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Related Concept Videos

Heart Failure IV: Classification and Diagnostic Evaluation01:30

Heart Failure IV: Classification and Diagnostic Evaluation

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Heart failure can be classified in various ways, with the most common classifications based on physical activity limitations, disease progression, severity, and treatment strategies.The Functional Classification of Heart Failure divides patients into four categories based on physical activity limitation due to symptom burden.Class I: Patients in this class have cardiac disease but no physical activity limitations. Ordinary activities like walking, climbing stairs, or routine tasks do not cause...
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Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies01:22

Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies

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The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
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Mitral Regurgitation I: Introduction01:20

Mitral Regurgitation I: Introduction

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Mitral regurgitation is characterized by the backward circulation of blood from the left ventricle to the left atrium during systole, a phase of the cardiac cycle when the heart contracts and pumps blood out of the chambers. This abnormal flow occurs primarily due to the dysfunction of the mitral valve or its supporting structures, which include the mitral leaflets, chordae tendineae, annulus, and papillary muscles.Etiology and Mechanisms:Primary Mitral Regurgitation: This type arises from...
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Dysrhythmias V: Evaluating Dysrhythmias01:30

Dysrhythmias V: Evaluating Dysrhythmias

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Dysrhythmias, also known as arrhythmias, are disturbances in the heart's rhythm that range from benign to life-threatening. A thorough evaluation is crucial for appropriate management and involves a comprehensive medical history, physical examination, and various diagnostic tests.Medical HistorySymptoms: Collect detailed information on palpitations, dizziness, syncope, chest pain, and fatigue. Note their onset, frequency, and triggers.Previous Cardiac Issues: Document any history of heart...
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Acute Coronary Syndrome III: Diagnostic Studies01:30

Acute Coronary Syndrome III: Diagnostic Studies

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Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
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Assessment of the Cardiovascular System IV: Auscultation01:25

Assessment of the Cardiovascular System IV: Auscultation

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Cardiac auscultation is a clinical skill used to assess heart function and detect abnormalities. It involves listening to heart sounds at specific anatomical locations through a stethoscope.
Normal Heart Sounds
S1 (First Heart Sound)-
S1 is made by the closure of the mitral and tricuspid valves (atrioventricular valves), marking the beginning of systole.
S2 (Second Heart Sound)-
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Related Experiment Video

Updated: Dec 31, 2025

Morphological and Functional Assessment of the Right Ventricle Using 3D Echocardiography
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Systematic Evaluation of Systemic Right Ventricular Function.

Matthias Schneider1, Matthias Beichl2, Christian Nietsche1

  • 1Department of Internal Medicine II, cardiology, Medical University of Vienna, 1090 Vienna, Austria.

Journal of Clinical Medicine
|January 8, 2020
PubMed
Summary
This summary is machine-generated.

Assessing systemic right ventricle (sysRV) function requires evaluating volumetric and longitudinal parameters, alongside NT-proBNP levels. Echocardiography, particularly 3D, aids in measuring sysRV volumes and ejection fraction (EF) when image quality is good.

Keywords:
3D-EchocardiographyMustardSenningTGAatrial switchccTGAsystemic right ventricle

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Area of Science:

  • Cardiology
  • Medical Imaging
  • Congenital Heart Disease

Background:

  • The right ventricle (RV) functions as the systemic ventricle (sysRV) in patients with congenitally corrected transposition of the great arteries (ccTGA) or surgically repaired transposition of the great arteries (TGA).
  • SysRV is prone to late complications including heart failure, atrioventricular (AV) valve regurgitation, and ventricular arrhythmias.
  • Investigating echocardiographic parameters for sysRV function is crucial for managing these patients.

Purpose of the Study:

  • To evaluate the diagnostic value of 2D and 3D echocardiographic parameters in assessing systemic right ventricle (sysRV) function.
  • To correlate echocardiographic findings with cardiac magnetic resonance imaging (CMR) and NT-proBNP levels.

Main Methods:

  • Prospective enrollment of adult patients with sysRV at an adult congenital heart disease clinic.
  • Comprehensive transthoracic echocardiography (including 3D), CMR, cardiopulmonary exercise testing, and NT-proBNP analysis were performed.
  • 27 patients (18 TGA, 9 ccTGA) were included, with a median age of 37 years.

Main Results:

  • 2D and 3D echocardiographic volumetric parameters correlated well with CMR data, but longitudinal function parameters did not.
  • NT-proBNP levels showed correlation with tricuspid annular plane systolic excursion (TAPSE) and CMR ejection fraction (EF).
  • Sufficient 3D echocardiography datasets were obtained in 78% of patients.

Conclusions:

  • Comprehensive sysRV evaluation should integrate volumetric and longitudinal function parameters, plus NT-proBNP measurements.
  • 3D echocardiography is a valuable tool for assessing sysRV volumes and EF in patients with adequate image quality.
  • Systematic assessment is key for managing potential complications in sysRV patients.