Right Ventricular Strain by Echocardiography: Current Clinical Applications and Future Directions for Mechanics Assessment of the Forgotten Ventricle.

IF 3 3区医学 Q2 HEALTH CARE SCIENCES & SERVICES

Journal of Personalized Medicine Pub Date : 2025-05-30 DOI:10.3390/jpm15060224

Mahmoud Abdelnabi, Ramzi Ibrahim, Hoang Nhat Pham, Bobbi Jo Heon, George Bcharah, Girish Pathangey, Milagros Pereyra Pietri, Juan M Farina, Ian C Chang, Reza Arsanjani, Chadi Ayoub

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引用次数: 0

Abstract

Myocardial deformation imaging has emerged as a valuable clinical tool for assessing right ventricular (RV) systolic function, providing additional diagnostic and prognostic insights compared to traditional indices of RV function. Two-dimensional speckle-tracking echocardiography is currently the standardized method of choice for measuring RV longitudinal strain (RVLS) in clinical practice. RVLS provides a more sensitive indicator of subtle myocardial dysfunction than conventional parameters for RV function assessment (i.e., tricuspid annular plane systolic excursion, tissue Doppler systolic velocity, fractional area change, or RV ejection fraction), with utility for the risk stratification and surveillance of conditions affecting the right heart. However, accurate interpretation of RVLS requires a comprehensive understanding of RV mechanics, pathology, and loading conditions across various cardiovascular conditions, as well as the effects of image quality and technical aspects of image acquisition and tracking in RV strain measurements. This review provides an updated overview of current practical guidelines for RV strain analysis, current clinical applications, and future directions for its potential use in clinical practice.

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超声心动图右心室应变：遗忘心室力学评估的临床应用和未来方向。

心肌变形成像已成为评估右心室收缩功能的一种有价值的临床工具，与传统的右心室功能指标相比，它提供了额外的诊断和预后见解。二维斑点跟踪超声心动图是目前临床上测量右心室纵向应变（RVLS）的标准化方法。RVLS为右心室功能评估提供了比传统参数（即三尖瓣环平面收缩偏移、组织多普勒收缩速度、分数面积变化或右心室射血分数）更敏感的微妙心肌功能障碍指标，可用于危险分层和监测影响右心脏的疾病。然而，准确解释RVLS需要全面了解RV的力学、病理和各种心血管疾病的加载条件，以及图像质量和图像采集和跟踪在RV应变测量中的技术方面的影响。本文综述了当前RV菌株分析的实用指南、目前的临床应用以及其在临床实践中的潜在应用的未来方向。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Personalized Medicine Medicine-Medicine (miscellaneous)

CiteScore

4.10

自引率

0.00%

发文量

1878

审稿时长

11 weeks

期刊介绍： Journal of Personalized Medicine (JPM; ISSN 2075-4426) is an international, open access journal aimed at bringing all aspects of personalized medicine to one platform. JPM publishes cutting edge, innovative preclinical and translational scientific research and technologies related to personalized medicine (e.g., pharmacogenomics/proteomics, systems biology). JPM recognizes that personalized medicine—the assessment of genetic, environmental and host factors that cause variability of individuals—is a challenging, transdisciplinary topic that requires discussions from a range of experts. For a comprehensive perspective of personalized medicine, JPM aims to integrate expertise from the molecular and translational sciences, therapeutics and diagnostics, as well as discussions of regulatory, social, ethical and policy aspects. We provide a forum to bring together academic and clinical researchers, biotechnology, diagnostic and pharmaceutical companies, health professionals, regulatory and ethical experts, and government and regulatory authorities.