open access

Vol 24, No 5 (2017)
Review articles — Clinical cardiology
Published online: 2017-04-27
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Echocardiographic evaluation of right ventricular systolic function: The traditional and innovative approach

Dorota Smolarek, Marcin Gruchała, Wojciech Sobiczewski
DOI: 10.5603/CJ.a2017.0051
·
Pubmed: 28497844
·
Cardiol J 2017;24(5):563-572.

open access

Vol 24, No 5 (2017)
Review articles — Clinical cardiology
Published online: 2017-04-27

Abstract

Estimation of right ventricular (RV) performance still remains technically challenging due to its anatomical and functional distinctiveness. The current guidelines for the echocardiographic quantification of RV function recommend using multiple indices to describe the RV in a thorough and comprehensive manner, such as RV index of myocardial performance, tricuspid annular plane systolic excursion, fractional area change, Doppler tissue imaging-derived tricuspid lateral annular systolic velocity (S’-wave), three-dimensional RV ejection fraction (3D RVEF), RV longitudinal strain (RVLS)/strain rate by speckle- tracking echocardiography (STE). Among these, the last one mentioned here is an innovative and a particularly promising tool that yields more precise information about complex regional and global RV mechanics. STE was initially designed to evaluate left ventricular function, but recently it has been introduced to assess RV performance, which is difficult due to its unique structure and physiology. Many studies have shown that both free wall and 6-segment RVLS present a stronger correlation with the RVEF assessed by cardiac magnetic resonance than conventional parameters and seem to be more sensitive in detecting myocardial dysfunction at an earlier, subclinical stage  

Abstract

Estimation of right ventricular (RV) performance still remains technically challenging due to its anatomical and functional distinctiveness. The current guidelines for the echocardiographic quantification of RV function recommend using multiple indices to describe the RV in a thorough and comprehensive manner, such as RV index of myocardial performance, tricuspid annular plane systolic excursion, fractional area change, Doppler tissue imaging-derived tricuspid lateral annular systolic velocity (S’-wave), three-dimensional RV ejection fraction (3D RVEF), RV longitudinal strain (RVLS)/strain rate by speckle- tracking echocardiography (STE). Among these, the last one mentioned here is an innovative and a particularly promising tool that yields more precise information about complex regional and global RV mechanics. STE was initially designed to evaluate left ventricular function, but recently it has been introduced to assess RV performance, which is difficult due to its unique structure and physiology. Many studies have shown that both free wall and 6-segment RVLS present a stronger correlation with the RVEF assessed by cardiac magnetic resonance than conventional parameters and seem to be more sensitive in detecting myocardial dysfunction at an earlier, subclinical stage  

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Keywords

echocardiography, longitudinal strain, right ventricle, speckle tracking

About this article
Title

Echocardiographic evaluation of right ventricular systolic function: The traditional and innovative approach

Journal

Cardiology Journal

Issue

Vol 24, No 5 (2017)

Pages

563-572

Published online

2017-04-27

DOI

10.5603/CJ.a2017.0051

Pubmed

28497844

Bibliographic record

Cardiol J 2017;24(5):563-572.

Keywords

echocardiography
longitudinal strain
right ventricle
speckle tracking

Authors

Dorota Smolarek
Marcin Gruchała
Wojciech Sobiczewski

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