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

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...

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Detalhes bibliográficos
Autores: Adamo, Marianna|||0000-0002-3855-1815, Chioncel, O.|||0000-0002-3197-3628, Pagnesi, Matteo|||0000-0002-9298-7871, Bayés-Genís, Antoni|||0000-0002-3044-197X, Abdelhamid, Magdy, Anker, Stefan|||0000-0002-0805-8683, Antohi, Elena-Laura, Badano, Luigi P.|||0000-0002-0379-3283, Ben Gal, Tuvia, Böhm, Michael, Delgado, Victoria|||0000-0002-9841-2737, Dreyfus, Julien, Faletra, Francesco F., Farmakis, Dimitrios|||0000-0001-8364-3447, Filippatos, Gerasimos|||0000-0002-5640-0332, Grapsa, Julia, Gustafsson, Finn|||0000-0003-2144-341X, Hausleiter, Jörg, Jaarsma, Tiny|||0000-0002-4197-4026, Karam, Nicole, Lund, Lars H.|||0000-0003-1411-4482, Lurz, Philipp|||0000-0002-5993-4487, Maisano, Francesco|||0000-0002-3691-1709, Moura, Brenda|||0000-0001-6158-7368, Mullens, Wilfred, Praz, Fabien|||0000-0001-5416-165X, Sannino, Anna, Savarese, Gianluigi|||0000-0001-7732-0887, Tocchetti, Carlo Gabriele|||0000-0001-5983-688X, van Empel, Vanessa P.M., Von Bardeleben, Ralph Stephan|||0000-0002-1356-0037, Yilmaz, Mehmet Birhan, Zamorano, José Luis|||0000-0002-0487-1749, Ponikowski, Piotr|||0000-0002-3391-7064, Barbato, Emanuele, Rosano, Giuseppe M.C., Metra, Marco|||0000-0001-6691-8568
Formato: artículo
Fecha de publicación:2024
País:España
Recursos:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:301878
Acesso em linha:https://ddd.uab.cat/record/301878
https://dx.doi.org/urn:doi:10.1002/ejhf.3106
Access Level:acceso abierto
Palavra-chave:Right heart failure
Tricuspid regurgitation
Consensus statement
Descrição
Resumo: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.

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