Assessment of Right Ventricular Size and Function: Echo Versus Magnetic Resonance Imaging

Puchalski, Michael D.; Williams, Richard V.; Askovich, Bojana; Minich, L. LuAnn; Mart, Christopher R.; Tani, Lloyd Y.

doi:10.1111/j.1747-0803.2007.00068.x

Cited by 99 publications

(50 citation statements)

References 22 publications

(35 reference statements)

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“…39 Subjective assessment of RV function is common practice, but compared with MRI, its accuracy is low and inconsistent. 40,41 Because of its ubiquity and ease of use, however, subjective assessment of RV function continues to play a central role in PH diagnosis and management. Quantification of RV hypertrophy (RVH) is also difficult to measure and is largely a qualitative assessment.…”

Section: Estimates Of Ventricular Functionmentioning

confidence: 99%

Pediatric Pulmonary Hypertension

Abman¹,

Hansmann²,

Archer³

et al. 2015

Circulation

949

405

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Abstract-Pulmonary hypertension is associated with diverse cardiac, pulmonary, and systemic diseases in neonates, infants, and older children and contributes to significant morbidity and mortality. However, current approaches to caring for pediatric patients with pulmonary hypertension have been limited by the lack of consensus guidelines from experts in the field. In a joint effort from the American Heart Association and American Thoracic Society, a panel of experienced clinicians and clinician-scientists was assembled to review the current literature and to make recommendations on the diagnosis, evaluation, and treatment of pediatric pulmonary hypertension. This publication presents the results of extensive literature reviews, discussions, and formal scoring of recommendations for the care of children with pulmonary hypertension. Key Words: AHA Scientific Statements ◼ bronchopulmonary dysplasia ◼ congenital diaphragmatic hernia ◼ congenital heart disease ◼ genetics ◼ persistent pulmonary hypertension of the newborn ◼ sickle cell disease © 2015 by the American Heart Association, Inc., and the American Thoracic Society.Circulation is available at http://circ.ahajournals.org DOI: 10.1161/CIR.0000000000000329 †Deceased. The American Heart Association and the American Thoracic Society make every effort to avoid any actual or potential conflicts of interest that may arise as a result of an outside relationship or a personal, professional, or business interest of a member of the writing panel. Specifically, all members of the writing group are required to complete and submit a Disclosure Questionnaire showing all such relationships that might be perceived as real or potential conflicts of interest.This document was approved by the American Heart Association Science Advisory and Coordinating Committee on May 12, 2015, the American Heart Association Executive Committee on July 22, 2015, and the American Thoracic Society on July 24, 2015.The online-only Data Supplement is available with this article at http://circ.ahajournals.org/lookup/suppl/doi:10.1161/CIR.0000000000000329/-/DC1. The American Heart Association requests that this document be cited as follows: Abman SH, Hansmann G, Archer SL, Ivy DD, Adatia I, Chung WK, Hanna BD, Rosenzweig EB, Raj JU, Cornfield D, Stenmark KR, Steinhorn R, Thébaud B, Fineman JR, Kuehne T, Feinstein JA, Friedberg MK, Earing M, Barst RJ, Keller RL, Kinsella JP, Mullen M, Deterding R, Kulik T, Mallory G, Humpl T, Wessel DL; on behalf of the American Heart Association Council on Cardiopulmonary, Critical Care, Perioperative and Resuscitation, Council on Clinical Cardiology, Council on Cardiovascular Disease in the Young, Council on Cardiovascular Radiology and Intervention, Council on Cardiovascular Surgery and Anesthesia, and the American Thoracic Society. Pediatric pulmonary hypertension: guidelines from the American Heart Association and American Thoracic Society. Circulation. 2015;132:2037-2099 Copies: This document is available on the World Wide Web site of the American Heart Associat...

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Section: Estimates Of Ventricular Functionmentioning

confidence: 99%

Pediatric Pulmonary Hypertension

Abman¹,

Hansmann²,

Archer³

et al. 2015

Circulation

949

405

View full text Add to dashboard Cite

show abstract

“…This qualitative assessment or eyeball method is clearly limited when compared with quantitative assessment of systolic function with CMR. 6 As a result, CMR has been considered the best available method for assessing RV function. 7,8 In 2010, guidelines were developed for quantitative echocardiographic assessment of the right heart in adults.…”

Section: Echocardiographic Methods To Assess Subpulmonary Right Ventrmentioning

confidence: 99%

Is MRI the Preferred Method for Evaluating Right Ventricular Size and Function in Patients With Congenital Heart Disease?

Yeh

Foster

2014

Circ: Cardiovascular Imaging

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“…Another limitation was that subjective assessment is by its nature a qualitative measure of RV function and thus prone to depend on the experience of the echocardiographer [31,32]. Furthermore, quality of the TTE study may vary based on patient body habitus and technician.…”

Section: Limitationsmentioning

confidence: 99%

“…This is performed by reviewing the right ventricular contraction in multiple views including parasternal short axis for septal motion, apical four chamber, and subcostal. Variability of right ventricular subjective assessment, given it is not a quantitative measure, may exist between readers, but remains an important part of the standard echocardiographic assessment of the right ventricle [31,32]. Aspects used in the determination of the visual assessment of right ventricular function are summarized in recent guidelines [32].…”

Section: Transthoracic Echocardiographymentioning

confidence: 99%

Utility of transthoracic echocardiography to estimate severity of right ventricular dysfunction: an MRI comparison study

Kapa

Eliáš

Connolly

et al. 2011

Int J Cardiovasc Imaging

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Prognostic implications of severe right ventricular (RV) dysfunction are difficult to assess because of limitations in functional characterization using standard echocardiography (TTE) and the cost and availability of options such as MRI. We sought to determine how assessments of RV dysfunction via TTE correlate with RV ejection fraction (EF) by MRI. Patients undergoing MRI and TTE within 21 days of one another were included. Left ventricular (LV) and RV EF were recorded from MRI and subjective assessment of RV function (normal, mild, moderate, or severe dysfunction), right ventricular index of myocardial performance (RIMP), and right ventricular systolic pressure (RVSP) were recorded from TTE. Patients were considered to have significant RV dysfunction if EF ≤ 35% on MRI and normal function if EF ≥ 45%. A total of 474 patients were included (age 50 ± 12, 57% male). Of these, 363 (76.6%) had normal function, 54 (11.4%) had mild dysfunction, 41 (8.6%) had moderate dysfunction, and 16 (3.4%) had severe dysfunction on TTE. Moderate or severe dysfunction had good sensitivity (80%) and specificity (97%) for RV EF ≤ 35%. Furthermore, RIMP > 0.70 and RVSP > 70 mm Hg were very specific for RV EF ≤ 35% (sensitivity = 29%, 22%, respectively; specificity = 98%, 99%, respectively). Specificity and sensitivity of TTE assessments did not change if LV function or disease indication was considered. A subjective assessment of moderate to severe RV dysfunction on TTE compares favorably with quantitative MRI assessment of the RV EF. Further study is needed to evaluate whether this comparability is true across institutions.

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Assessment of Right Ventricular Size and Function: Echo Versus Magnetic Resonance Imaging

Abstract: The usefulness of the echocardiographic "eyeball" method to estimate RV size and systolic function in patients with right heart disease has limitations when compared with MRI, specifically in regard to the variability between echocardiographers.

Cited by 99 publications

References 22 publications

Pediatric Pulmonary Hypertension

Pediatric Pulmonary Hypertension

Is MRI the Preferred Method for Evaluating Right Ventricular Size and Function in Patients With Congenital Heart Disease?

Utility of transthoracic echocardiography to estimate severity of right ventricular dysfunction: an MRI comparison study

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