Department of Cardiovascular Diseases, University of Siena, Siena, Italy.
Curr Heart Fail Rep. 2020 Apr;17(2):28-33. doi: 10.1007/s11897-020-00455-1.
This review attempts to summarize the role of standard and advanced echocardiographic techniques together with CMR in the evaluation of the RV in HF, providing an outlook on the recent evidence.
In the last decade, there has been growing interest in the study of the RV, and it is now widely established that RV function is a strong predictor of mortality, in several cardiovascular diseases, in particular in the setting of heart failure (HF). The evaluation of RV function might be particularly challenging, which justifies the necessity of multi-modality imaging. The echocardiographic assessment remains the mainstay technique even though it might be complex, due to RV crescent shape and its position in the chest, requiring both qualitative and quantitative parameters. Cardiac magnetic resonance (CMR) represents a complementary exam which is particularly useful when precise structural and functional assessment are needed, considering the most recently developed sequences. Despite the technological improvement attested over the last years, there is still no universally accepted parameter that univocally defines RV function, hence the necessity to evaluate several parameters, combining different imaging techniques.
本综述试图总结标准和先进的超声心动图技术与 CMR 在 HF 中 RV 评估中的作用，展望近期证据。
在过去十年中，人们对 RV 的研究兴趣日益浓厚，现在已经广泛确立 RV 功能是多种心血管疾病（尤其是心力衰竭 (HF) ）患者死亡率的有力预测因素。RV 功能的评估可能特别具有挑战性，这证明了多模态成像的必要性。即使由于 RV 新月形形状及其在胸部的位置，需要定性和定量参数，超声心动图评估仍然是主要的基础技术。心脏磁共振 (CMR) 是一种补充检查，当需要精确的结构和功能评估时，特别是当使用最近开发的序列时，CMR 特别有用。尽管近年来技术有所改进，但仍没有一个普遍接受的参数可以明确定义 RV 功能，因此需要评估几个参数，结合不同的成像技术。
