Echocardiographic Evaluation of the Right Heart

  • L. Rudski
  • J. Deschamps


There is one consensus Guideline for the Echocardiographic Assessment of the Right heart in adults in 2010, with a recent update ASE/EACVI in 2015.The RV is particularly prone to inaccurate measurements due to its triangular/crescentic shape, and requires modification of some views, including the RV focused four chamber apical view. Complete assessment requires a combination of qualitative and quantitative measurements of the RH chamber size, two RV regional and one global systolic function measurements, and estimation of systolic pulmonary artery pressure. Additional measurements are optional and disease or situation specific.

RH measurements are not corrected for body surface area, age or ethnicity, although there are increasing data aiming to provide these stratifications.

Most causes of RV dysfunction are secondary to either pressure overload, volume overload, or acute myocardial contractility dysfunction. A minority of cases are congenital or secondary intrinsic wall dysfunction. Conditions associated with pressure overload pattern include acute and chronic PE, Pulmonary Arterial Hypertension, Left Heart Disease and Lung disease. Conditions associated with volume overload include Tricuspid Regurgitation, Left Heart Disease, Intrinsic myocardial disorders.


2DE: Two dimensional echo 3DE: Three dimensional echo CHFpEF: CHF with preserved EF CHFrEF: CHF with reduced EF Mean pulmonary artery pressure Right heart disease 



Two dimensional echo


Three dimensional echo


Four chamber


Acute myocardial infarction


Body surface area


CHF with preserved EF


CHF with reduced EF


Chronic thromboembolic disease


Chronic thromboembolic PH


Doppler tissue imagine


Ejection fraction


Excursion time


Fractional area change


Heart failure


Inferior vena cava


Left heart disease


Left ventricle


Mean pulmonary artery pressure


Pulmonary artery diastolic pressure


Pulmonary embolus


Pulmonary hypertension


Parasternal long axis


Point of care ultrasound


Parasternal short axis


Power wave


Right atrium


Right heart


Right ventricle


Right ventricular outflow tract


Right ventricular systolic pressure


Systolic pulmonary artery pressure


Speckle tracking echocardiography


Tricuspid annulus


Tricuspid closure-opening time


Tricuspid regurgitation


Tricuspid valve


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • L. Rudski
    • 1
  • J. Deschamps
    • 1
  1. 1.Azrieli Heart Center Division of Cardiology, Department of MedicineJewish General Hospital, McGill UniversityMontrealCanada

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