Bibliographic Details
| Title: |
Echocardiographic Evaluation of the Right Heart in Pulmonary Hypertension. |
| Authors: |
Kusner, Jonathan (AUTHOR), Krasuski, Richard A. (AUTHOR) Richard.krasuski@duke.edu |
| Source: |
Advances in Pulmonary Hypertension. 2023, Vol. 22 Issue 3, p122-129. 8p. |
| Subject Terms: |
*PULMONARY hypertension, *ECHOCARDIOGRAPHY, *DELAYED diagnosis, *RIGHT ventricular hypertrophy, *HEART, *BIOLOGY |
| Abstract: |
Pulmonary hypertension (PH) is characterized by increased right ventricular (RV) afterload, which is accommodated early by dramatic increases in RV contractility to maintain right ventriculoarterial coupling. Related to its tissue biology, characteristics of RV contractility differ from those of the left ventricle (LV). As the RV undergoes adaptation in PH, echocardiographic signs emerge which can help identify PH and can be reassessed to noninvasively prognosticate outcomes in PH. Many of these indices can be calculated from standard echocardiographic views without significant modification to scanning procedures. This review will discuss contemporary diagnosis of PH, highlighting the role of echocardiography in this process. We will describe the differences between the LV and RV, including adaptations of the RV in PH, and how these factors impact echocardiographic assessment. We will conclude with a discussion of specific echocardiographic parameters and describe their role in diagnosis and reassessment. Routine assessment of the right heart improves noninvasive risk stratification in PH, may reduce delays in diagnosis, and ultimately may impact the significant and potentially modifiable disease burden in this patient population. [ABSTRACT FROM AUTHOR] |
|
Copyright of Advances in Pulmonary Hypertension is the property of Pulmonary Hypertension Association and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) |
| Database: |
Academic Search Complete |
