Right ventricle: current knowledge of echocardiographic evaluation of this "forgotten" chamber.

IF 4.7 4区 医学 0 MEDICINE, GENERAL & INTERNAL
Minerva medica Pub Date : 2024-02-01 Epub Date: 2023-03-29 DOI:10.23736/S0026-4806.23.08575-0
Tommaso Semino, Gian M Rosa, Fiammetta Monacelli, Rinaldo Pellicano, Gianni Testino, Italo Porto
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引用次数: 0

Abstract

In the past the right ventricle (RV) has been traditionally regarded as a simple conduit between the venous system and the pulmonary circulation and it has aroused little interest in both clinical and echocardiographic cardiologists to such an extent that it has been defined as the "forgotten chamber." Subsequently it was clearly shown that the right heart (RH) plays an important physiologic role in cardiac activity, and that congenital or acquired alterations in its structure and function have an important prognostic value. Aim of this review is to shed the light on the echocardiographic approach to this cardiac chamber. In this narrative review we critically explored the most recent literature on this topic using PubMed and Medline and examining the most recent guidelines on the echocardiographic approach to the RV. Echocardiographic approach to RV presents some technical difficulties, which stem from the position of the RV inside the thorax and around the LV and from its particular anatomy, which precludes geometric assumptions. However, RV may now be evaluated quantitatively and qualitatively in many ways, and some new methods can partially overcome some of the limits imposed by its complex anatomy, thereby yielding a quantitative evaluation. Furthermore, due to the wide range of pathologies which may involve the RV a disease-oriented approach should be considered in the echocardiographic investigation of right heart disease.

右心室:对这一 "被遗忘 "腔室进行超声心动图评估的最新知识。
过去,右心室(RV)一直被认为是静脉系统和肺循环之间的一个简单通道,它很少引起临床和超声心动图心脏病专家的兴趣,以至于被定义为 "被遗忘的心腔"。后来的研究清楚地表明,右心(RH)在心脏活动中发挥着重要的生理作用,其结构和功能的先天性或后天性改变对预后具有重要价值。本综述的目的是阐明对该心腔的超声心动图检查方法。在这篇叙述性综述中,我们利用 PubMed 和 Medline 对有关这一主题的最新文献进行了批判性探讨,并研究了有关 RV 超声心动图检查方法的最新指南。对 RV 进行超声心动图检查存在一些技术上的困难,这些困难源于 RV 在胸腔内和左心室周围的位置及其特殊的解剖结构,这就排除了几何假设。然而,现在可以通过多种方法对 RV 进行定量和定性评估,一些新方法可以部分克服 RV 复杂解剖结构带来的限制,从而进行定量评估。此外,由于涉及 RV 的病变范围很广,在对右心疾病进行超声心动图检查时应考虑以疾病为导向的方法。
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
Minerva medica
Minerva medica 医学-医学:内科
CiteScore
6.40
自引率
6.40%
发文量
358
审稿时长
>12 weeks
期刊介绍: Minerva Medica publishes scientific papers on internal medicine. Manuscripts may be submitted in the form of editorials, original articles, review articles, case reports, special articles, letters to the Editor and guidelines. The journal aims to provide its readers with papers of the highest quality and impact through a process of careful peer review and editorial work. Duties and responsibilities of all the subjects involved in the editorial process are summarized at Publication ethics.
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