The dysfunctional right ventricle: the importance of multi-modality imaging

Author:

Surkova Elena1ORCID,Cosyns Bernard2ORCID,Gerber Bernhard3,Gimelli Alessia4ORCID,La Gerche Andre5ORCID,Ajmone Marsan Nina6ORCID

Affiliation:

1. Cardiac Division, Department of Echocardiography, Royal Brompton Hospital, Part of Guy’s and St Thomas’ NHS Foundation Trust , London , UK

2. Department of Cardiology, Brussels University Hospital , Brussels , Belgium

3. Division of Cardiology, Department of Cardiovascular Diseases, Cliniques Universitaires St. Luc, Pôle de Recherche Cardiovasculaire (CARD), Institut de Recherche Expérimentale et Clinique (IREC), Université Catholique de Louvain , Av Hippocrate, 10/2806 Brussels , Belgium

4. Fondazione Toscana Gabriele Monasterio , Via Moruzzi, 1, Pisa 56124 , Italy

5. Clinical Research Domain, Baker Heart and Diabetes Institute , Melbourne , Australia

6. Department of Cardiology, Leiden University Medical Centre , Abinusdreef 2, 2300RC Leiden , The Netherlands

Abstract

Abstract Assessment of right ventricular (RV) function is crucial for the evaluation of the dyspnoeic patient and/or with systemic venous congestion and provides powerful prognostic insights. It can be performed using different imaging modalities including standard and advanced echocardiographic techniques, cardiac magnetic resonance imaging, computed tomography, and radionuclide techniques, which should be used in a complementary fashion. Each modality has strengths and weaknesses based on which the choice of their use and in which combination may vary according to the different clinical scenarios as will be detailed in this review. The conclusions from multiple studies using different imaging techniques are concordant: RV function can be reliably assessed and is a critical predictor of clinical outcomes.

Publisher

Oxford University Press (OUP)

Subject

Cardiology and Cardiovascular Medicine,Radiology, Nuclear Medicine and imaging,General Medicine

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