Echocardiography and Heart Failure: A Glimpse of the Right Heart

The catastrophic consequences for patients in the settings of certain clinical conditions such as acute right ventricular infarction or massive pulmonary embolism with right heart failure illustrate the essential role that the right ventricle plays in sustaining life. With the development of more sophisticated diagnostic imaging technologies at the end of the last century and the dawn of this century, the importance of the right ventricle has been clearly demonstrated. The continued and evolving nature of our understanding of the right ventricle was emphasized in 2006, when the National Heart, Blood, and Lung Institute formed a working group focused on developing a better understanding of the right ventricle in both healthy and disease states. The objective of this review paper is to examine the right ventricle structure and function and describe the role of echocardiography in the evaluation of the right ventricle and right heart failure. Special focus will be on echocardiographic images and major society guidelines.

[1]  V. Davutoglu,et al.  Where is the right ventricle? , 2014, BMJ Case Reports.

[2]  M. Drazner,et al.  2013 ACCF/AHA guideline for the management of heart failure: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. , 2013, Journal of the American College of Cardiology.

[3]  S. Ghio,et al.  Prognostic relevance of a non‐invasive evaluation of right ventricular function and pulmonary artery pressure in patients with chronic heart failure , 2013, European journal of heart failure.

[4]  Juerg Schwitter,et al.  Corrigendum to: ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure 2012’[Eur Heart J 2012;33:1787–1847, doi:10.1093/eurheartj/ehs104 , 2013 .

[5]  M. Crawford.  Cardiovascular disease in pregnancy. Foreword. , 2012, Cardiology clinics.

[6]  L. A. Bonet,et al.  ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure 2012 , 2012, Turk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidir.

[7]  T. Marwick,et al.  Echocardiographic assessment of right ventricular function: how to account for tricuspid regurgitation and pulmonary hypertension. , 2012, JACC. Cardiovascular imaging.

[8]  L. Dell’Italia.  Anatomy and physiology of the right ventricle. , 2012, Cardiology clinics.

[9]  J. Goldstein,et al.  Faces of right ventricular failure. , 2012, Cardiology clinics.

[10]  M. Crawford.  The right ventricle. Foreword. , 2012, Cardiology clinics.

[11]  James O. Mudd,et al.  Tricuspid Annular Plane Systolic Excursion Is a Robust Outcome Measure in Systemic Sclerosis-associated Pulmonary Arterial Hypertension , 2011, The Journal of Rheumatology.

[12]  V. Ferrari,et al.  Shape of the right ventricular Doppler envelope predicts hemodynamics and right heart function in pulmonary hypertension. , 2011, American journal of respiratory and critical care medicine.

[13]  K. Williams,et al.  Relation Between Right Ventricular Function and Increased Right Ventricular [18F]Fluorodeoxyglucose Accumulation in Patients With Heart Failure , 2011, Circulation. Cardiovascular imaging.

[14]  J. Voigt,et al.  Right ventricular function by strain echocardiography , 2010, Current opinion in cardiology.

[15]  J. Cleland,et al.  Determinants and prognostic value of pulmonary arterial pressure in patients with chronic heart failure. , 2010, European heart journal.

[16]  M. Friedberg,et al.  Imaging the right ventricle—current state of the art , 2010, Nature Reviews Cardiology.

[17]  E. Kazerooni,et al.  Cardiovascular MR imaging of conotruncal anomalies. , 2010, Radiographics : a review publication of the Radiological Society of North America, Inc.

[18]  S. Ghio,et al.  Prognostic relevance of the echocardiographic assessment of right ventricular function in patients with idiopathic pulmonary arterial hypertension. , 2010, International journal of cardiology.

[19]  G. Filippatos,et al.  Effects of Right Ventricular Ejection Fraction on Outcomes in Chronic Systolic Heart Failure , 2010, Circulation.

[20]  P. Hassoun,et al.  Comprehensive invasive and noninvasive approach to the right ventricle-pulmonary circulation unit: state of the art and clinical and research implications. , 2009, Circulation.

[21]  C. Schneider,et al.  ESC guidelines for the diagnosis and treatment of acute and chronic heart failure 2008: application of natriuretic peptides. , 2008, European heart journal.

[22]  F. Sheehan,et al.  The right ventricle: anatomy, physiology and clinical imaging , 2008, Heart.

[23]  H. Calkins,et al.  Role of cardiovascular magnetic resonance imaging in arrhythmogenic right ventricular dysplasia , 2008, Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance.

[24]  P. Beerbaum,et al.  Imaging the right ventricle , 2008, Heart.

[25]  R. Günther,et al.  Assessment of global right ventricular function on 64-MDCT compared with MRI. , 2008, AJR. American journal of roentgenology.

[26]  M. Torosoff,et al.  Myocardial Performance Index Correlates with Right Ventricular Ejection Fraction Measured by Nuclear Ventriculography , 2008, Echocardiography.

[27]  N. Prakken,et al.  Echocardiographic assessment of regional right ventricular function: a head-to-head comparison between 2-dimensional and tissue Doppler-derived strain analysis. , 2008, Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography.

[28]  S. Solomon,et al.  Usefulness of right ventricular fractional area change to predict death, heart failure, and stroke following myocardial infarction (from the VALIANT ECHO Study). , 2008, The American journal of cardiology.

[29]  Paul Heidenreich,et al.  ACCF/ASE/ACEP/ASNC/SCAI/SCCT/SCMR 2007 appropriateness criteria for transthoracic and transesophageal echocardiography: a report of the American College of Cardiology Foundation Quality Strategic Directions Committee Appropriateness Criteria Working Group, American Society of Echocardiography, Ameri , 2007, Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography.

[30]  David Gerson,et al.  Two‐Dimensional Assessment of Right Ventricular Function: An Echocardiographic–MRI Correlative Study , 2007, Echocardiography.

[31]  T. Abraham,et al.  Tricuspid annular displacement predicts survival in pulmonary hypertension. , 2006, American journal of respiratory and critical care medicine.

[32]  Richard B Devereux,et al.  Recommendations for chamber quantification: a report from the American Society of Echocardiography's Guidelines and Standards Committee and the Chamber Quantification Writing Group, developed in conjunction with the European Association of Echocardiography, a branch of the European Society of Cardio , 2005, Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography.

[33]  M. Henein,et al.  Regional and Global Right Ventricular Function in Healthy Individuals Aged 20–90 Years: A Pulsed Doppler Tissue Imaging Study 
Umeå General Population Heart Study , 2005, Echocardiography.

[34]  U. Schoepf,et al.  Right Ventricular Enlargement on Chest Computed Tomography: A Predictor of Early Death in Acute Pulmonary Embolism , 2004, Circulation.

[35]  I. Belenkie,et al.  Opening the pericardium during pulmonary artery constriction improves cardiac function. , 2004, Journal of applied physiology.

[36]  E. C. Lima-Filho,et al.  Assessment of right ventricular function with Doppler echocardiographic indices derived from tricuspid annular motion: comparison with radionuclide angiography , 2002, Heart.

[37]  J. Sandoval,et al.  Right ventricular ischemia in patients with primary pulmonary hypertension. , 2001, Journal of the American College of Cardiology.

[38]  J Meluzín,et al.  Pulsed Doppler tissue imaging of the velocity of tricuspid annular systolic motion; a new, rapid, and non-invasive method of evaluating right ventricular systolic function. , 2001, European heart journal.

[39]  L. Tavazzi,et al.  Prognostic usefulness of the tricuspid annular plane systolic excursion in patients with congestive heart failure secondary to idiopathic or ischemic dilated cardiomyopathy. , 2000, The American journal of cardiology.

[40]  A J Tajik,et al.  Doppler echocardiographic index for assessment of global right ventricular function. , 1996, Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography.

[41]  I. Belenkie,et al.  Ventricular interaction during experimental acute pulmonary embolism. , 1988, Circulation.

[42]  R. Walsh,et al.  Right ventricular diastolic pressure-volume relations and regional dimensions during acute alterations in loading conditions. , 1988, Circulation.

[43]  J. Covell,et al.  Factors influencing late right ventricular ejection. , 1988, Cardiovascular research.

[44]  M. Feneley,et al.  Contribution of left ventricular contraction to the generation of right ventricular systolic pressure in the human heart. , 1985, Circulation.

[45]  A. Weyman,et al.  Interventricular septal configuration as a predictor of right ventricular systolic hypertension in children: a cross-sectional echocardiographic study. , 1983, Circulation.

[46]  T. Takishima,et al.  Mechanical Interactions between Four Heart Chambers with and without the Pericardium in Canine Hearts , 1982, Circulation research.

[47]  C. Bloor,et al.  Myocardial Morphometric Characteristics in Swine , 1981, Circulation research.

[48]  G. D. Meier,et al.  Contractile function in canine right ventricle. , 1980, The American journal of physiology.

[49]  F. Jardin,et al.  Hemodynamic Factors Influencing Arterial Hypoxemia in Massive Pulmonary Embolism with Circulatory Failure , 1979, Circulation.

[50]  G. D. Meier,et al.  Left ventricular effects on right ventricular developed pressure. , 1976, Journal of applied physiology.

[51]  J. Gault,et al.  Angiographic Estimation of Right Ventricular Volume in Man , 1974, Circulation.

[52]  E. Sonnenblick,et al.  Influence of Right Ventricular Filling Pressure on Left Ventricular Pressure and Dimension , 1974, Circulation research.

[53]  W. C. Randall,et al.  Influence of Sympathetic Nerve Stimulation on Right Ventricular Outflow‐Tract Pressures in Anesthetized Dogs , 1969, Circulation research.

[54]  M P SPENCER,et al.  Dynamics of Ventricular Ejection , 1962, Circulation research.

[55]  J. Kirklin,et al.  Atrial Septal Defect , 1955, The Surgical clinics of North America.

[56]  H. Essex,et al.  Pressure studies after inactivation of the major portion of the canine right ventricle. , 1953, The American journal of physiology.

[57]  I. Starr,et al.  The absence of conspicuous increments of venous pressure after severe damage to the right ventricle of the dog, with a discussion of the relation between clinical congestive failure and heart disease , 1943 .

[58]  A. Keith.  Schorstein Lecture ON THE FATE OF THE BULBUS CORDIS IN THE HUMAN HEART.: Given at the London Hospital Medical College on Dec. 17th, 1924, , 1924 .

[59]  J. Afilalo,et al.  Guidelines for the Echocardiographic Assessment of the Right Heart in Adults: A Report from the American Society of Echocardiography , 2014 .

[60]  J. Cleland,et al.  IVC diameter in patients with chronic heart failure: relationships and prognostic significance. , 2013, JACC. Cardiovascular imaging.

[61]  Biykem Bozkurt,et al.  2013 ACCF/AHA guideline for the management of heart failure: a report of the American College of Cardiology Foundation/American Heart Association Task Force on practice guidelines. , 2013, Circulation.

[62]  S. Ge,et al.  Accuracy and reproducibility of real-time three-dimensional echocardiography for assessment of right ventricular volumes and ejection fraction in children. , 2008, Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography.

[63]  J. Alpert,et al.  ACCF/ASE/ACEP/ASNC/SCAI/SCCT/SCMR 2007 appropriateness criteria for transthoracic and transesophageal echocardiography: a report of the American College of Cardiology Foundation Quality Strategic Directions Committee Appropriateness Criteria Working Group, American Society of Echocardiography, Ameri , 2007, Journal of the American College of Cardiology.

[64]  H. Katsume,et al.  Echocardiographic Measurement of Right Ventricular Wall Thickness A New Application of Subxiphoid Echocardiography , 2005 .

[65]  W P Santamore,et al.  Ventricular interdependence: significant left ventricular contributions to right ventricular systolic function. , 1998, Progress in cardiovascular diseases.

[66]  D. Pennington,et al.  The importance of biventricular failure in patients with postoperative cardiogenic shock. , 1985, The Annals of thoracic surgery.

[67]  N. Ratliff,et al.  Collateral vessel development after right ventricular infarction in the pig. , 1972, The American journal of cardiology.