Bilal Ayach1, Nowell M Fine2, Lawrence G Rudski1. 1. Azrieli Heart Center, Sir Mortimer B. Davis-Jewish General Hospital, McGill University, Montreal, Quebec. 2. Libin Cardiovascular Institute of Alberta, University of Calgary, Calgary, Alberta, Canada.
Abstract
PURPOSE OF REVIEW: Right ventricular (RV) assessment has long been challenging and technically difficult using echocardiography. This is mainly the result of the asymmetrical shape of the RV making it difficult to visualize on one-or-two dedicated views, thus requiring multiple integrated views and subjective assessment. Measurement of tricuspid annular systolic plane excursion and RV tissue Doppler velocity have become relied-upon methods of objective assessments; however, have limitations for characterizing true RV physiology. RECENT FINDINGS: Studies suggest that two-dimensional RV free wall longitudinal systolic strain (RVFWS) using speckle-tracking echocardiography has emerged as a reproducible, feasible and highly prognostic technique for quantifying RV function. This has been demonstrated for patients with heart failure, ischemic heart disease, pulmonary hypertension, infiltrative disease and many other types of cardiovascular disease. SUMMARY: The current review outlines the clinical use of RVFWS, and its integration with other commonly used echocardiographic measurements to more accurately assess RV function, cause and prognosis to guide and improve patient care decision making.
PURPOSE OF REVIEW: Right ventricular (RV) assessment has long been challenging and technically difficult using echocardiography. This is mainly the result of the asymmetrical shape of the RV making it difficult to visualize on one-or-two dedicated views, thus requiring multiple integrated views and subjective assessment. Measurement of tricuspid annular systolic plane excursion and RV tissue Doppler velocity have become relied-upon methods of objective assessments; however, have limitations for characterizing true RV physiology. RECENT FINDINGS: Studies suggest that two-dimensional RV free wall longitudinal systolic strain (RVFWS) using speckle-tracking echocardiography has emerged as a reproducible, feasible and highly prognostic technique for quantifying RV function. This has been demonstrated for patients with heart failure, ischemic heart disease, pulmonary hypertension, infiltrative disease and many other types of cardiovascular disease. SUMMARY: The current review outlines the clinical use of RVFWS, and its integration with other commonly used echocardiographic measurements to more accurately assess RV function, cause and prognosis to guide and improve patient care decision making.
Authors: Kun Zhang; Alexander Braun; Francisca von Koeckritz; Rosa B Schmuck; Eva M Teegen; Cesare Cuspidi; Frank Heinzel; Burkert Pieske; Marijana Tadic Journal: J Clin Med Date: 2019-08-22 Impact factor: 4.241
Authors: Ruben Mylvaganam; Ryan Avery; Isaac Goldberg; Courtney Makowski; Ravi Kalhan; Victoria Villaflor; Michael J Cuttica Journal: Pulm Circ Date: 2021-02-09 Impact factor: 3.017
Authors: Kai'En Leong; Luke Howard; Francesco Lo Giudice; Holly Pavey; Rachel Davies; Gulammehdi Haji; Simon Gibbs; Deepa Gopalan Journal: Front Cardiovasc Med Date: 2022-03-17