ALB and hydrops fetalis: In this study, we report that HF patients with more impaired RV function, as reflected in reduced RV free wall strain, had significantly higher circulating levels of total bilirubin and alkaline phosphatase, as well as prolonged PT-INR, reduced albumin, and decreased thrombocyte count, compared to patients that had better RV function (in the study defined as those above RW FWS median).