Key result
Evaluation of right ventricular function, particularly using three-dimensional echocardiography and strain imaging, provides critical prognostic information for patients with pulmonary hypertension.
Why the study?
Pulmonary hypertension is characterized by increased pulmonary vascular resistance leading to right ventricular failure, which determines prognosis, warranting a review of the clinical value of evaluating right ventricular function.
Comprehensive evaluation of right ventricular function using advanced imaging techniques like 3D echocardiography and CMR provides essential prognostic information in pulmonary hypertension beyond standard hemodynamics.
RV assessment with 3D echo and strain may refine PH prognosis; hypothesis-generating without outcome trials.
Pulmonary hypertension (PH) is a progressive disease characterized by increased pulmonary vascular resistance that leads to right ventricular (RV) failure, a condition that determines its prognosis. This review focuses on the clinical value of the evaluation of RV function in PH. First, the pathophysiology of PH, including hemodynamics, RV function, and their interaction (known as ventriculoarterial coupling), are summarized. Next, non-invasive imaging modalities and the parameters of RV function, mainly assessed by echocardiography, are reviewed. Finally, the clinical impacts of RV function in PH are described. This review will compare the techniques that yield comprehensive information on RV function and their roles in the assessment of PH.
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Mitsushige Murata (2020) conducted a review in Pulmonary hypertension. Evaluation of right ventricular function, particularly using three-dimensional echocardiography and strain imaging, provides critical prognostic information for patients with pulmonary hypertension.
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