Veterans Affairs Medical Center and the University of Colorado, Denver, CO, USA.
Curr Cardiol Rep. 2011 Jun;13(3):194-202. doi: 10.1007/s11886-011-0174-5.
Right ventricular (RV) function is a powerful prognostic factor in congestive heart failure and pulmonary hypertension, but assessing RV function is a challenge because of the right ventricle's complex geometry, its extreme sensitivity to loading conditions, and a limited understanding of underlying mechanisms of right heart failure. At present, a single widely accepted and generally applicable index of RV function is not available. Current approaches to assessment of RV function include physical examination, catheterization, conventional contrast and radionuclide angiography, nuclear perfusion scintigraphy, cardiac CT, MRI, echocardiography, and positron emission tomography. This review will discuss assessment of RV function in the context of RV physiology.
右心室（RV）功能是充血性心力衰竭和肺动脉高压的一个强有力的预后因素，但由于右心室的复杂几何形状、对负荷条件的极端敏感性以及对右心衰竭潜在机制的有限理解，评估 RV 功能具有挑战性。目前，还没有一个被广泛接受和普遍适用的 RV 功能单一指数。目前评估 RV 功能的方法包括体格检查、心导管检查、常规对比和放射性核素血管造影、核灌注闪烁照相、心脏 CT、MRI、超声心动图和正电子发射断层扫描。本综述将结合 RV 生理学讨论 RV 功能的评估。
