The dysfunctional right ventricle: the importance of multi-modality imaging

Eur Heart J Cardiovasc Imaging. 2022 Jun 21;23(7):885-897. doi: 10.1093/ehjci/jeac037.


Assessment of right ventricular (RV) function is crucial for the evaluation of the dyspnoeic patient and/or with systemic venous congestion and provides powerful prognostic insights. It can be performed using different imaging modalities including standard and advanced echocardiographic techniques, cardiac magnetic resonance imaging, computed tomography, and radionuclide techniques, which should be used in a complementary fashion. Each modality has strengths and weaknesses based on which the choice of their use and in which combination may vary according to the different clinical scenarios as will be detailed in this review. The conclusions from multiple studies using different imaging techniques are concordant: RV function can be reliably assessed and is a critical predictor of clinical outcomes.

Keywords: arterial-ventricular coupling; multi-modality imaging; myocardial function; right ventricle.

Publication types

  • Review

MeSH terms

  • Echocardiography / methods
  • Heart
  • Heart Ventricles* / diagnostic imaging
  • Humans
  • Multimodal Imaging
  • Ventricular Dysfunction, Right* / diagnostic imaging
  • Ventricular Function, Right