EACVI survey on the multi-modality imaging assessment of the right heart

Eur Heart J Cardiovasc Imaging. 2022 Oct 20;23(11):1417-1422. doi: 10.1093/ehjci/jeac183.


Aims: The European Association of Cardiovascular Imaging (EACVI) Scientific Initiatives Committee performed a global survey to evaluate the use of different cardiac imaging modalities for the evaluation of the right heart.

Methods and results: Delegates from 250 EACVI registered centres were invited to participate in a survey which was also advertised on the EACVI bulletin and on social media. One hundred and thirty-eight respondents from 46 countries across the world responded to the survey. Most respondents worked in tertiary centres (79%) and echocardiography was reported as the commonest imaging modality used to assess the right ventricle (RV). The majority of survey participants (78%) included RV size and function in >90% of their echocardiographic reports. The RV basal diameter obtained from the apical four-chamber view and the tricuspid annular plane systolic excursion were the commonest parameters used for the echocardiographic assessment of RV size and function as reported by 82 and 97% respondents, respectively. Survey participants reported arrhythmogenic cardiomyopathy as the commonest condition (88%) where cardiac magentic resonance (CMR) imaging was used for right heart assessment. Only 52% respondents included RV volumetric and ejection fraction assessments routinely in their CMR reports, while 30% of respondents included these parameters only when RV pathology was suspected. Finally, 73% of the respondents reported pulmonary hypertension as the commonest condition where right heart catheterization was performed.

Conclusion: Echocardiography remains the most frequently used imaging modality for the evaluation of the right heart, while the use of other imaging techniques, most notably CMR, is increasing.

Keywords: EACVI survey; multi-modality imaging; right heart.

MeSH terms

  • Heart Ventricles
  • Humans
  • Magnetic Resonance Imaging, Cine / methods
  • Multimodal Imaging
  • Reproducibility of Results
  • Stroke Volume
  • Surveys and Questionnaires
  • Ventricular Dysfunction, Right*
  • Ventricular Function, Right