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Morphological and Functional Assessment of the Right Ventricle Using 3D Echocardiography
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The right ventricle in "Left-sided" cardiomyopathies: The dark side of the moon

Luna Cavigli1, Marta Focardi1, Matteo Cameli1

  • 1Department of Medical Biotechnologies, Division of Cardiology, University of Siena, Viale M. Bracci, 16, 53100 Siena, Italy.

Trends in Cardiovascular Medicine
|October 16, 2020
PubMed

Insights

The right ventricle (RV), once overlooked, is crucial in diagnosing and predicting outcomes for left-sided cardiomyopathies. Advanced imaging now reveals its vital role in heart health and patient prognosis.

Area of Science:

  • Cardiology
  • Cardiac Imaging
  • Cardiomyopathy Research

Background:

  • The right ventricle (RV) has historically been neglected compared to the left ventricle (LV).
  • Advances in non-invasive imaging, including myocardial deformation and cardiovascular magnetic resonance (CMR), have improved understanding of RV anatomy and function.
  • The RV's role in cardiovascular disease, particularly its interdependence with the LV, is increasingly recognized.

Purpose of the Study:

  • To review the diagnostic and prognostic value of the right heart in left-sided cardiomyopathies.
  • To highlight the importance of assessing RV size and function using multimodality imaging.
  • To emphasize the RV's contribution to understanding disease progression and patient outcomes.

Main Methods:

  • Review of current evidence on right heart assessment in left-sided cardiomyopathies.
  • Focus on multimodality imaging techniques (e.g., CMR, deformation imaging).
  • Analysis of diagnostic and prognostic implications of RV size and function.

Main Results:

  • RV dysfunction significantly impacts functional performance and outcomes in cardiomyopathies.
  • RV assessment provides critical information for diagnosis and prognosis in left-sided heart conditions.
  • Interdependence between RV and LV is a key factor in overall cardiac health.

Conclusions:

  • The right ventricle is essential for comprehensive cardiac evaluation, especially in cardiomyopathies.
  • Multimodality imaging of the RV is vital for accurate diagnosis and prognosis.
  • Understanding RV function is key to managing patients with left-sided cardiomyopathies.

Keywords:
Arrhythmogenic cardiomyopathyDilated cardiomyopathyHypertrophic cardiomyopathyRight ventricleSarcoidosis

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