The right heart pulmonary circulation unit (RH-PCU) is a key determinant of prognosis in several cardiorespiratory diseases. Although right heart catheterization is considered the gold standard for pulmonary hemodynamic assessment, a comprehensive cardiovascular ultrasound approach is an essential step in the diagnostic-prognostic clinical pathway of patients with suspect or overt pulmonary hypertension. The exponential development of advanced ultrasound techniques (strain, 3-dimensional echocardiography and lung ultrasound) has led to new insights into the evaluation of RH-PCU structure and function, overcoming some limitations of standard Doppler echocardiography. In the near future, exercise Doppler echocardiography may become a useful technique for detecting a latent stage of pulmonary hypertension and for evaluating right ventricular contractile reserve.

Imaging the right heart pulmonary circulation unit: Insights from advanced ultrasound techniques / Ferrara, Francesco; Gargani, Luna; Ostenfeld, Ellen; D'Alto, Michele; Kasprzak, Jaroslaw; Voilliot, Damien; Selton-Suty, Christine; Vriz, Olga; Marra, Alberto M.; Argiento, Paola; Stanziola, Anna A.; Cittadini, Antonio; D'Andrea, Antonello; Bossone, Eduardo. - In: ECHOCARDIOGRAPHY. - ISSN 0742-2822. - 34:8(2017), pp. 1216-1231. [10.1111/echo.13594]

Imaging the right heart pulmonary circulation unit: Insights from advanced ultrasound techniques

Marra, Alberto M.;Stanziola, Anna A.;Cittadini, Antonio;Bossone, Eduardo
2017

Abstract

The right heart pulmonary circulation unit (RH-PCU) is a key determinant of prognosis in several cardiorespiratory diseases. Although right heart catheterization is considered the gold standard for pulmonary hemodynamic assessment, a comprehensive cardiovascular ultrasound approach is an essential step in the diagnostic-prognostic clinical pathway of patients with suspect or overt pulmonary hypertension. The exponential development of advanced ultrasound techniques (strain, 3-dimensional echocardiography and lung ultrasound) has led to new insights into the evaluation of RH-PCU structure and function, overcoming some limitations of standard Doppler echocardiography. In the near future, exercise Doppler echocardiography may become a useful technique for detecting a latent stage of pulmonary hypertension and for evaluating right ventricular contractile reserve.
2017
Imaging the right heart pulmonary circulation unit: Insights from advanced ultrasound techniques / Ferrara, Francesco; Gargani, Luna; Ostenfeld, Ellen; D'Alto, Michele; Kasprzak, Jaroslaw; Voilliot, Damien; Selton-Suty, Christine; Vriz, Olga; Marra, Alberto M.; Argiento, Paola; Stanziola, Anna A.; Cittadini, Antonio; D'Andrea, Antonello; Bossone, Eduardo. - In: ECHOCARDIOGRAPHY. - ISSN 0742-2822. - 34:8(2017), pp. 1216-1231. [10.1111/echo.13594]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11588/704104
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