Related Experiment Video
Updated: Mar 31, 2026

Evaluation of Right Ventricular Function in Experimental Models of Pulmonary Arterial Hypertension
Published on: June 27, 2025
Impact of pulmonary fibrosis and elevated pulmonary pressures on right ventricular function in patients with systemic
Kai Hang Yiu1, Maarten K Ninaber2, Lucia J Kroft3
1Department of Cardiology, Leiden University Medical Center, Leiden, The Netherlands, Cardiology Division, Department of Medicine, Queen Mary Hospital, University of Hong Kong, Hong Kong, Interuniversity Cardiology Institute of the Netherlands, Utrecht.
Objectives:
Right ventricular (RV) dysfunction is of great prognostic value in patients with SSc. The aim of the present study was to assess in these patients the relationship between pulmonary fibrosis and elevated pulmonary pressure (PHT) with RV function.
Methods:
A total of 102 SSc patients who underwent thoracic CT and transthoracic echocardiography were included. Speckle tracking-derived RV free wall strain was used to assess RV function.
Results:
A total of 51 (50%) SSc patients did not have pulmonary fibrosis or PHT, 32 (31%) patients had pulmonary fibrosis but no PHT and the remaining 19 (19%) patients had both pulmonary fibrosis and PHT. Patients with both pulmonary fibrosis and PHT had the most impaired RV free wall strain [-16.8% (s.d. 3.1)] compared with patients with pulmonary fibrosis and no PHT [-21.5% (s.d. 3.6)] and patients with no pulmonary fibrosis and no PHT [-24.0% (s.d. 4.4)]. All three SSc groups showed impaired RV free wall strain compared with controls [-28.0% (s.d. 4.2)]. Importantly, multivariate regression analysis demonstrated that pulmonary fibrosis and left ventricular ejection fraction were independently associated with impaired RV free wall strain in SSc patients.
Conclusion:
SSc patients show impaired RV function compared with controls. Both pulmonary fibrosis and PHT are independently associated with RV dysfunction.
Related Concept Videos
Rheumatic Heart Disease I: Introduction
Mitral Stenosis I: Introduction
Cardiomyopathy IV: Restrictive Cardiomyopathy
Pulmonary Hypertension: Classification and Pathogenesis
There are various classifications for PH, each relating to different underlying causes and also...
Mitral Regurgitation I: Introduction
Heart Failure II: Pathophysiology

