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Current Cardiology Reports

Erschienen in:

02.12.2023 | Echocardiography (JM Gardin and AH Waller, Section Editors)

The Echocardiographic Evaluation of the Right Heart: Current and Future Advances

verfasst von: Christian O’Donnell, Pablo Amador Sanchez, Bettia Celestin, Michael V. McConnell, Francois Haddad

Erschienen in: Current Cardiology Reports | Ausgabe 12/2023

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Abstract

Purpose of Review

To discuss physiologic and methodologic advances in the echocardiographic assessment of right heart (RH) function, including the emergence of artificial intelligence (AI) and point-of-care ultrasound.

Recent Findings

Recent studies have highlighted the prognostic value of right ventricular (RV) longitudinal strain, RV end-systolic dimensions, and right atrial (RA) size and function in pulmonary hypertension and heart failure. While RA pressure is a central marker of right heart diastolic function, the recent emphasis on venous excess imaging (VExUS) has provided granularity to the systemic consequences of RH failure. Several methodological advances are also changing the landscape of RH imaging including post-processing 3D software to delineate the non-longitudinal (radial, anteroposterior, and circumferential) components of RV function, as well as AI segmentation- and non-segmentation-based quantification. Together with recent guidelines and advances in AI technology, the field is shifting from specific RV functional metrics to integrated RH disease–specific phenotypes.

Summary

A modern echocardiographic evaluation of RH function should focus on the entire cardiopulmonary venous unit—from the venous to the pulmonary arterial system. Together, a multi-parametric approach, guided by physiology and AI algorithms, will help define novel integrated RH profiles for improved disease detection and monitoring.

Graphical Abstract:

Advances in right heart echocardiography will incorporate a physiologic, multi-parametric approach that is augmented by deep learning to develop integrated right heart phenotypes. Ao Aorta, LV left ventricle, RA right atria, RV right ventricle, PA pulmonary artery

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Titel: The Echocardiographic Evaluation of the Right Heart: Current and Future Advances
verfasst von: Christian O’Donnell
Pablo Amador Sanchez
Bettia Celestin
Michael V. McConnell
Francois Haddad
Publikationsdatum: 02.12.2023
Verlag: Springer US
Erschienen in: Current Cardiology Reports / Ausgabe 12/2023
Print ISSN: 1523-3782
Elektronische ISSN: 1534-3170
DOI: https://doi.org/10.1007/s11886-023-02001-6

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The Echocardiographic Evaluation of the Right Heart: Current and Future Advances

Abstract

Purpose of Review

Recent Findings

Summary

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