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Application of an echocardiographic index to characterize right ventricular–pulmonary arterial coupling in heart failure

Authors :
Xin Chen
Peige Zhang
Jie Lou
Ruohan Zhao
Siyi Zhang
Mingxing Xie
Qing Lv
Source :
ESC Heart Failure, Vol 11, Iss 3, Pp 1290-1304 (2024)
Publication Year :
2024
Publisher :
Wiley, 2024.

Abstract

Abstract Heart failure (HF), with its high morbidity and mortality, remains a global public health issue. Right ventricular (RV) dysfunction is a sign of deterioration in the natural history of HF, and a thorough evaluation of the relationship between RV contractility and its afterload through RV–pulmonary arterial (RV–PA) coupling can aid in accurately assessing overall RV function. The ratio of RV end‐systolic elastance (Ees) to pulmonary arterial elastance (Ea) invasively measured by right heart catheterization served as the gold standard for evaluating RV–PA coupling. An echocardiographic index termed tricuspid annular plane systolic excursion/pulmonary artery systolic pressure (TAPSE/PASP) has been shown to correlate well with Ees/Ea. TAPSE/PASP is recognized as a non‐invasive surrogate of RV–PA coupling and has been extensively studied in patients with HF. This review briefly describes the methods of assessing RV–PA coupling, mainly discussing echocardiography, summarizes the clinical utility of TAPSE/PASP in patients with different HF types, and provides an overview of the available literature.

Details

Language :
English
ISSN :
20555822
Volume :
11
Issue :
3
Database :
Directory of Open Access Journals
Journal :
ESC Heart Failure
Publication Type :
Academic Journal
Accession number :
edsdoj.34bdfaaf5a3240c68ea8dca9a7c05548
Document Type :
article
Full Text :
https://doi.org/10.1002/ehf2.14663