Department of Clinical and Experimental Medicine, Section of Cardiology, University of Messina, Azienda Ospedaliera Universitaria "Policlinico G. Martino" and Universita' degli Studi di Messina, Messina, Italy.
Aurora Cardiovascular Services, Aurora Sinai/Aurora St. Luke's Medical Centers, University of Wisconsin School of Medicine and Public Health, Milwaukee, Wisconsin.
J Am Soc Echocardiogr. 2017 Oct;30(10):937-946.e6. doi: 10.1016/j.echo.2017.06.016. Epub 2017 Aug 10.
Despite the already well-known role the right side of the heart plays in many diseases, right ventricular (RV) function has only recently been carefully considered. Echocardiography is the first-line diagnostic technique for the assessment of the right ventricle and right atrium, whereas cardiac magnetic resonance is considered the gold standard but is limited by cost and availability. According to the current guidelines, systolic RV function should be assessed by several conventional measurements, but the efficacy of these parameters as diagnostic and prognostic tools has been questioned by many authors. The development in recent years of myocardial deformation imaging techniques and their application to the right heart chambers has allowed deeper evaluation of the importance of RV function in the pathophysiology of a large number of cardiovascular conditions, but the real value of this new tool has not been completely clarified. The aim of this review is to provide a wide and careful analysis of findings available in the literature about the assessment of RV systolic function by strain measurements, comparing them with conventional parameters and evaluating their role in several clinical settings.
尽管人们早已熟知心脏右侧在许多疾病中的作用，但右心室（RV）功能直到最近才受到仔细关注。超声心动图是评估右心室和右心房的首选诊断技术，而心脏磁共振被认为是金标准，但受到成本和可用性的限制。根据目前的指南，应通过几种常规测量来评估收缩期 RV 功能，但许多作者对这些参数作为诊断和预后工具的有效性提出了质疑。近年来，心肌应变成像技术的发展及其在右心腔中的应用使得对 RV 功能在许多心血管疾病病理生理学中的重要性进行了更深入的评估，但该新工具的真正价值尚未完全阐明。本文旨在对文献中关于应变测量评估 RV 收缩功能的研究结果进行广泛而细致的分析，将其与传统参数进行比较，并评估其在几种临床情况下的作用。
