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European Radiology

, Volume 25, Issue 12, pp 3528–3535 | Cite as

Cardiac MRI assessment of right ventricular function: impact of right bundle branch block on the evaluation of cardiac performance parameters

  • Robert MartererEmail author
  • Zeng Hongchun
  • Sebastian Tschauner
  • Martin Koestenberger
  • Erich Sorantin
Cardiac

Abstract

Objectives

Right ventricular (RV) function represents a prognostic marker in patients with corrected congenital heart disease. In up to 80 % of these patients, right branch bundle block (RBBB) exists and leads to asynchronous ventricular contraction.

The aim of this retrospective study was to evaluate the change of RV performance parameters considering delayed RV end-systolic contraction.

Methods

RV volumes of 33 patients were assessed twice: 1) not taking account of RBBB (group I), and 2) considering RBBB (group II). According to the RV ejection fraction (EF) for both groups, RV function was classified in different categories (>50 % = normal, 40–50 % = mildly-, 30–40 % = moderately-, <30 % = severely-reduced).

Results

The mean time difference between maximal systolic contraction of the septum and RV free wall was 90.7 ms ± 42.6. Consequently, RV end-systolic volume was significantly decreased in group II (p < 0.001). Accordingly, RV stroke volume and RV EF were significantly higher in group II (p < 0.001). There was also a significant change in the assessment of RV function (p < 0.02).

Conclusions

RBBB induced delayed RV contraction can be detected at CMR. Ignoring the RV physiology in RBBB patients leads to a statistically significant underscoring of RV performance parameters.

Key Points

Right branch bundle block leads to an asynchronous ventricular contraction

In CMR, a delayed right ventricular contraction due to RBBB can be detected

Ignoring RV physiology in RBBB patients leads to underscoring of RV performance

Keywords

Congenital heart defects Magnetic resonance imaging Bundle-branch block Ventricular ejection fraction Tetralogy of Fallot 

Notes

Acknowledgments

The scientific guarantor of this publication is Prof. Dr. Erich Sorantin. The authors of this manuscript declare no relationships with any companies, whose products or services may be related to the subject matter of the article. The authors state that this work has not received any funding. No complex statistical methods were necessary for this paper. Institutional Review Board approval was obtained. Written informed consent was waived by the Institutional Review Board. Methodology: retrospective, performed at one institution.

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Copyright information

© European Society of Radiology 2015

Authors and Affiliations

  • Robert Marterer
    • 1
    Email author
  • Zeng Hongchun
    • 2
  • Sebastian Tschauner
    • 1
  • Martin Koestenberger
    • 3
  • Erich Sorantin
    • 1
  1. 1.Division of Pediatric Radiology, Department of RadiologyMedical University of GrazGrazAustria
  2. 2.Department of UltrasonographyFirst Affiliated Hospital of Xinjiang Medical UniversityUrumqiPeple’s Republic of China
  3. 3.Division of Pediatric Cardiology, Department of Pediatrics and Adolescent MedicineMedical University of GrazGrazAustria

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