Right heart failure in left heart disease: imaging, functional, and biochemical aspects of right ventricular dysfunction

被引:21
作者
Ghio, Stefano [1 ]
Acquaro, Mauro [1 ,2 ]
Agostoni, Piergiuseppe [3 ,4 ]
Ambrosio, Giuseppe [5 ]
Carluccio, Erberto [5 ]
Castiglione, Vincenzo [6 ,7 ]
Colombo, Davide [1 ,2 ]
D'Alto, Michele [8 ]
Grottaglie, Santo Delle [9 ,10 ]
Dini, Frank Lloyd [11 ]
Emdin, Michele [6 ,7 ]
Fortunato, Martino [12 ]
Igoren Guaricci, Andrea [13 ]
Jacoangeli, Francesca [5 ]
Marra, Alberto M. [14 ]
Paolillo, Stefania [15 ,16 ]
Papa, Sivia [17 ]
Scajola, Luca Vicini [1 ,2 ]
Correale, Michele [18 ]
Palazzuoli, Alberto [19 ]
机构
[1] IRCCS Fdn Policlin San Matteo, Div Cardiol, Viale Golgi 19, I-27100 Pavia, Italy
[2] Univ Pavia, Dept Mol Med, Cardiol, Pavia, Italy
[3] IRCCS, Ctr Cardiol Monzino, Milan, Italy
[4] Univ Milan, Dept Clin Sci & Community Hlth, Milan, Italy
[5] Univ Perugia, S Maria Della Misericordia Hosp, Cardiol & Cardiovasc Pathophysiol, Perugia, Italy
[6] Scuola Super Sant Anna, Interdisciplinary Ctr Hlth Sci, Pisa, Italy
[7] Fdn Toscana G Monasterio, Pisa, Italy
[8] Univ L Vanvitelli, Dept Cardiol, Monaldi Hosp, Naples, Italy
[9] Osped Med Chirurg Accreditato Villa Fiori, Div Cardiol, Naples, Italy
[10] Mt Sinai Sch Med, Zena & Michael A Wiener Cardiovasc Inst, Marie Josee & Henry R Kravis Ctr Cardiovasc Hlth, New York, NY USA
[11] St Agostino Med Ctr, Milan, Italy
[12] Univ Foggia, Dept Med & Surg Sci, Foggia, Italy
[13] Univ Hosp Policlin Bari, Inst Cardiovasc Dis, Dept Emergency & Organ Transplantat, I-70124 Bari, Italy
[14] Federico II Univ Hosp & Sch Med, Dept Translat Med Sci, Naples, Italy
[15] Federico II Univ Naples, Dept Adv Biomed Sci, Naples, Italy
[16] Mediterranea Cardioctr, Naples, Italy
[17] Sapienza Univ Rome, Sch Med 1, Dept Clin Anesthesiol & Cardiovasc Sci, Policlin Umberto 1, Rome, Italy
[18] Univ Hosp Policlin Riuniti, Cardiol Unit, Foggia, Italy
[19] Le Scotte Hosp Univ Siena, Cardiothorac & Vasc Dept, Cardiovasc Dis Unit, Siena, Italy
关键词
Right heart function; Echocardiography; Cardiac magnetic resonance; Right heart catheterization; Strain; Bioelectrical impedance analysis; BIOIMPEDANCE VECTOR ANALYSIS; BRAIN NATRIURETIC PEPTIDE; PLANE SYSTOLIC EXCURSION; PROGNOSTIC VALUE; PULMONARY-HYPERTENSION; PERIPHERAL EDEMA; DIAGNOSIS; PREDICTS; CHALLENGE; ECHOCARDIOGRAPHY;
D O I
10.1007/s10741-022-10276-0
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
For decades, cardiologists have largely underestimated the role of the right heart in heart failure due to left heart disease. Nowadays, the importance of evaluating right ventricular (RV) structure and function in left heart failure is well documented and this concept has been emphasized in the most recent heart failure guidelines. However, several relevant questions remain unanswered such as the following: (a) which imaging technique (standard or 3D echocardiography or strain imaging or cardiac magnetic resonance) and, more, which parameters should be used to grade the severity of RV dysfunction? (b) do less widespread and less applied diagnostic tools such as cardiopulmonary stress testing and bioelectrical impedance analysis play a role in this field? (c) are there specific biochemical aspects of RV failure? (d) why notion of pathophysiology of heart and lung interaction are so well appreciated at an academic level but are not applied in the clinical setting? The present review has been prepared by the Heart Failure (HF) working group of the Italian Society of Cardiology and its main objective is to improve our understanding on RV dysfunction in heart failure.
引用
收藏
页码:1009 / 1022
页数:14
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