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Semin Respir Crit Care Med 2003; 24(3): 245-262
DOI: 10.1055/s-2003-41106
Copyright © 2003 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Assessment of Right Ventricular Morphology and Function

Mikhail Kosiborod1 , Frans J. Th. Wackers2
  • 1Section of Cardiovascular Medicine, Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut
  • 2Cardiovascular Nuclear Imaging and Exercise Laboratories, Department of Diagnostic Imaging, Yale University School of Medicine, New Haven, Connecticut
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Publikationsverlauf

Publikationsdatum:
01. August 2003 (online)

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ABSTRACT

The assessment of right ventricular morphology and function is of clinical importance in patients with pulmonary disease. Until recently the evaluation of the right ventricle was difficult because of the unusual geometry of the right ventricle. This chapter discusses the various diagnostic modalities available for assessment of right ventricular morphology and function. Although echocardiography is widely used because of its common availability, nuclear magnetic resonance imaging and radionuclide angiocardiography should be considered the gold standards and are preferred when reliable and accurate measures of right ventricular function and morphology are needed.

KEYWORDS

Right ventricular morphology - right ventricular function - diagnostic methods

REFERENCES

  • 1 Farb A, Burke A P, Virmani R. Anatomy and pathology of the right ventricle including acquired tricuspid and pulmonic valve disease.  Cardiol Clin . 1992;  10 1-21
    PubMedSuche in Google Scholar
  • 2 Lee F. Hemodynamics of the right ventricle in normal and disease states.  Cardiol Clin . 1992;  10 59-67
    PubMedSuche in Google Scholar
  • 3 Boxt L M. Radiology of the right ventricle.  Radiol Clin North Am . 1999;  37 379-400
    CrossrefPubMedSuche in Google Scholar
  • 4 Jaffe C C, Weltin G. Echocardiography of the right side of the heart.  Cardiol Clin . 1992;  10 41-57
    PubMedSuche in Google Scholar
  • 5 Mongkolsmai D, Williams G A, Godgold H. et al . Determination of right ventricular ejection fraction by two-dimensional echocardiographic single plane substraction method.  J Am Soc Echocardiogr . 1989;  2 119-124
    PubMedSuche in Google Scholar
  • 6 Lambertz H, Flachskampf F A, Heiliger R. et al . New echocardiographic and angiographic methods for right atrial volume determination: in vitro validation and in vivo results.  Int J Card Imaging . 1989;  5 39-51
    CrossrefPubMedSuche in Google Scholar
  • 7 Asebischer N, Meuli R, Jeanernaud X, Koerfer J, Kappenberger L. An echocardiographic and magnetic resonance imaging comparative study of right ventricular volume.  Int J Card Imaging . 1998;  14 271-278
    CrossrefPubMedSuche in Google Scholar
  • 8 Helbing W A, Bosch H G, Meliepaard C, Rebergen S A, van der Geest J R. et al . Comparison of echocardiographic methods with magnetic resonance imaging for assessment of right ventricular function in children.  Am J Card . 1995;  76 589-594
    CrossrefPubMedSuche in Google Scholar
  • 9 Linker D T, Moritz W E, Pearlman A S. A new three-dimensional echocardiographic method of right ventricular volume measurement: in vitro validation.  J Am Coll Cardiol . 1986;  8 101-106
    PubMedSuche in Google Scholar
  • 10 Vogel M, Gutberlet M, Dittrich S, Holsten N, Lamge P E. Comparison of transthoracic three-dimensional echocardiography with magnetic resonance imaging in the assessment of right ventricular volume and mass.  Heart . 1997;  78 127-130
    PubMedSuche in Google Scholar
  • 11 Fujimoto S, Mizuno R, Nakagawa Y, Dohi K, Nakano H. Estimation of the right ventricular volume and ejection fraction by transthoracic three-dimensional echocardiography: a validation study using magnetic resonance imaging.  Int J Card Imaging . 1998;  14 385-390
    CrossrefPubMedSuche in Google Scholar
  • 12 Currie P J, Seward J B, Chan K L. et al . continuous wave Doppler determination of right ventricular pressure: a simultaneous Doppler-catheterization study in 127 patients.  J Am Coll Cardiol . 1985;  6 750-756
    CrossrefPubMedSuche in Google Scholar
  • 13 Berger M, Haimowitz A, Van Tosh A, Berdoff R L, Goldberg E. Quantitative assessment of pulmonary hypertension in patients with tricuspid regurgitation using continuous wave Doppler ultrasound.  J Am Coll Cardiol . 1985;  6 359-365
    CrossrefPubMedSuche in Google Scholar
  • 14 Simonson J S, Schiller N B. Sonospirometry: a new method for noninvasive evaluation of mean right atrial pressure based on two-dimensional echocardiographic measurements of the inferior vena cava during measured inspiration.  J Am Coll Cardiol . 1988;  11 557
    PubMedSuche in Google Scholar
  • 15 Dabestani A, Mahan G, Gardin J M. et al . Evaluation of pulmonary artery pressure and resistance by pulsed Doppler echocardiography.  Am J Cardiol . 1987;  59 662-668
    CrossrefPubMedSuche in Google Scholar
  • 16 Meijboom E J, Horowitz S, Valdes C LM. et al . A Doppler echocardiographic method for calculating volume flow across the tricuspid valve: correlative laboratory and clinical studies.  Circulation . 1985;  71 551-556
    PubMedSuche in Google Scholar
  • 17 Himelman R B, Stulbarg M, Kircher B. et al . Noninvasive evaluation of pulmonary artery pressure during exercise by saline-enhanced Doppler echocardiography in chronic pulmonary disease.  Circulation . 1989;  79 863-871
    CrossrefPubMedSuche in Google Scholar
  • 18 Berger H J, Matthay R A, Loke J. et al . Assessment of cardiac performance with quantitative radionuclide angiocardiography: right ventricular ejection fraction with reference to findings in chronic obstructive pulmonary disease.  Am J Cardiol . 1978;  41 897-905
    CrossrefPubMedSuche in Google Scholar
  • 19 Winzelberg G G, Boucher C A, Pohost G M. et al . Right ventricular function in aortic and mitral valve disease: relation of gated first-pass radionuclide angiography to clinical and hemodynamic findings.  Chest . 1981;  79 520-528
    PubMedSuche in Google Scholar
  • 19a Gerson M C. Cardiac Nuclear Medicine 3rd ed. New York: McGraw-Hill 1997
  • 20 Wackers F JTh, Berger H J, Johnstone D E. et al . Multiple gated cardiac blood pool imaging for left ventricular ejection fraction: validation of the technique and assessment of variability.  Am J Card . 1979;  43 1159-1166
    PubMedSuche in Google Scholar
  • 21 Maddahi J, Berman D S, Matsuoka D T. et al . A new technique for assessing right ventricular ejection fraction using rapid multiple-gated equilibrium cardiac blood pool scintigraphy.  Circulation . 1979;  60 581-589
    PubMedSuche in Google Scholar
  • 22 Nichols K, Saouaf R, Ababneh A A. et al . Validation of SPECT equilibrium radionuclide angiographic right ventricular parameters by cardiac magnetic resonance imaging.  J Nucl Cardiol . 2002;  9 153-160
    PubMedSuche in Google Scholar
  • 23 Brent B N, Berger H J, Matthay R A. et al . Physiologic correlates of right ventricular ejection fraction in chronic obstructive pulmonary disease: a combined radionuclide and hemodynamic study.  Am J Cardiol . 1982;  50 255-262
    CrossrefPubMedSuche in Google Scholar
  • 24 Johnson R A, Rubin L J. Noninvasive evaluation of right ventricular function.  Clin Chest Med . 1987;  8 65-78
    PubMedSuche in Google Scholar
  • 25 Kuriyama K, Gamsu G, Stern R G. et al . CT-determined pulmonary artery diameters in predicting pulmonary hypertension.  Invest Radiol . 1984;  19 16-22
    CrossrefPubMedSuche in Google Scholar
  • 26 Ringertz H G, Rodgers B, Lipton M J. et al . Assessment of human right ventricular cast volume by CT and angiocardiography.  Invest Radiol . 1985;  20 29-32
    PubMedSuche in Google Scholar
  • 27 Mathru M, Wolfkiel C J, Jelnin V. et al . Measurement of right ventricular volume in human explanted hearts using ultrafast cine computed tomography.  Chest . 1994;  105 585-588
    PubMedSuche in Google Scholar
  • 28 Marzullo P, L'abbate A, Marcus M. Patterns of global and regional systolic and diastolic function in the normal right ventricle assessed by ultrafast computed tomography.  J Am Coll Cardiol . 1991;  17 1318-1325
    PubMedSuche in Google Scholar
  • 29 Cutrone J A, Georgiou D, Khan S U, Pollack A, Laks M. Right ventricular mass mesurement by electron beam computed tomography.  Invest Radiol . 1995;  30 64-68
    PubMedSuche in Google Scholar
  • 30 Suzuki J, Ryozo N, Nishikawa J, Ohotomo K, Toyo-oka T. et al . Evaluation of the heart with magnetic resonance imaging.  Jpn Heart J . 2000;  41 417-424
    CrossrefPubMedSuche in Google Scholar
  • 31 Pattynama P, De Roos A, Van der Wall E E, Van Voorthuisen E A. Evaluation of cardiac function with magnetic resonance imaging.  Am Heart J . 1994;  128 595-607
    CrossrefPubMedSuche in Google Scholar