Right Ventricular Systolic Function and the Manner of Transformation of the Right Ventricle in Patients With Dilated Cardiomyopathy

  • Oyama Shigeto
    Department of Cardiovascular Medicine, Tohoku University Graduate School of Medicine
  • Sakuma Masahito
    Department of Cardiovascular Medicine, Tohoku University Graduate School of Medicine
  • Komaki Kohtaroh
    Department of Cardiovascular Medicine, Tohoku University Graduate School of Medicine
  • Ishigaki Hidehiko
    Department of Cardiovascular Medicine, Tohoku University Graduate School of Medicine
  • Nakagawa Makoto
    Department of Cardiovascular Medicine, Tohoku University Graduate School of Medicine
  • Hozawa Hidenari
    Department of Cardiovascular Medicine, Tohoku University Graduate School of Medicine
  • Yamamoto Yoshito
    Department of Cardiovascular Medicine, Tohoku University Graduate School of Medicine
  • Kagaya Yutaka
    Department of Cardiovascular Medicine, Tohoku University Graduate School of Medicine
  • Watanabe Jun
    Department of Cardiovascular Medicine, Tohoku University Graduate School of Medicine
  • Shirato Kunio
    Department of Cardiovascular Medicine, Tohoku University Graduate School of Medicine

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Background Dilated cardiomyopathy (DCM) is generally considered to be accompanied by both left and right ventricular dysfunction, but most studies only analyze the left ventricular function. Methods and Results Biplane right ventriculography was performed in 13 control subjects and 13 patients with DCM and New York Heart Association functional class II. Three dimensions of the right ventricle (RV) (the long axis dimension (LA), the anterior - posterior dimension (AP), and the septum -free wall dimension (SF)) and 2 dimensions of the left ventricle (LV) (LA and AP) were examined to assess regional function. The group with DCM had a lower stroke volume index and RV ejection fraction. In the RV dimensional analysis, the group with DCM had a smaller SF and a larger AP at end-diastole, and larger AP and LA at end-systole. There was a significant linear negative correlation between SF of RV and AP of LV at end-diastole. Conclusion In clinically well-controlled cases of DCM, RV systolic function is depressed, and the RV is compressed by the LV, becoming less thick than in the controls. This transformation results from some parallel interaction between the RV and a markedly enlarged LV. (Circ J 2004; 68: 933 - 937)<br>

収録刊行物

  • Circulation Journal

    Circulation Journal 68 (10), 933-937, 2004

    一般社団法人 日本循環器学会

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