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43802

Evaluation of Right Ventricular Systolic Function in Patients with Right Bundle Branch Block Using Two-Dimensional Speckle Tracking Echocardiography

Article

Last updated: 30 Jan 2023

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Abstract

Background: the prevalence of right bundle branch block (RBBB) is estimated to be 0.2-2.3% in healthy individuals in many previous studies. The prevalence of RBBB increases with age, higher in men, diabetics and in patients with hypertension. Objectives: the purpose of this study was to evaluate the right ventricular systolic function in patients with right bundle branch block with structurally normal heart disease using conventional and speckle tracking 2D echocardiography. Subjects and Methods: forty patients with right bundle branch block (RBBB) were classified into 2 groups each of 20 patients; complete right bundle branch block (CRBBB) and incomplete RBBB (IRBBB), beside 20 normal individuals matched in age and sex served as controls. Results: Tricuspid annular plane systolic excursion (TAPSE) and right ventricle free wall longitudinal strain (RV FWLS) were not statistically significant in patients with RBBB, there was decrease in CRBBB than normal individuals. In right ventricle global longitudinal strain (RV GLS), tricuspid lateral annular systolic velocity (S'), Tei index by both tissue and pulsed Doppler assessment, fractional area change (RV FAC%) and RV basal diameter; and in incomplete right bundle branch block in the mean of RV STE GLS%, S', Tei index by both tissue and pulsed Doppler. Conclusion: Isolated right bundle branch block has an effect on the RV morphologic characteristics, systolic function compared with healthy individuals by 2D, M-mode, Doppler and speckle tracking echocardiographic assessment.

DOI

10.21608/ejhm.2019.43802

Keywords

Right Ventricular Systolic Function, Right Bundle Branch Block, Two-Dimensional Speckle Tracking Echocardiography

Authors

First Name

Mohy E. Mansour

Last Name

Elabbady

MiddleName

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Affiliation

Cardiology Department, Faculty of Medicine, Al-Azhar University

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Orcid

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First Name

Abdelmohsen M.

Last Name

Aboualia

MiddleName

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Affiliation

Cardiology Department, Faculty of Medicine, Al-Azhar University

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City

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Orcid

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First Name

Ahmed S.

Last Name

Attia

MiddleName

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Affiliation

Cardiology Department, Faculty of Medicine, Al-Azhar University

Email

a7mad.sob7y@gmail.com

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Orcid

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Volume

76

Article Issue

5

Related Issue

6642

Issue Date

2019-07-01

Receive Date

2019-08-04

Publish Date

2019-07-01

Page Start

4,240

Page End

4,245

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_43802.html

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https://ejhm.journals.ekb.eg/service?article_code=43802

Order

30

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

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Article

Created At

22 Jan 2023