{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,7]],"date-time":"2026-11-07T11:04:10Z","timestamp":1794049450324,"version":"4.8.0"},"reference-count":30,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2011,1,1]],"date-time":"2011-01-01T00:00:00Z","timestamp":1293840000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2011,1,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>The aim of this study was to investigate the prognostic impact of right ventricular (RV) size in patients with chronic heart failure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and results<\/jats:title>\n                    <jats:p>Normal volunteers (n = 80) and patients (n = 380) with left ventricular (LV) ejection fraction &amp;lt;45% on echocardiography and on optimal treatment for heart failure underwent cardiac magnetic resonance imaging with measurement of LV and RV volumes, mass and ejection fraction. The mean and the standard deviation (SD) of the RV end-systolic volume index in normal subjects were used to define the normal range as: mean RV end-systolic volume index +2 SD. Patients with dilated RV (&amp;gt;2 SD beyond the mean) (25%) had more frequent evidence of fluid overload in clinical examination and greater LV dimensions (P &amp;lt; 0.0001). During follow-up (median 45, interquartile range: 28\u201366 months), 37% of patients with and 24% without RV dilation died (log-rank test = 8.4; P = 0.004). In a multivariable Cox regression model, including 13 other clinical variables, RV (HR: 1.08\/10 mL\/m2, 95% CI: 1.00\u20131.18, P = 0.044), but not LV, end-systolic volume index predicted a worse outcome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Twenty-five per cent of patients with heart failure due to LV systolic dysfunction have a dilated right ventricle. Greater RV dimensions predict mortality in patients with chronic heart failure. Treatments aimed at preserving or enhancing RV structure and function, possibly by unloading the RV by reducing pulmonary vascular resistance or left atrial pressure, should be investigated.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/eurjhf\/hfq161","type":"journal-article","created":{"date-parts":[[2010,10,18]],"date-time":"2010-10-18T17:18:30Z","timestamp":1287422310000},"page":"52-60","source":"Crossref","is-referenced-by-count":85,"title":["Relationship Between Right Ventricular Volumes Measured by Cardiac Magnetic Resonance Imaging and Prognosis in Patients with Chronic Heart Failure"],"prefix":"10.1093","volume":"13","author":[{"given":"Christos V.","family":"Bourantas","sequence":"first","affiliation":[{"name":"Department of Cardiology, Academic Unit, University of Hull , Kingston-upon-Hull, PO Box HU16 5JQ ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huan P.","family":"Loh","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Academic Unit, University of Hull , Kingston-upon-Hull, PO Box HU16 5JQ ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thanjavur","family":"Bragadeesh","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Academic Unit, University of Hull , Kingston-upon-Hull, PO Box HU16 5JQ ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alan S.","family":"Rigby","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Academic Unit, University of Hull , Kingston-upon-Hull, PO Box HU16 5JQ ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elena I.","family":"Lukaschuk","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Academic Unit, University of Hull , Kingston-upon-Hull, PO Box HU16 5JQ ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scot","family":"Garg","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Academic Unit, University of Hull , Kingston-upon-Hull, PO Box HU16 5JQ ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ann C.","family":"Tweddel","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Academic Unit, University of Hull , Kingston-upon-Hull, PO Box HU16 5JQ ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Farqad M.","family":"Alamgir","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Academic Unit, University of Hull , Kingston-upon-Hull, PO Box HU16 5JQ ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikolay P.","family":"Nikitin","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Academic Unit, University of Hull , Kingston-upon-Hull, PO Box HU16 5JQ ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew L.","family":"Clark","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Academic Unit, University of Hull , Kingston-upon-Hull, PO Box HU16 5JQ ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John G.F.","family":"Cleland","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Academic Unit, University of Hull , Kingston-upon-Hull, PO Box HU16 5JQ ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2014,2,18]]},"reference":[{"key":"2026020203312824500_ejhfhfq161-bib-0001","doi-asserted-by":"crossref","first-page":"818","DOI":"10.1093\/eurjhf\/hfp111","article-title":"Comparison of four right ventricular systolic echocardiographic parameters to predict adverse outcomes in chronic heart 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