Epidemiology, pathophysiology, diagnosis and management of chronic right-sided heart failure and tricuspid regurgitation. A clinical consensus statement of the Heart Failure Association (HFA) and the European Association of Percutaneous Cardiovascular Interventions (EAPCI) of the ESC

被引：30

作者：

Adamo, Marianna ^{[1
]}

Chioncel, Ovidiu ^{[2
]}

Pagnesi, Matteo ^{[1
]}

Bayes-Genis, Antoni ^{[3
,4
,5
,6
]}

Abdelhamid, Magdy ^{[7
]}

Anker, Stefan D. ^{[8
,9
]}

Antohi, Elena-Laura ^{[2
]}

Badano, Luigi ^{[10
,11
]}

Ben Gal, Tuvia ^{[12
]}

Boehm, Michael ^{[13
]}

Delgado, Victoria ^{[3
,4
,5
,6
]}

Dreyfus, Julien ^{[14
]}

Faletra, Francesco F. ^{[15
,16
]}

Farmakis, Dimitrios ^{[17
]}

Filippatos, Gerasimos ^{[17
]}

Grapsa, Julia ^{[18
]}

Gustafsson, Finn ^{[19
]}

Hausleiter, Joerg ^{[20
]}

Jaarsma, Tiny ^{[21
]}

Karam, Nicole ^{[22
]}

Lund, Lars ^{[23
,24
]}

Lurz, Philipp ^{[25
]}

Maisano, Francesco ^{[26
]}

Moura, Brenda ^{[27
,28
]}

Mullens, Wilfred ^{[29
]}

Praz, Fabien ^{[30
]}

Sannino, Anna ^{[31
]}

Savarese, Gianluigi ^{[23
,24
]}

Tocchetti, Carlo Gabriele ^{[32
]}

van Empel, Vanessa P. M. ^{[33
]}

von Bardeleben, Ralph Stephan ^{[25
]}

Yilmaz, Mehmet Birhan ^{[34
]}

Zamorano, Jose Luis ^{[35
]}

Ponikowski, Piotr ^{[36
]}

Barbato, Emanuele ^{[37
]}

Rosano, Giuseppe M. C. ^{[38
]}

Metra, Marco ^{[1
,39
]}

机构：

[1] Univ Brescia, Dept Med & Surg Specialties Radiol Sci & Publ Hlth, Cardiol, ASST Spedali Civili Brescia, Brescia, Italy

[2] Univ Med & Pharm Carol Davila, Emergency Inst Cardiovasc Dis Prof CC Iliescu, Bucharest, Romania

[3] Univ Hosp Germans Trias i Pujol, Heart Failure Clin, Barcelona, Spain

[4] Univ Hosp Germans Trias i Pujol, Cardiol Serv, Barcelona, Spain

[5] Univ Autonoma Barcelona, Dept Med, Barcelona, Spain

[6] Inst Salud Carlos III, CIBERCV, Madrid, Spain

[7] Cairo Univ, Fac Med, Giza, Egypt

[8] German Ctr Cardiovasc Res DZHK, Berlin Inst Hlth Ctr Regenerat Therapies BCRT, Partner Site Berlin, Dept Cardiol CVK, Berlin, Germany

[9] Charite Univ Med Berlin, Berlin, Germany

[10] Ist Auxol Italiano, Dept Cardiol, IRCCS, I-20100 Milan, Italy

[11] Univ Milano Bicocca, Dept Med & Surg, Milan, Italy

[12] Tel Aviv Univ, Sackler Fac Med, Tel Aviv, Israel

[13] Saarland Univ Hosp, Homburg, Germany

[14] Ctr Cardiol Nord, Dept Cardiol, F-93207 St Denis, France

[15] ISMETT Ist Mediterraneo Trapianti & Terapie Alta S, Div Cardiol & Haemodynam, I-90127 Palermo, Italy

[16] Fdn Cardioctr Ticino, Div Cardiol, Lugano, Switzerland

[17] Athens Univ Hosp Attikon, Natl & Kapodistrian Univ Athens, Med Sch, Dept Cardiol, Athens, Greece

[18] Kings Coll London, Guys & St Thomas NHS Trust, London, England

[19] Copenhagen Univ Hosp, Heart Ctr, Dept Cardiol, Rigshosp, Copenhagen, Denmark

[20] Div Cardiol, Deutsch Herzzentrum Munchen, Munich, Germany

[21] Linkoping Univ, Linkoping, Sweden

[22] Univ Paris Cite, Georges Pompidou European Hosp, Heart Valves Unit, INSERM, Paris, France

[23] Karolinska Inst, Dept Med, Stockholm, Sweden

[24] Karolinska Univ Hosp, Dept Cardiol, Stockholm, Sweden

[25] Univ Med Ctr Mainz, Ctr Cardiol, Mainz, Germany

[26] Univ Vita Salute, IRCCS Osped San Raffaele, Dept Ophthalmol, Milan, Italy

[27] Univ Porto, Fac Med, Porto, Portugal

[28] Porto Armed Forces Hosp, Cardiol Dept, Porto, Portugal

[29] Hosp Oost Limburg, Genk, Belgium

[30] Univ Bern, Dept Cardiol, Inselspital, Bern, Switzerland

[31] Univ Naples Federico II, Dept Adv Biomed Sci, Div Cardiol, I-80134 Naples, Italy

[32] Univ Naples Federico II, Ctr Basic & Clin Immunol Res CISI, Interdept Ctr Clin & Translat Sci CIRCET, Ctr Basic & Clin Immunol Res CISI,Cardiooncol Unit, Naples, Italy

[33] Maastricht Univ Med Ctr MUMC, Cardiovasc Res Inst Maastricht CARIM, Dept Cardiol, Maastricht, Netherlands

[34] Dokuz Eylul Univ, Sch Med, Dept Internal Med, Div Rheumatol, Izmir, Turkiye

[35] Hosp Univ Ramon y Cajal, Dept Cardiol, Madrid, Spain

[36] Wroclaw Med Univ, Inst Heart Dis, Wroclaw, Poland

[37] Sapienza Univ Rome, Dept Clin & Mol Med, Rome, Italy

[38] Dept Med Sci, IRCCS San Raffaele Rome, Rome, Italy

[39] Univ Brescia, Dept Med & Surg Specialties Radiol Sci & Publ Hlth, Cardiol, Piazzale Spedali Civili 1, I-25123 Brescia, Italy

来源：

EUROPEAN JOURNAL OF HEART FAILURE | 2024年 / 26卷 / 01期

关键词：

Right heart failure; Tricuspid regurgitation; Consensus statement; RIGHT-VENTRICULAR FUNCTION; EJECTION FRACTION; VALVE REPAIR; RISK STRATIFICATION; OUTCOMES; DYSFUNCTION; MORTALITY; ATRIAL; ECHOCARDIOGRAPHY; THERMODILUTION;

D O I：

10.1002/ejhf.3106

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Right-sided heart failure and tricuspid regurgitation are common and strongly associated with poor quality of life and an increased risk of heart failure hospitalizations and death. While medical therapy for right-sided heart failure is limited, treatment options for tricuspid regurgitation include surgery and, based on recent developments, several transcatheter interventions. However, the patients who might benefit from tricuspid valve interventions are yet unknown, as is the ideal time for these treatments given the paucity of clinical evidence. In this context, it is crucial to elucidate aetiology and pathophysiological mechanisms leading to right-sided heart failure and tricuspid regurgitation in order to recognize when tricuspid regurgitation is a mere bystander and when it can cause or contribute to heart failure progression. Notably, early identification of right heart failure and tricuspid regurgitation may be crucial and optimal management requires knowledge about the different mechanisms and causes, clinical course and presentation, as well as possible treatment options. The aim of this clinical consensus statement is to summarize current knowledge about epidemiology, pathophysiology and treatment of tricuspid regurgitation in right-sided heart failure providing practical suggestions for patient identification and management.

引用

页码：18 / 33

页数：16

共 132 条

[51] Proposal for a Standard Echocardiographic Tricuspid Valve Nomenclature [J].

Hahn, Rebecca T. ;

Weckbach, Ludwig T. ;

Noack, Thilo ;

Hamid, Nadira ;

Kitamura, Mitsunobu ;

Bae, Richard ;

Lurz, Philipp ;

Kodali, Susheel K. ;

Sorajja, Paul ;

Hausleiter, Jorg ;

Nabauer, Michael .

JACC-CARDIOVASCULAR IMAGING, 2020, 14 (07) :1299-1305

[52] The need for a new tricuspid regurgitation grading scheme [J].

Hahn, Rebecca T. ;

Zamorano, Jose L. .

EUROPEAN HEART JOURNAL-CARDIOVASCULAR IMAGING, 2017, 18 (12) :1342-1343

[53] State-of-the-Art Review of Echocardiographic Imaging in the Evaluation and Treatment of Functional Tricuspid Regurgitation [J].

Hahn, Rebecca T. .

CIRCULATION-CARDIOVASCULAR IMAGING, 2016, 9 (12)

[54] Contemporary management of acute right ventricular failure: a statement from the Heart Failure Association and the Working Group on Pulmonary Circulation and Right Ventricular Function of the European Society of Cardiology [J].

Harjola, Veli-Pekka ;

Mebazaa, Alexandre ;

Celutkiene, Jelena ;

Bettex, Dominique ;

Bueno, Hector ;

Chioncel, Ovidiu ;

Crespo-Leiro, Maria G. ;

Falk, Volkmar ;

Filippatos, Gerasimos ;

Gibbs, Simon ;

Leite-Moreira, Adelino ;

Lassus, Johan ;

Masip, Josep ;

Mueller, Christian ;

Mullens, Wilfried ;

Naeije, Robert ;

Nordegraaf, Anton Vonk ;

Parissis, John ;

Riley, Jillian P. ;

Ristic, Arsen ;

Rosano, Giuseppe ;

Rudiger, Alain ;

Ruschitzka, Frank ;

Seferovic, Petar ;

Sztrymf, Benjamin ;

Vieillard-Baron, Antoine ;

Yilmaz, Mehmet Birhan ;

Konstantinides, Stavros .

EUROPEAN JOURNAL OF HEART FAILURE, 2016, 18 (03) :226-241

[55] Contemporary insights into the epidemiology, impact and treatment of secondary tricuspid regurgitation across the heart failure spectrum [J].

Heitzinger, Gregor ;

Pavo, Noemi ;

Koschatko, Sophia ;

Jantsch, Charlotte ;

Winter, Max-Paul ;

Spinka, Georg ;

Dannenberg, Varius ;

Kastl, Stefan ;

Prausmueller, Suriya ;

Arfsten, Henrike ;

Dona, Carolina ;

Nitsche, Christian ;

Halavina, Kseniya ;

Koschutnik, Matthias ;

Mascherbauer, Katharina ;

Gabler, Cornelia ;

Strunk, Guido ;

Hengstenberg, Christian ;

Huelsmann, Martin ;

Bartko, Philipp E. ;

Goliasch, Georg .

EUROPEAN JOURNAL OF HEART FAILURE, 2023, 25 (06) :857-867

[56] Integration of a palliative approach into heart failure care: aEuropean Society of Cardiology Heart Failure Associationposition paper [J].

Hill, Loreena ;

Prager Geller, Tal ;

Baruah, Resham ;

Beattie, James M. ;

Boyne, Josiane ;

de Stoutz, Noemi ;

Di Stolfo, Giuseppe ;

Lambrinou, Ekaterini ;

Skibelund, Anne K. ;

Uchmanowicz, Izabella ;

Rutten, Frans H. ;

Celutkiene, Jelena ;

Piepoli, Massimo Francesco ;

Jankowska, Ewa A. ;

Chioncel, Ovidiu ;

Ben Gal, Tuvia ;

Seferovic, Petar M. ;

Ruschitzka, Frank ;

Coats, Andrew J. S. ;

Stromberg, Anna ;

Jaarsma, Tiny .

EUROPEAN JOURNAL OF HEART FAILURE, 2020, 22 (12) :2327-2339

[57] Right Ventricular Failure [J].

Houston, Brian A. ;

Brittain, Evan L. ;

Tedford, Ryan J. .

NEW ENGLAND JOURNAL OF MEDICINE, 2023, 388 (12) :1111-1125

[58]

Humbert M, 2022, EUR HEART J, V43, P3618, DOI [10.1093/eurheartj/ehac237, 10.1183/13993003.00879-2022]

[59] Contribution of Right Ventricular Dysfunction to Heart Failure Mortality:A Meta-Analysis [J].

Iglesias-Garriz, Ignacio ;

Olalla-Gomez, Cristina ;

Garrote, Carmen ;

Lopez-Benito, Maria ;

Martin, Julia ;

Alonso, David ;

Rodriguez, Miguel A. .

REVIEWS IN CARDIOVASCULAR MEDICINE, 2012, 13 (2-3) :E62-E69

[60] Percutaneous Edge-to-Edge Mitral Valve Repair: Beyond the Left Heart [J].

Italia, Leonardo ;

Adamo, Marianna ;

Lupi, Laura ;

Scodro, Marta ;

Curello, Salvatore ;

Metra, Marco .

JOURNAL OF THE AMERICAN SOCIETY OF ECHOCARDIOGRAPHY, 2021, 34 (10) :1038-1045

← 1 2 3 4 5 6 7 8 9 10 →