Refining Prognostication and Therapeutic Guidance Through Advances in Right Heart Imaging Approaches

There is growing consensus on the importance of accurately assessing right heart size and function because of its critical relationship with cardiac outcomes across a wide range of cardiovascular diseases. The right heart plays a central role in maintaining cardiac performance, making its assessment essential for diagnosis, management, and prognostication. The need for precise and reliable assessment tools has led to substantial advancements in imaging technology, which have been used to successfully address many of the challenges posed by the unique and complex anatomy of the right heart chambers. In this review we underscore the evolving role of multimodality imaging in risk stratification, therapeutic guidance, and outcome prediction. Further advancements in technology and clinical integration are essential to optimizing care and improving outcomes for patients with cardiovascular disease. We will delve into the strengths and limitations of multimodality techniques and their applicability in different clinical scenarios to equip clinicians with insights into selecting the most appropriate modality for specific cardiac conditions. Additionally, we underscore the practical implications of these imaging modalities in guiding clinical decisions and improving patient outcomes.