DiLorenzo Michael P, Bhatt Shivani M, Mercer-Rosa Laura
Division of Cardiology,The Children's Hospital of Philadelphia,Philadelphia,Pennsylvania,United States of America.
Cardiol Young. 2015 Dec;25(8):1473-81. doi: 10.1017/S1047951115002255.
Right ventricular function is a crucial determinant of long-term outcomes of children with heart disease. Quantification of right ventricular systolic and diastolic performance by echocardiography is of paramount importance, given the prevalence of children with heart disease, particularly those with involvement of the right heart, such as single or systemic right ventricles, tetralogy of Fallot, and pulmonary arterial hypertension. Identification of poor right ventricular performance can provide an opportunity to intervene. In this review, we will go through the different systolic and diastolic indices, as well as their application in practice. Quantification of right ventricular function is possible and should be routinely performed using a combination of different measures, taking into account each disease state. Quantification is extremely useful for individual patient follow-up. Laboratories should continue to strive to optimise reproducibility through quality improvement and quality assurance efforts in addition to investing in technology and training for new, promising techniques, such as three-dimensional echocardiography.
右心室功能是心脏病患儿长期预后的关键决定因素。鉴于患有心脏病的儿童数量众多，尤其是那些右心受累的儿童，如单心室或系统性右心室、法洛四联症和肺动脉高压，通过超声心动图对右心室收缩和舒张功能进行量化至关重要。识别右心室功能不佳可为干预提供机会。在本综述中，我们将探讨不同的收缩和舒张指标及其在实践中的应用。右心室功能的量化是可行的，应结合不同测量方法并考虑每种疾病状态进行常规测量。量化对于个体患者的随访极为有用。实验室除了投资于技术和培训新的、有前景的技术（如三维超声心动图）外，还应继续通过质量改进和质量保证努力，致力于优化可重复性。
