Beruflich Dokumente
Kultur Dokumente
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Right Ventricle
Neglected
compared to LV.
Primary diseases of
RV are uncommon.
RV dysfunction is
present in many
conditions.
RV dysfunction can
have incremental
prognostic value.
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Pressure overload
RV ischemia or infarction
LV failure
Cardiomyopathies ARVC,
dilated, hypertrophic, infiltrative
RV dysplasia
Pulmonary veno-occlusive
disease
Pulmonary artery hypertension
Volume overload
Atrial septal defect
Anomalous pulmonary venous
return
Pulmonary regurgitation
Tricuspid regurgitation
Limitation to RV filling
Tricuspid stenosis
Tamponade
Pericardial constriction
RV Assessment by Echo
Guidelines for the echocardiographic
assessment of the right heart in
adults: a report of the American
Society of Echocardiography.
JASE, 2010.
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RV Assessment by Echo
Complex geometry
with distinct inlet and
outlet portions.
Thin wall with heavy
trabeculations.
Not suited for simple
geometric models.
Any single linear
measurement may be
misleading.
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Imaging Views
Specific Measurements
Parasternal long-axis
RV inflow view
RV outflow view
LV eccentricity index
Subcostal view
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FAC=55%
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TAPSE=33mm
TAPSE=
TAPSE=
S=16.9cm/s
RV index of myocardial
performance
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RV longitudinal stain
3D RV volumes and EF
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> 4.2
> 25
> 0.5
> 2.7
> 3.3
Systolic function
TAPSE, cm
Annular S cm/s
Pulsed Doppler RIMP
Tissue Doppler RIMP
FAC, %
< 16
< 10
> 0.40
>0.55
< 35
Modified from Rudski, JASE 2010
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RV size
Visual
Visual + measurements
87%
98%
38%
78%
0.40
0.77
80%
92%
52%
84%
0.43
0.66
RV function
Visual
Visual + measurements
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Kurtz, 2012
Kurtz, 2012
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IVC=3.2cm
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Quantitative RV Measurements
Ref Value
RV Dimension
RVED area (cm2)
Basal diameter (cm)
Wall thickness (cm)
39.7
5.2
0.36
<25
<4.2
<0.5
RV function
TAPSE (cm)
Annular S (cm/s)
RIMP
FAC
1.5
7.7
0.96
25
>16
>10
<0.55
>35
Hemodynamics
SPAP (mmHg)
PVR (WU)
21
1.78
<35
<2.0
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Echo Assessment of RV
Beware of RV dysfunction.
Exploit RV focused views.
Incorporate RV quantitative measures.
Ease of use measures include TAPSE, S,
RVEDD and FAC.
SPAP does not equate PVR.
3D RV volumes and EF appear promising.
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