Assessment of the Right Ventricle Function in Patients With Significant Tricuspid Regurgitation: A Review.

Autor: Bourg C; Department of Cardiology, University of Rennes, CHU Rennes, INSERM, Rennes, France., Raoult T; Department of Cardiology, University of Rennes, CHU Rennes, INSERM, Rennes, France., Istratoiae S; Department of Pharmacology, Toxicology, and Clinical Pharmacology, Iuliu Haţieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania., Beaumont J; LTSI, INSERM1099, University of Rennes, INSERM, Rennes, France., Donal E; Department of Cardiology, University of Rennes, CHU Rennes, INSERM, Rennes, France.
Jazyk: angličtina
Zdroj: Echocardiography (Mount Kisco, N.Y.) [Echocardiography] 2024 Oct; Vol. 41 (10), pp. e15933.
DOI: 10.1111/echo.15933
Abstrakt: Tricuspid regurgitation (TR) is an increasingly prevalent condition, especially in older populations, and presents significant challenges due to its association with right heart failure, hospital admissions, and high mortality rates. The management of TR has evolved, with new percutaneous valve repair and replacement techniques emerging alongside traditional surgical approaches. However, accurately assessing right ventricular (RV) function-a key prognostic factor in TR-remains difficult due to the RV's unique anatomy and sensitivity to loading conditions. Current echocardiographic methods, such as Tricuspid Annular Plane Systolic Excursion (TAPSE), S' wave analysis, and RV fractional area change (FAC), offer valuable insights but have limitations, particularly regarding load dependence and incomplete assessment of RV function. Advances in 3D echocardiography and myocardial strain imaging provide more comprehensive evaluations, yet challenges persist in integrating these measures in routine clinical practice. The review highlights the importance of a multimodal approach to RV assessment in TR patients, considering both the right atrium and pulmonary artery interactions, and explores potential future tools such as myocardial work and dynamic testing to improve prognostic accuracy and patient outcomes.
(© 2024 The Author(s). Echocardiography published by Wiley Periodicals LLC.)
Databáze: MEDLINE
Externí odkaz: