Why the study?
Does a high VExUS score correlate with lower echocardiographic parameters of right ventricular function in patients with venous congestion?
Does a high VExUS score correlate with lower echocardiographic parameters of right ventricular function in patients with venous congestion?
The VExUS score should be interpreted primarily as a marker of established systemic venous congestion rather than an indicator of intrinsic right ventricular systolic impairment.
Interpret VExUS as venous congestion marker rather than intrinsic RV impairment; challenges its role as indicator of right ventricular systolic dysfunction.
This systematic review and meta-analysis demonstrate that patients with venous congestion, as assessed by the VExUS score, may exhibit lower values of echocardiographic parameters of right ventricular function. This association is observed particularly in the subgroup of patients with known cardiac dysfunction and is not present in patients without heart failure. These findings suggest that the VExUS score should be primarily interpreted as a marker of established systemic venous congestion, rather than as an indicator of intrinsic right ventricular systolic impairment.
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Carsetti et al. (2026) studied this question.
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