Cardiothoracic & vascular anesthesia
The association of right ventricular function with outcomes after cardiac surgery: a systematic review
Authors' conclusion
Pre- and perioperative assessment of RV function using at least two quantitative echocardiographic parameters may offer prognostic information in patients undergoing cardiac surgery.
Study context
- Population
- Adults (≥ 18 yr) undergoing cardiac surgery with an echocardiogram within six months of surgery, intraoperatively, or shortly after surgery27 observational studies
- Outcome
- Postoperative mortality
- Follow-up
- Up to five years
Methodological detailsfocused systematic review, PubMed and MEDLINE searched, 1 January 1990 to 22 April 2024; 7,187 potentially relevant studies identified
- Focused systematic review
- PubMed and MEDLINE searched, 1 January 1990 to 22 April 2024; 7,187 potentially relevant studies identified
Pooled result
As reported in the abstract
- Right ventricular fractional area change (RVFAC) (most commonly reported) inconsistently associated with mortality
- Tricuspid annular plane systolic excursion (TAPSE) and strain consistently associated with mortality
Further pooled results
- RVFAC inconsistently associated with major adverse cardiac events (MACE)
- Right ventricular (RV) myocardial performance index (MPI) the most consistent predictor of MACE across studies
Original publication
The association of right ventricular function with outcomes after cardiac surgery: a systematic review. Can J Anaesth. Published 12 February 2025. doi:10.
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