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.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
