Increased right atrial volume index predicts low Duke activity status index in patients with chronic heart failure.
Title | Increased right atrial volume index predicts low Duke activity status index in patients with chronic heart failure. |
Publication Type | Journal Article |
Year of Publication | 2013 |
Authors | Mantziari, L., Kamperidis V., Ventoulis I., Damvopoulou E., Giannakoulas G., Efthimiadis G., Paraskevaidis S., Vassilikos V., Ziakas A., Karvounis H., & Styliadis I. H. |
Journal | Hellenic J Cardiol |
Volume | 54 |
Issue | 1 |
Pagination | 32-8 |
Date Published | 2013 Jan-Feb |
ISSN | 2241-5955 |
Keywords | Aged, Atrial Function, Right, Chronic Disease, Echocardiography, Female, Heart Atria, Heart Failure, Humans, Male, Middle Aged, Prognosis, Prospective Studies, Sensitivity and Specificity, Ventricular Function, Right |
Abstract | INTRODUCTION: The aim of the present study was to examine the value of the right atrial volume index (RAVI) as predictor of functional capacity in patients with heart failure.METHODS: A total of 51 patients with stable chronic heart failure of ischaemic or non-ischaemic aetiology were prospectively enrolled. The systolic function of the right ventricle was quantified using the tricuspid annular plane systolic excursion (TAPSE). Right atrial volume was measured in the apical 4-chamber view and was indexed to body surface area. The functional capacity was assessed by the Duke Activity Status Index (DASI).RESULTS: Patients with a low functional capacity (DASI<10) had lower TAPSE (1.4 ± 0.3 cm versus 2.0 ± 0.4 cm, p<0.001), higher RAVI (42 ± 15 ml/m(2) versus 22 ± 9 ml/m(2), p<0.001), higher estimated right ventricular systolic pressure (61 ± 13 mmHg versus 40 ± 16 mmHg, p<0.001), larger right ventricular end-diastolic diameter (4.7 ± 0.8 cm versus 3.6 ± 0.7 cm, p<0.001) and lower left ventricular ejection fraction (26 ± 6% versus 30 ± 7%, p=0.022). Multivariate analysis revealed that TAPSE was the single independent predictor of DASI. In the subgroup of patients with reduced right ventricular systolic function (TAPSE<2 cm), RAVI was the single independent predictor of low DASI. In the overall population RAVI=30.6 ml/m(2) had 75% sensitivity and 83% specificity in predicting DASI<10. Within the subgroup of patients with TAPSE<2 cm, RAVI=30.6 ml/m(2) had better sensitivity and specificity (79% and 90% respectively) in predicting DASI<10.CONCLUSIONS: Increased right atrial volume index predicts low functional capacity quantified by the Duke Activity Status Index in patients with stable chronic heart failure. |
Alternate Journal | Hellenic J Cardiol |
PubMed ID | 23340127 |