ArticleGlobal cardiology science & practice2025
Echocardiographic predictors of right ventricular failure following left ventricular assist device implantation: Systematic review and meta-analysis.
Article in Global cardiology science & practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
introductionRight ventricular failure (RVF) is a significant complication following left ventricular assist device (LVAD) implantation, with no universally accepted predictors. This meta-analysis identifies the most reliable echocardiographic predictors.
methodsOVID Medline was systematically searched for observational studies reporting ten preoperative echocardiographic parameters in patients who did and did not develop RVF post-LVAD. Random-effects meta-analyses were performed. Subgroup analyses and meta-regression assessed the influence of RVF definitions and clinical characteristics on predictive capacity. Logistic regression modeling identified key cutoffs.
resultsThirty-nine studies involving 2,975 patients were included, with pooled RVF prevalence of 0.30 (0.26-0.34). Higher right ventricular end-diastolic diameter (RVEDD) (SMD: 0.368,
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