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Hipertrofia del Ventrículo Derecho: Fisiopatología, Imagen Multimodal e Implicaciones Clínicas

Gizem Demir1, Özge Özden Kayhan2, Rengin Çetin Güvenç3

  • 1From the Department of Cardiology, Medical Park Hospitals Group, Medical Park Göztepe Hospital, Istanbul, Turkey.

Cardiology in review
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Resumen

La hipertrofia del ventrículo derecho (VD) es una respuesta clave al aumento de la poscarga. Las imágenes ayudan a diferenciar la hipertrofia adaptativa de la desadaptativa del VD, crucial para evaluar la hipertensión pulmonar y guiar la terapia.

Palabras clave:
ecocardiografíahipertrofiaresonancia magnéticahipertensión pulmonarventrículo derecho

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Área de la Ciencia:

  • Cardiología
  • Imagen Cardiovascular
  • Fisiopatología

Sus antecedentes:

  • La hipertrofia del ventrículo derecho (VD) es la adaptación principal al aumento de la poscarga.
  • Esta respuesta puede ser adaptativa, manteniendo la función del VD, o desadaptativa, lo que lleva a la insuficiencia del VD.
  • La lesión miocárdica y la isquemia a menudo promueven la hipertrofia desadaptativa del VD.

Objetivo del estudio:

  • Revisar la fisiopatología de la hipertrofia del VD.
  • Analizar el papel de la imagen cardiovascular en la evaluación de la hipertrofia del VD.
  • Destacar la utilidad clínica de la evaluación de la hipertrofia del VD.

Principales métodos:

  • Revisión narrativa de la literatura existente.
  • Enfoque en la imagen cardiovascular multimodal, especialmente la resonancia magnética cardíaca (RMC).
  • Caracterización de la masa, el volumen y la función del VD mediante modalidades de imagen.

Principales resultados:

  • La imagen multimodal distingue la hipertrofia adaptativa de la desadaptativa del VD.
  • La RMC proporciona cuantificación y caracterización tisular de referencia.
  • La evaluación de la hipertrofia del VD ayuda en el cribado de la hipertensión pulmonar y la estratificación del riesgo.

Conclusiones:

  • La evaluación de la hipertrofia del VD es fundamental para el manejo clínico.
  • La imagen juega un papel vital en la diferenciación de los estados de adaptación del VD.
  • La evaluación de la hipertrofia del VD puede guiar las estrategias terapéuticas y la estratificación del riesgo.