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Diseases with a main influence on right ventricular function 

Diseases with a main influence on right ventricular function
Chapter:
Diseases with a main influence on right ventricular function
Author(s):

Damien Voilliot

, Jaroslaw D. Kasprzak

, and Eduardo Bossone

DOI:
10.1093/med/9780198726012.003.0060
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date: 08 April 2020

As an important and independent predictive factor of morbidity and mortality, right ventricular (RV) function should be carefully assessed in patients with chronic obstructive lung disease, lung fibrosis, liver cirrhosis, or obesity. RV assessment requires a complete study of the ‘RV-pulmonary circulation unit’ with estimation of RV preload, RV intrinsic contractility, and RV afterload. Therefore, estimation of pulmonary arterial pressure, pulmonary vascular resistance, and left ventricular systolic and diastolic function should be included in this evaluation, in addition to conventional RV systolic function assessment. Three-dimensional echocardiography has emerged as an interesting tool in RV assessment and exercise echocardiography may be interesting in the risk stratification of patients.

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