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Right ventricular function in mitral stenosis: plays a fundamental role
Ni Made Ayu Wulan Sari1, Amiliana Mardiani Soesanto2
1Department of Cardiology and Vascular Medicine, Faculty of Medicine, Udayana University, Prof. Dr. IGNG Ngoerah General Hospital, P.B Sudirman Street, Denpasar, Bali, 80234, Indonesia. wulansari@unud.ac.id.
Journal of Echocardiography
|October 5, 2024
Summary
The right ventricle (RV) plays a crucial role in cardiovascular health, particularly in mitral stenosis (MS). Early detection of RV dysfunction in MS is vital for patient outcomes.
Area of Science:
- Cardiology
- Cardiovascular Physiology
- Valvular Heart Disease
Background:
- The right ventricle (RV) has historically been undervalued in cardiovascular research.
- RV dysfunction is a significant contributor to morbidity and mortality in valvular heart disease (VHD).
- Mitral stenosis (MS) is a VHD where RV dysfunction impacts patient prognosis.
Purpose of the Study:
- To highlight the essential role of the right ventricle in cardiovascular physiology and pathology.
- To emphasize the significance of RV systolic and diastolic function in patients with MS.
- To investigate previously understudied cases of RV dysfunction in MS without overt clinical signs.
Main Methods:
- Review of cardiovascular physiology and pathology concerning the right ventricle.
- Analysis of the impact of RV function on clinical symptoms and outcomes in mitral stenosis.
- Exploration of RV dysfunction in MS patients, including those without systemic venous congestion.
Main Results:
- Right ventricular dysfunction is a key factor in the morbidity and mortality associated with VHD, especially MS.
- RV systolic and diastolic function are critical determinants of clinical status, exercise capacity, and survival in MS patients.
- RV dysfunction in MS may exist even without apparent systemic venous congestion.
Conclusions:
- The right ventricle's function is critical in cardiovascular health and disease, particularly in mitral stenosis.
- Early detection and management of RV dysfunction in MS are crucial for improving patient outcomes.
- Further research is needed to understand and identify RV dysfunction in MS patients lacking clinical signs of congestion.
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