Eccentr, eccentricity; TAPSE, tricuspid annular plane systolic excursion; FAC, fractional area change; MPI, myocardial performance index; IVA, isovolumic acceleration; TR, tricuspid regurgitation; LGE, late gadolinium enhancement; FDG, fluorodeoxyglucose; RVEF, right ventricular ejection fraction; mPAP, mean pulmonary artery pressures; PCWP, pulmonary capillary wedge pressure; DPG, diastolic pulmonary gradient; PAC, pulmonary artery compliance (RV stroke volume/PA pulse pressure); RVSWI, right ventricular stroke work index; RVEDVI, right ventricular end-diastolic volume index; RAP, right atrial pressure; CO, cardiac output; Ex PAP, exercise pulmonary arterial pressure.
See this image and copyright information in PMC

Comment on

References

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