Assessment of Right Ventricular Function-a State of the Art

Curr Heart Fail Rep. 2023 Jun;20(3):194-207. doi: 10.1007/s11897-023-00600-6. Epub 2023 Jun 5.

Abstract

Purpose of review: The right ventricle (RV) has a complex geometry and physiology which is distinct from the left. RV dysfunction and failure can be the aftermath of volume- and/or pressure-loading conditions, as well as myocardial and pericardial diseases.

Recent findings: Echocardiography, magnetic resonance imaging and right heart catheterisation can assess RV function by using several qualitative and quantitative parameters. In pulmonary hypertension (PH) in particular, RV function can be impaired and is related to survival. An accurate assessment of RV function is crucial for the early diagnosis and management of these patients. This review focuses on the different modalities and indices used for the evaluation of RV function with an emphasis on PH.

Keywords: Pulmonary hypertension; Right heart catheterisation; Right ventricular ejection fraction; Right ventricular function; Right ventricular-pulmonary arterial coupling.

Publication types

  • Review

MeSH terms

  • Echocardiography / methods
  • Heart Failure*
  • Heart Ventricles / diagnostic imaging
  • Humans
  • Hypertension, Pulmonary* / diagnosis
  • Ventricular Dysfunction, Right* / diagnostic imaging
  • Ventricular Function, Right / physiology