Right Ventricular Longitudinal Strain Measures Independently Predict Chronic Heart Failure Mortality

• DOI: 10.1111/echo.13199
• Publication Date: 2016-02-12T00:05:56Z
• Authors: Massimo Iacoviello; Gaetano Citarelli; Valeria Antoncecchi; Roberta Romito; Francesco Monitillo; Marta Leone; Agata Puzzovivo; Maria Silvia Latt...; Caterina Rizzo; Pasquale Caldarola; Marco Matteo Ciccone
• Keywords: Speckle tracking echocardiography; Ventricular Function; Strain (injury); Univariate analysis

The assessment of right ventricular ( RV ) function still remains a challenge. Two‐dimensional (2D) speckle tracking has recently been proposed to evaluate by analyzing myocardial deformation. aim this study was the role 2D systolic strain measures in predicting mortality patients with chronic heart failure HF ). We enrolled 332 outpatients stable clinical condition and conventional therapy. A ventricular–focused four‐chamber view analyzed global longitudinal ‐ GLS free wall ‐fw LS During mean follow‐up 36 ± 26 months, 64 died. Both were associated all‐cause univariate HR : 1.16; 95% CI 1.10–1.23; P < 0.001; C‐index: 0.72; 1.10; 1.06–1.15; 0.68, respectively) as well multivariate analysis 1.13; 1.05–1.21; P:0.001; 0.85; 1.07; 1.02–1.12; P:0.004; 0.84, respectively). In conclusion, our findings demonstrate independently predict mortality. These data highlight usefulness echocardiographic approach daily management outpatients.