Frontiers in Cardiovascular Medicine (May 2023)
Assessment and diagnosis of right ventricular failure—retrospection and future directions
- Sun Kyun Ro,
- Sun Kyun Ro,
- Sun Kyun Ro,
- Kei Sato,
- Kei Sato,
- Shinichi Ijuin,
- Shinichi Ijuin,
- Shinichi Ijuin,
- Declan Sela,
- Declan Sela,
- Gabriele Fior,
- Gabriele Fior,
- Silver Heinsar,
- Silver Heinsar,
- Silver Heinsar,
- Silver Heinsar,
- Ji Young Kim,
- Jonathan Chan,
- Jonathan Chan,
- Hideaki Nonaka,
- Aaron C. W. Lin,
- Aaron C. W. Lin,
- Gianluigi Li Bassi,
- Gianluigi Li Bassi,
- Gianluigi Li Bassi,
- David G. Platts,
- David G. Platts,
- Nchafatso G. Obonyo,
- Nchafatso G. Obonyo,
- Nchafatso G. Obonyo,
- Nchafatso G. Obonyo,
- Jacky Y. Suen,
- Jacky Y. Suen,
- John F. Fraser,
- John F. Fraser,
- John F. Fraser
Affiliations
- Sun Kyun Ro
- Department of Thoracic and Cardiovascular Surgery, Hanyang University Guri Hospital, Hanyang University College of Medicine, Seoul, Republic of Korea
- Sun Kyun Ro
- Critical Care Research Group, The Prince Charles Hospital, University of Queensland, Brisbane, QLD, Australia
- Sun Kyun Ro
- Faculty of Medicine, University of Queensland, Brisbane, QLD, Australia
- Kei Sato
- Critical Care Research Group, The Prince Charles Hospital, University of Queensland, Brisbane, QLD, Australia
- Kei Sato
- Faculty of Medicine, University of Queensland, Brisbane, QLD, Australia
- Shinichi Ijuin
- Critical Care Research Group, The Prince Charles Hospital, University of Queensland, Brisbane, QLD, Australia
- Shinichi Ijuin
- Faculty of Medicine, University of Queensland, Brisbane, QLD, Australia
- Shinichi Ijuin
- Department of Emergency and Critical Care Medicine, Hyogo Emergency Medical Center, Kobe, Japan
- Declan Sela
- Critical Care Research Group, The Prince Charles Hospital, University of Queensland, Brisbane, QLD, Australia
- Declan Sela
- Faculty of Medicine, University of Queensland, Brisbane, QLD, Australia
- Gabriele Fior
- Critical Care Research Group, The Prince Charles Hospital, University of Queensland, Brisbane, QLD, Australia
- Gabriele Fior
- Faculty of Medicine, University of Queensland, Brisbane, QLD, Australia
- Silver Heinsar
- Critical Care Research Group, The Prince Charles Hospital, University of Queensland, Brisbane, QLD, Australia
- Silver Heinsar
- Faculty of Medicine, University of Queensland, Brisbane, QLD, Australia
- Silver Heinsar
- Intensive Care Unit, St. Andrews War Memorial Hospital, Brisbane, QLD, Australia
- Silver Heinsar
- Department of Intensive Care, North Estonia Medical Centre, Tallinn, Estonia
- Ji Young Kim
- Department of Nuclear Medicine, Hanyang University Guri Hospital, Hanyang University College of Medicine, Seoul, Republic of Korea
- Jonathan Chan
- Division of Cardiology, The Prince Charles Hospital, Brisbane, QLD, Australia
- Jonathan Chan
- School of Medicine, Griffith University, Gold Coast, QLD, Australia
- Hideaki Nonaka
- 0Division of Cardiology, Mitsui Memorial Hospital, Tokyo, Japan
- Aaron C. W. Lin
- Division of Cardiology, The Prince Charles Hospital, Brisbane, QLD, Australia
- Aaron C. W. Lin
- School of Medicine, Griffith University, Gold Coast, QLD, Australia
- Gianluigi Li Bassi
- Critical Care Research Group, The Prince Charles Hospital, University of Queensland, Brisbane, QLD, Australia
- Gianluigi Li Bassi
- Faculty of Medicine, University of Queensland, Brisbane, QLD, Australia
- Gianluigi Li Bassi
- Intensive Care Unit, St. Andrews War Memorial Hospital, Brisbane, QLD, Australia
- David G. Platts
- Faculty of Medicine, University of Queensland, Brisbane, QLD, Australia
- David G. Platts
- Division of Cardiology, The Prince Charles Hospital, Brisbane, QLD, Australia
- Nchafatso G. Obonyo
- Critical Care Research Group, The Prince Charles Hospital, University of Queensland, Brisbane, QLD, Australia
- Nchafatso G. Obonyo
- Faculty of Medicine, University of Queensland, Brisbane, QLD, Australia
- Nchafatso G. Obonyo
- 1Wellcome Trust Centre for Global Health Research, Imperial College London, London, United Kingdom
- Nchafatso G. Obonyo
- 2Initiative to Develop African Research Leaders (IDeAL)/KEMRI-Wellcome Trust Research Programme, Kilifi, Kenya
- Jacky Y. Suen
- Critical Care Research Group, The Prince Charles Hospital, University of Queensland, Brisbane, QLD, Australia
- Jacky Y. Suen
- Faculty of Medicine, University of Queensland, Brisbane, QLD, Australia
- John F. Fraser
- Critical Care Research Group, The Prince Charles Hospital, University of Queensland, Brisbane, QLD, Australia
- John F. Fraser
- Faculty of Medicine, University of Queensland, Brisbane, QLD, Australia
- John F. Fraser
- Intensive Care Unit, St. Andrews War Memorial Hospital, Brisbane, QLD, Australia
- DOI
- https://doi.org/10.3389/fcvm.2023.1030864
- Journal volume & issue
-
Vol. 10
Abstract
The right ventricle (RV) has a critical role in hemodynamics and right ventricular failure (RVF) often leads to poor clinical outcome. Despite the clinical importance of RVF, its definition and recognition currently rely on patients’ symptoms and signs, rather than on objective parameters from quantifying RV dimensions and function. A key challenge is the geometrical complexity of the RV, which often makes it difficult to assess RV function accurately. There are several assessment modalities currently utilized in the clinical settings. Each diagnostic investigation has both advantages and limitations according to its characteristics. The purpose of this review is to reflect on the current diagnostic tools, consider the potential technological advancements and propose how to improve the assessment of right ventricular failure. Advanced technique such as automatic evaluation with artificial intelligence and 3-dimensional assessment for the complex RV structure has a potential to improve RV assessment by increasing accuracy and reproducibility of the measurements. Further, noninvasive assessments for RV-pulmonary artery coupling and right and left ventricular interaction are also warranted to overcome the load-related limitations for the accurate evaluation of RV contractile function. Future studies to cross-validate the advanced technologies in various populations are required.
Keywords
