The use of multimodality cardiovascular imaging to assess right ventricular size and function. (1st July 2016)

• Record Type: Journal Article
• Authors: Surkova, Elena; Muraru, Denisa; Iliceto, Sabino; Badano, Luigi P.
• Is Part Of: International journal of cardiology. Volume 214(2016)
• Page Start: 54
• Page End: 69
• Publication Date: 2016-07-01
• Subjects: 2DE two-dimensional echocardiography -- 2DSTE two-dimensional speckle-tracking echocardiography -- 3DE three-dimensional echocardiography -- a anterior leaflet of tricuspid valve -- ARVC arrhythmogenic right ventricular cardiomyopathy -- CMR cardiac magnetic resonance -- CT computed tomography -- EF ejection fraction -- EDA end-diastolic area -- EDV end-diastolic volume -- EDVi index of end-diastolic volume -- ESA end-systolic area -- ESV end-systolic volume -- ESVi index of end-systolic volume -- FAC fractional area change -- GFR glomerular filtration rate -- GS global strain -- IVC inferior vena cava -- IVS interventricular septum -- LA left atrium -- LV left ventricle -- MV mitral valve -- p posterior leaflet of tricuspid valve -- PA pulmonary artery -- PISA proximal isovelocity area -- PV pulmonary valve -- RA right atrium -- RIMP right ventricular myocardial performance index -- RV right ventricle -- RVD1 right ventricular basal diameter -- RVD2 right ventricular mid cavity diameter -- RVIT right ventricular inflow tract -- RVOT right ventricular outflow tract -- RVOT Dist distal diameter of the right ventricular outflow tract -- RVOT Prox proximal diameter of the right ventricular outflow tract -- s septal leaflet of tricuspid valve -- S systolic velocity across lateral segment of tricuspid annulus by tissue Doppler imaging -- SD standard deviation -- SPECT single photon emission computed tomography -- SSFP steady-state free precession sequence -- SV stroke volume -- TAPSE tricuspid annular plane systolic excursion -- TDI tissue Doppler imaging -- TEE transesophageal echocardiography -- TR tricuspid regurgitation -- TTE transthoracic echocardiography -- TV tricuspid valve -- WMA wall motion abnormalities; Right ventricle -- Two-dimensional echocardiography -- Three-dimensional echocardiography -- Cardiac magnetic resonance -- Computed tomography -- Reference values; Cardiology -- Periodicals; Electronic journals; 616.12
• DOI: 10.1016/j.ijcard.2016.03.074
• Languages: English
• ISSNs: 0167-5273

Abstract

Abstract: Right ventricular (RV) size and function have been found to be important predictors of cardiovascular morbidity and mortality in patients with various conditions. However, non-invasive assessment of the RV is a challenging task due to its complex anatomy and location in the chest. Although cardiac magnetic resonance (CMR) is considered a "gold standard" for RV assessment, the development of novel echocardiographic techniques, including three-dimensional (3DE) and two-dimensional speckle-tracking echocardiography (2DSTE) opened new exciting opportunities in RV imaging. 3DE has proven accurate in measuring RV volumes and ejection fraction when compared with CMR while 2DSTE plays a critical role in measuring RV myocardial deformation, which is a powerful predictor of patients' functional capacity and survival. Cardiac computed tomography provides an accurate and reproducible assessment of the RV volumes and can be considered a reliable alternative for patients who are not suitable for either echocardiography or CMR. The purpose of this review is to summarize currently available data on the role of the different noninvasive cardiac imaging modalities in assessment of RV size, function and mechanics, with an emphasis on the benefits of novel imaging techniques and on how the latter can be applied in the various clinical settings. Highlights: Dimensions and function of the right ventricle are important predictors of cardiovascular morbidity and mortality. Specific anatomical and functional features of the right ventricle present challenges for its non-invasive assessment. Knowledge of advantages and limitations of modern imaging modalities helps to obtain accurate diagnostic information. Multimodality assessment of the right ventricle may compensate for the limitations of individual techniques.