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Table 4 Right heart parameters at baseline and twelve-month follow-up of patients who developed carcinoid heart disease during follow-up

From: Prevalence, one-year-incidence and predictors of carcinoid heart disease

 

Patient 4

Patient 5

Patient 6

Baseline

Follow-up

Baseline

Follow-up

Baseline

Follow-up

Duration from baseline to follow-up in months

14

12

12

NYHA class

I

I

I

N. A

III

II

NTproBNP, ng/l

N.A

N.A

N.A

4053

544

643

Therapy

Cardiac intervention or operation (months since diagnosis)

None

Surgical tricuspid valve replacement (63)

None

None

None

Transcatheter pulmonary valve implantation (38), surgical tricuspid valve replacement (41)

Medication

Angiotensin II receptor blocker, beta blocker, calcium antagonist, diuretics

Diuretics

ACE inhibitor, beta blocker, diuretics

LVEF, %

55

51

62

60

53

59

RVOT-VTI, cm

N. A

10

38

11

12

N. A

TAPSE, mm

22

16

22

25

18

16

RV-Sʹ, cm/s

13

9

15

15

10

7

MPEI

0.63

0.51

0.32

0.76

0.55

0.34

Free wall RV strain, %

-26.2

-23.0

-31.6

-37.0

-17.1

-19.7

Global RV strain, %

-19.5

-19.5

-25.7

-30.7

-14.3

-17.8

RVD basal, mm

39

46

36

32

32

29

RVD mid, mm

40

38

29

27

32

25

RV apex-base, mm

96

68

68

82

69

73

RVOT1, mm

38

41

37

40

30

24

RVOT2, mm

29

32

17

35

23

21

RA area, cm2

16

32

14

19

20

18

TR

mild

Nonea

mild

moderate

moderate

milda

TS

none

nonea

none

none

none

nonea

PR

none

moderate

none

none

moderate

severeb

PS

none

none

none

none

none

noneb

  1. ACE inhibitor Angiotensin-converting-enzyme inhibitor, LVEF Left ventricular ejection fraction, MPEI Myocardial performance index, N. A, Not available, NTproBNP N-terminal-pro hormone B-type natriuretic peptide, NYHA New York Heart Association, PR Pulmonary regurgitation, PS Pulmonary stenosis, RA area Right atrium area, RV Right ventricular, RV apex-base Right ventricle apex to base, RVD Right ventricular diameter, RVOT Right ventricular outflow tract, RVOT-VTI Right ventricular outflow tract velocity time integral, RV-Sʹ Systolic tricuspid annular velocity, TAPSE Tricuspid annular plane systolic excursion, TR Tricuspid regurgitation, TS Tricuspid stenosis
  2. aEchocardiography was performed after patients had received tricuspid valve replacement and/ or
  3. btranscatheter pulmonary valve implantation