Survey of right ventricular systolic function by speckle tracking echocardiography in patients with acute heart failure with acute pulmonary edema

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Abstract

Background: RV (Right ventricular) strain indices in Speckle Tracking echocardiography (STE) can evaluate  subclinical RV dysfunction and a mismatch of interventricular function can predict events in patients with  acute heart failure (AHF) with pulmonary edema (PE).  

Objective: To assess some RV systolic function parameters, IVSLD (Interventricular Longitudinal Strain  Difference) and their correlations with prognostic values for mortality and rehospitalization through right  ventricular strain and ISLSD indices in patients AHF with PE. 

Materials and Methods: A short-term, cross-sectional study was conducted in 63 patients AHF with PE.  All patients underwent bedside echocardiography and RV strain indices was assessed by STE. Follow-up of  mortality and readmission events in the hospital and 30 days after discharge. 

Results: RV strain indices as RV-FWLS, RV-GLS and routine RV echocardiography indices TAPSE, RV FAC, RV S’  (TDI) were all lower in patient group compared with the control group with statistical significance, p<0.0001.  There was a statistically significant correlation between RVFWLS, RVGLS, with LV-GLS, TAPSE (p < 0.05) for  the group with events occurring after 30 days. IVLSD index decreased significantly (p<0.05) in the group of  patients with cardiovascular events.  

Conclusion: RV strain indices, ISLSD index were reduced in patients with acute heart failure with pulmonary  edema and were associated with events during short-term follow-up. 

https://doi.org/10.34071/jmp.2026.1.1025
Published 2026-03-30
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Issue Vol. 16 No. 1 (2026)
Section Original Articles
DOI 10.34071/jmp.2026.1.1025
Keywords Suy tim cấp thể phù phổi, siêu âm tim đánh dấu mô thất phải, chỉ số hiệu số biến dạng dọc vách liên thất, tiên lượng Acute Heart failure with Pulmonary edema, Right Ventricular Speckle Tracking echocardiography, Interventricular longitudinal strain difference (IVLSD), Prognosis

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Trần , T. Đạt, Hoàng , A. T., & Nguyễn , T. T. H. (2026). Survey of right ventricular systolic function by speckle tracking echocardiography in patients with acute heart failure with acute pulmonary edema. Hue Journal of Medicine and Pharmacy, 16(1), 150–157. https://doi.org/10.34071/jmp.2026.1.1025

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