Key result
Echocardiography remains first-line for identifying RV dysfunction in HF, supplemented by CMR and CT.
Why the study?
Right ventricular systolic dysfunction increases mortality in heart failure, making accurate diagnosis and monitoring paramount despite complex anatomy requiring multiple imaging modalities.
Echocardiography remains the first-line imaging modality for assessing RV function and tricuspid regurgitation in heart failure, supplemented by cardiac MRI and CT.
Echocardiography should remain first-line for RV assessment in heart failure; leaves open optimal integration of MRI and CT in practice.
Right ventricular (RV) systolic dysfunction increases mortality among heart failure patients, and therefore, accurate diagnosis and monitoring is paramount. RV anatomy and function are complex, usually requiring a combination of imaging modalities to completely quantitate volumes and function. Tricuspid regurgitation usually occurs with RV dysfunction, and quantifying this valvular lesion also may require multiple imaging modalities. Echocardiography is the first-line imaging tool for identifying RV dysfunction, with cardiac MRI and cardiac computed tomography adding valuable additional information.
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Appadurai et al. (2023) conducted a review in Heart failure with right ventricular dysfunction and tricuspid regurgitation. Echocardiography, cardiac MRI, and cardiac computed tomography was evaluated. Echocardiography is the first-line imaging tool for identifying right ventricular dysfunction in heart failure, with cardiac MRI and computed tomography adding valuable additional information.
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