{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:41:17Z","timestamp":1787071277223,"version":"build-2736575974"},"reference-count":22,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2024,10,1]],"date-time":"2024-10-01T00:00:00Z","timestamp":1727740800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:sec>\n                    <jats:title>Context:<\/jats:title>\n                    <jats:p>Postoperative right heart failure is a poor prognostic factor after cardiac surgery. However, the factors that influence perioperative right ventricular (RV) function remain unknown. This study investigated whether preoperative pulmonary hypertension (PH) affects changes in RV systolic function during the perioperative period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims:<\/jats:title>\n                    <jats:p>This study aimed to determine the effect of preoperative PH on changes in RV systolic function in patients undergoing aortic or mitral valve surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Settings and Design:<\/jats:title>\n                    <jats:p>This was a retrospective review of three-dimensional echocardiographic datasets of 157 patients undergoing aortic or mitral valve surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>\n                      Patients were classified into the PH (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 105) or non-PH (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 51) group based on preoperative right heart catheterization findings. RV ejection fraction and RV longitudinal strain (RVLS) of the free wall and septum were calculated using semiautomated image analysis software at four time points: before surgery, end of surgery, 3 months after surgery, and 1 year after surgery.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Statistical Analysis Used:<\/jats:title>\n                    <jats:p>A mixed-effects model was used to compare changes in RV function between groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Over 1 year, no significant differences in trends were observed between groups for any of the parameters. However, a significant deterioration in free wall RVLS was observed in the non-PH group when focusing on the change from baseline to 1 year (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      value for interaction = 0.013).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>In patients undergoing valvular surgery, the presence of preoperative PH did not significantly influence changes in RV function throughout the perioperative period.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jcecho.jcecho_38_24","type":"journal-article","created":{"date-parts":[[2024,12,19]],"date-time":"2024-12-19T15:00:02Z","timestamp":1734620402000},"page":"170-178","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Effect of Preoperative Pulmonary Hypertension on the Course of Right Ventricular Function: A Three-dimensional Echocardiographic Study in Valvular Surgery Patients"],"prefix":"10.4103","volume":"34","author":[{"given":"Shinya","family":"Ito","sequence":"first","affiliation":[{"name":"Department of Anesthesiology, National Cerebral and Cardiovascular Center, Osaka, Japan"},{"name":"Department of Anesthesiology, Yokohama City University Graduate School of Medicine, Yokohama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenji","family":"Yoshitani","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, National Cerebral and Cardiovascular Center, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Satsuki","family":"Fukushima","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hitoshi","family":"Matsuda","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,12,19]]},"reference":[{"key":"R1-20241219","doi-asserted-by":"crossref","first-page":"1656","DOI":"10.1053\/j.jvca.2017.02.008","article-title":"Right ventricular function after cardiac surgery is a strong independent predictor for long-term mortality","volume":"31","author":"Bootsma","year":"2017","journal-title":"J Cardiothorac Vasc Anesth"},{"key":"R2-20241219","doi-asserted-by":"crossref","first-page":"e0132808","DOI":"10.1371\/journal.pone.0132808","article-title":"Reduced right ventricular function predicts long-term cardiac re-hospitalization after cardiac surgery","volume":"10","author":"Lella","year":"2015","journal-title":"PLoS One"},{"key":"R3-20241219","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1186\/s40560-018-0351-3","article-title":"Impaired right ventricular ejection fraction after cardiac surgery is associated with a complicated ICU stay","volume":"6","author":"Bootsma","year":"2018","journal-title":"J Intensive Care"},{"key":"R4-20241219","doi-asserted-by":"crossref","first-page":"641310","DOI":"10.3389\/fphys.2021.641310","article-title":"Current understanding of the right ventricle structure and function in pulmonary arterial hypertension","volume":"12","author":"Sharifi","year":"2021","journal-title":"Front Physiol"},{"key":"R5-20241219","doi-asserted-by":"crossref","first-page":"1436","DOI":"10.1161\/CIRCULATIONAHA.107.653576","article-title":"Right ventricular function in cardiovascular disease, part I: Anatomy, physiology, aging, and functional assessment of the right ventricle","volume":"117","author":"Haddad","year":"2008","journal-title":"Circulation"},{"key":"R6-20241219","doi-asserted-by":"crossref","first-page":"381787","DOI":"10.1155\/2011\/381787","article-title":"Pulmonary hypertension related to left-sided cardiac pathology","volume":"2011","author":"Kiefer","year":"2011","journal-title":"Pulm Med"},{"key":"R7-20241219","doi-asserted-by":"crossref","first-page":"1430","DOI":"10.1016\/j.jtcvs.2019.04.035","article-title":"Right ventricular function is reduced during cardiac surgery independent of procedural characteristics, reoperative status, or pericardiotomy","volume":"159","author":"Singh","year":"2020","journal-title":"J Thorac Cardiovasc Surg"},{"key":"R8-20241219","doi-asserted-by":"crossref","first-page":"630","DOI":"10.1093\/ejechocard\/jep015","article-title":"Is right ventricular systolic function reduced after cardiac surgery? 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