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Can I read Role Of Right Ventricular Function In The Management Of Complex Coronary Artery Disease By A Large Quaternary Heart Team on EtoBox?
Role Of Right Ventricular Function In The Management Of Complex Coronary Artery Disease By A Large Quaternary Heart Team by Mohammad Ahmed; Christopher Madison; Connor C. Kerndt; Mahrukh F. Akram; Stacie Vanoosterhout; Jessica L. Parker; Andrea Burgess; DeeAnn Stickland; John J. Mulder; David H.W. Wohns; Ryan Madder; Richard F. McNamara; Jose Mariano Tiu Tan; Wissam M. Abdallah; David McNamara is a Medicine article available to read on EtoBox.
What is Role Of Right Ventricular Function In The Management Of Complex Coronary Artery Disease By A Large Quaternary Heart Team about?
Background: Heart Team (HT) is a multidisciplinary team for complex CAD; yet little is known about factors affecting HT recommendations. Cardiac MRI (CMR) is a powerful tool to assess right ventricular (RV) systolic function. We hypothesized RV dysfunction was associated with lower HT-recommended coronary artery bypass grafting (CABG) rates. Methods: Patients ≥18 years old referred to a quaternary HT (Jan 2015 -Mar 2021) with a CMR in the preceding 6 months were analyzed; patients with severe valve disease were excluded. Baseline demographics, CMR-derived measurements, HT treatment allocation, and 1-year mortality rates were extracted and stratified by RVEF quartile. Results: Of 229 patients, cardiovascular comorbidities were similar except for lower prior coronary revascularization and higher atrial fibrillation rates in the lowest RVEF quartile (Table ). The lowest quartile had greater LV volumes (275mL ± 80 vs 223 ± 65, p=0.002) and lower LVEF (23% ± 8 vs 38 ± 10, p 53% groups (24% vs 45% p=0.02). Conclusion: In a HT for complex CAD, RV dysfunction was associated with higher medical management and lower CABG recommendation rates. Although residual confounding is likely present,
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- Author
- Mohammad Ahmed; Christopher Madison; Connor C. Kerndt; Mahrukh F. Akram; Stacie Vanoosterhout; Jessica L. Parker; Andrea Burgess; DeeAnn Stickland; John J. Mulder; David H.W. Wohns; Ryan Madder; Richard F. McNamara; Jose Mariano Tiu Tan; Wissam M. Abdallah; David McNamara
- Publisher
- Elsevier BV
- Published
- 2023
- Language
- EN
- Field
- Medicine (Health Sciences)