Table 4

Summary of major studies investigating the prognostic value of RVEF

Study/yearRVSD definition cut-off-modalitypopulationnfollow-upMain finding
Larose et al. 20074<40% (CMR)Patients with recent myocardial infarction (>30 days)147Median 17 monthsRVEF <40% remained a significant independent predictor of mortality after adjusting for LVEF and infarct size (aHR 2.86; P = 0.03)
Meyer et al. 20102Multiple cut-offs: <40, <30, <20 (Radionuclide ventriculography)Chronic HFrEF patients from ‘BEST’ trial2008Mean 2 yearsRVSD was independently associated with mortality only at the cut-off <20%, aHR 1.32 (1.02 to 1.71; P = 0.034)
Gulati et al. 20138<45% (CMR)Chronic HFrEF patients with dilated NICM250Median 6.8 yearsRVSD was an independent predictor of mortality or cardiac transplant (HR 3.90; 95% CI: 2.16–7.04; P < 0.01)
Murninkas et al. 20149<38% (Radionuclide angiography)Stable outpatient HFrEF cohort246Median 2.7 yearsRVSD was not significantly associated with MACE or death after adjusting for LVEF and age
Goliasch et al. 201517<35% (CMR)Chronic HFpEF patients142Median 10 monthsRVSD was associated with hospitalization and cardiac death on univariate analysis, but not after adjusting for covariates.
Aschauer et al. 201615≤45% (CMR)Chronic HFpEF patients171Median 1.5 yearsRVSD was an independent predictor of MACE (HR 4.90; 95% CI: 2.46–9.75; P < 0.01)
Mikami et al. 201710<45% (CMR)Chronic HFrEF patients (ischaemic and non-ischaemic)314Median 2.1 yearsRVSD was an independent predictor of cardiac arrest and/or ICD implantation (HR = 2.98; P = 0.002)
Gill et al. 201911<20% (CMR)HFrEF patients with LVEF ≤3587Median 3 yearsRVSD was associated with a higher risk of MACE in the NICM subgroup but not ICM subgroup.
Purmah et al. 202118<40% (CMR)Broad cardiovascular disease population, mean LVEF 55%7131Median 2.48 yearsRVSD was associated with unadjusted HR of 3.1 for MACE, however it was not statistically significant after adjusting for LVEF
Ashcroft et al. 20216<46.9% (3D echocardiography)Patients admitted with acute HF418Median 2 yearsRVSD was associated with increased risk of ACM (HR 1.48; 95% CI 1.09–2.03, P ≤ 0.01)
Becker et al. 202112<45% (CMR)Stable patients with dilated cardiomyopathy, mean LVEF 37% [25–44%]216Median 2.2 yearsRVSD was significantly associated with shorter time to the composite of death and ventricular arrhythmias (10% drop in RVEF was associated with 0.81 increase in aHR, P = 0.02)
Kanagala et al. 202119<47% (CMR)Chronic HFpEF patients compared against healthy controls183Median 4 yearsRVSD was a strong independent predictor of HFH/ACM (aHR = 3.95, 95% CI: 1.88–8.29, P < 0.001)
Study/yearRVSD definition cut-off-modalitypopulationnfollow-upMain finding
Larose et al. 20074<40% (CMR)Patients with recent myocardial infarction (>30 days)147Median 17 monthsRVEF <40% remained a significant independent predictor of mortality after adjusting for LVEF and infarct size (aHR 2.86; P = 0.03)
Meyer et al. 20102Multiple cut-offs: <40, <30, <20 (Radionuclide ventriculography)Chronic HFrEF patients from ‘BEST’ trial2008Mean 2 yearsRVSD was independently associated with mortality only at the cut-off <20%, aHR 1.32 (1.02 to 1.71; P = 0.034)
Gulati et al. 20138<45% (CMR)Chronic HFrEF patients with dilated NICM250Median 6.8 yearsRVSD was an independent predictor of mortality or cardiac transplant (HR 3.90; 95% CI: 2.16–7.04; P < 0.01)
Murninkas et al. 20149<38% (Radionuclide angiography)Stable outpatient HFrEF cohort246Median 2.7 yearsRVSD was not significantly associated with MACE or death after adjusting for LVEF and age
Goliasch et al. 201517<35% (CMR)Chronic HFpEF patients142Median 10 monthsRVSD was associated with hospitalization and cardiac death on univariate analysis, but not after adjusting for covariates.
Aschauer et al. 201615≤45% (CMR)Chronic HFpEF patients171Median 1.5 yearsRVSD was an independent predictor of MACE (HR 4.90; 95% CI: 2.46–9.75; P < 0.01)
Mikami et al. 201710<45% (CMR)Chronic HFrEF patients (ischaemic and non-ischaemic)314Median 2.1 yearsRVSD was an independent predictor of cardiac arrest and/or ICD implantation (HR = 2.98; P = 0.002)
Gill et al. 201911<20% (CMR)HFrEF patients with LVEF ≤3587Median 3 yearsRVSD was associated with a higher risk of MACE in the NICM subgroup but not ICM subgroup.
Purmah et al. 202118<40% (CMR)Broad cardiovascular disease population, mean LVEF 55%7131Median 2.48 yearsRVSD was associated with unadjusted HR of 3.1 for MACE, however it was not statistically significant after adjusting for LVEF
Ashcroft et al. 20216<46.9% (3D echocardiography)Patients admitted with acute HF418Median 2 yearsRVSD was associated with increased risk of ACM (HR 1.48; 95% CI 1.09–2.03, P ≤ 0.01)
Becker et al. 202112<45% (CMR)Stable patients with dilated cardiomyopathy, mean LVEF 37% [25–44%]216Median 2.2 yearsRVSD was significantly associated with shorter time to the composite of death and ventricular arrhythmias (10% drop in RVEF was associated with 0.81 increase in aHR, P = 0.02)
Kanagala et al. 202119<47% (CMR)Chronic HFpEF patients compared against healthy controls183Median 4 yearsRVSD was a strong independent predictor of HFH/ACM (aHR = 3.95, 95% CI: 1.88–8.29, P < 0.001)
Table 4

Summary of major studies investigating the prognostic value of RVEF

Study/yearRVSD definition cut-off-modalitypopulationnfollow-upMain finding
Larose et al. 20074<40% (CMR)Patients with recent myocardial infarction (>30 days)147Median 17 monthsRVEF <40% remained a significant independent predictor of mortality after adjusting for LVEF and infarct size (aHR 2.86; P = 0.03)
Meyer et al. 20102Multiple cut-offs: <40, <30, <20 (Radionuclide ventriculography)Chronic HFrEF patients from ‘BEST’ trial2008Mean 2 yearsRVSD was independently associated with mortality only at the cut-off <20%, aHR 1.32 (1.02 to 1.71; P = 0.034)
Gulati et al. 20138<45% (CMR)Chronic HFrEF patients with dilated NICM250Median 6.8 yearsRVSD was an independent predictor of mortality or cardiac transplant (HR 3.90; 95% CI: 2.16–7.04; P < 0.01)
Murninkas et al. 20149<38% (Radionuclide angiography)Stable outpatient HFrEF cohort246Median 2.7 yearsRVSD was not significantly associated with MACE or death after adjusting for LVEF and age
Goliasch et al. 201517<35% (CMR)Chronic HFpEF patients142Median 10 monthsRVSD was associated with hospitalization and cardiac death on univariate analysis, but not after adjusting for covariates.
Aschauer et al. 201615≤45% (CMR)Chronic HFpEF patients171Median 1.5 yearsRVSD was an independent predictor of MACE (HR 4.90; 95% CI: 2.46–9.75; P < 0.01)
Mikami et al. 201710<45% (CMR)Chronic HFrEF patients (ischaemic and non-ischaemic)314Median 2.1 yearsRVSD was an independent predictor of cardiac arrest and/or ICD implantation (HR = 2.98; P = 0.002)
Gill et al. 201911<20% (CMR)HFrEF patients with LVEF ≤3587Median 3 yearsRVSD was associated with a higher risk of MACE in the NICM subgroup but not ICM subgroup.
Purmah et al. 202118<40% (CMR)Broad cardiovascular disease population, mean LVEF 55%7131Median 2.48 yearsRVSD was associated with unadjusted HR of 3.1 for MACE, however it was not statistically significant after adjusting for LVEF
Ashcroft et al. 20216<46.9% (3D echocardiography)Patients admitted with acute HF418Median 2 yearsRVSD was associated with increased risk of ACM (HR 1.48; 95% CI 1.09–2.03, P ≤ 0.01)
Becker et al. 202112<45% (CMR)Stable patients with dilated cardiomyopathy, mean LVEF 37% [25–44%]216Median 2.2 yearsRVSD was significantly associated with shorter time to the composite of death and ventricular arrhythmias (10% drop in RVEF was associated with 0.81 increase in aHR, P = 0.02)
Kanagala et al. 202119<47% (CMR)Chronic HFpEF patients compared against healthy controls183Median 4 yearsRVSD was a strong independent predictor of HFH/ACM (aHR = 3.95, 95% CI: 1.88–8.29, P < 0.001)
Study/yearRVSD definition cut-off-modalitypopulationnfollow-upMain finding
Larose et al. 20074<40% (CMR)Patients with recent myocardial infarction (>30 days)147Median 17 monthsRVEF <40% remained a significant independent predictor of mortality after adjusting for LVEF and infarct size (aHR 2.86; P = 0.03)
Meyer et al. 20102Multiple cut-offs: <40, <30, <20 (Radionuclide ventriculography)Chronic HFrEF patients from ‘BEST’ trial2008Mean 2 yearsRVSD was independently associated with mortality only at the cut-off <20%, aHR 1.32 (1.02 to 1.71; P = 0.034)
Gulati et al. 20138<45% (CMR)Chronic HFrEF patients with dilated NICM250Median 6.8 yearsRVSD was an independent predictor of mortality or cardiac transplant (HR 3.90; 95% CI: 2.16–7.04; P < 0.01)
Murninkas et al. 20149<38% (Radionuclide angiography)Stable outpatient HFrEF cohort246Median 2.7 yearsRVSD was not significantly associated with MACE or death after adjusting for LVEF and age
Goliasch et al. 201517<35% (CMR)Chronic HFpEF patients142Median 10 monthsRVSD was associated with hospitalization and cardiac death on univariate analysis, but not after adjusting for covariates.
Aschauer et al. 201615≤45% (CMR)Chronic HFpEF patients171Median 1.5 yearsRVSD was an independent predictor of MACE (HR 4.90; 95% CI: 2.46–9.75; P < 0.01)
Mikami et al. 201710<45% (CMR)Chronic HFrEF patients (ischaemic and non-ischaemic)314Median 2.1 yearsRVSD was an independent predictor of cardiac arrest and/or ICD implantation (HR = 2.98; P = 0.002)
Gill et al. 201911<20% (CMR)HFrEF patients with LVEF ≤3587Median 3 yearsRVSD was associated with a higher risk of MACE in the NICM subgroup but not ICM subgroup.
Purmah et al. 202118<40% (CMR)Broad cardiovascular disease population, mean LVEF 55%7131Median 2.48 yearsRVSD was associated with unadjusted HR of 3.1 for MACE, however it was not statistically significant after adjusting for LVEF
Ashcroft et al. 20216<46.9% (3D echocardiography)Patients admitted with acute HF418Median 2 yearsRVSD was associated with increased risk of ACM (HR 1.48; 95% CI 1.09–2.03, P ≤ 0.01)
Becker et al. 202112<45% (CMR)Stable patients with dilated cardiomyopathy, mean LVEF 37% [25–44%]216Median 2.2 yearsRVSD was significantly associated with shorter time to the composite of death and ventricular arrhythmias (10% drop in RVEF was associated with 0.81 increase in aHR, P = 0.02)
Kanagala et al. 202119<47% (CMR)Chronic HFpEF patients compared against healthy controls183Median 4 yearsRVSD was a strong independent predictor of HFH/ACM (aHR = 3.95, 95% CI: 1.88–8.29, P < 0.001)
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