Articles Vol. 65 No. 6 30/10/2024

52. ASSESSMENT OF RIGHT VENTRICULAR FUNCTION USING THE FAC INDEX IN HYPERTENSIVE PATIENTS WITH HEART FAILURE

Phung Manh Tuan1,2, Hoang Van3,4, Dang Duc Minh1,2, Ly Thi Huyen5,6, Hoang Van Tu5,6
1 Thai Nguyen University of Medicine and Pharmacy
2 Trường Đại học Y Dược - Đại học Thái Nguyên
3 Hanoi Heart Hospital
4 Bệnh viện Tim Hà Nội
5 Thai Nguyen Central Hospital
6 Bệnh viện Trung ương Thái Nguyên
Corresponding author: phungtuan0302@gmail.com
DOI: 10.52163/yhc.v65i6.1708
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Abstract

Objectives: Assessment of right ventricular systolic function using the FAC index in patients with heart failure secondary to hypertension at Thai Nguyen Central Hospital.

Research objects and methods: A cross-sectional descriptive study was conducted on eighty patients with heart failure secondary to hypertension, who had been clinically evaluated using electrocardiograms and echocardiography. Right ventricular systolic function indices measured included Tricuspid Annular Plane Systolic Excursion (TAPSE) and Right Ventricular Fractional Area Change (RVFAC). The data were processed using Epidata 3.0 and SPSS 26.0 programs.

Results: The results show that there were 49 patients (61.25%) with heart failure due to hypertension who had abnormal RVFAC, and 31 patients (38.75%) with abnormal TAPSE. Elevated pulmonary artery systolic pressure was found in 25 patients (31.25%). No correlation was found between right ventricular systolic function indices and estimated pulmonary artery systolic pressure. However, there was a strong correlation between the indices used to assess right ventricular function (FAC and TAPSE).

Conclusions: There was no correlation between right ventricular systolic function indices and estimated pulmonary artery systolic pressure. However, there was a strong correlation between the indices used to assess right ventricular function (FAC and TAPSE) and left ventricular systolic function (EF).

References
[1]
Yancy C.W et al, ACCF/AHA guideline for the management of heart failure: a report of the American College of Cardiology Foundation/ American Heart Association Task Force on Practice Guidelines, Journal of the American College of Cardiology, 2013, 62, e147-239. Google Scholar
[2]
Gorter T.M et al, Right ventricular dysfunction in heart failure with preserved ejection fraction: a systematic review and meta-analysis, European journal of heart failure, 2016, 18, 1472-1487. Google Scholar
[3]
Lai W.W et al, Accuracy of guideline recommendations for two-dimensional quantification of the right ventricle by echocardiography, The international journal of cardiovascular imaging, 2008, 24, 691-698. Google Scholar
[4]
Alfakih K et al, Normal human left and right ventricular dimensions for MRI as assessed by turbo gradient echo and steady-state free precession imaging sequences, Journal of magnetic resonance imaging, 2003, 17, 323-329. Google Scholar
[5]
Behnoush A.H, Khalaji A, Naderi N, Ashraf H, von Haehling S, ACC/AHA/HFSA 2022 and ESC 2021 guidelines on heart failure comparison, ESC Heart Fail, 2023 Jun, 10(3): 1531- 1544. Epub 2022 Dec 2. Google Scholar
[6]
Ifeoluwa A.A, Adewole A.A, Abiodun A.M, Akinyemi A, Right ventricular systolic function in Nigerians with heart failure secondary to hypertensive heart disease, African health sciences, 2019, 19, 2130-2139. Google Scholar
[7]
Puwanant S et al, Right ventricular function in patients with preserved and reduced ejection fraction heart failure, European journal of echocardiography: The Journal of the Working Group on Echocardiography of the European Society of Cardiology, 2009, 10, 733-737. Google Scholar