The right ventricle in congenital heart disease
In patients with congenital heart disease the right ventricle (RV) may support the pulmonary (subpulmonary RV) or the systemic circulation (systemic RV). During the last 50 years evidence is accumulating that RV dysfunction develops in many of these patients and leads to considerable morbidity and m...
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| Veröffentlicht in: | Heart (British Cardiac Society) 2006-04, Vol.92 (suppl 1), p.i27-i38 |
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| creator | Davlouros, P A Niwa, K Webb, G Gatzoulis, M A |
| description | In patients with congenital heart disease the right ventricle (RV) may support the pulmonary (subpulmonary RV) or the systemic circulation (systemic RV). During the last 50 years evidence is accumulating that RV dysfunction develops in many of these patients and leads to considerable morbidity and mortality. Therefore RV function in certain groups of congenital heart disease patients needs close surveillance and timely and appropriate intervention to optimise outcomes. Despite major progress being made, assessing the RV either in the subpulmonary or the systemic circulation remains challenging, often requiring a multi-imaging approach and expertise (echocardiography, magnetic resonance imaging, nuclear and occasionally invasive assessment with angiography). This review discusses the implications of volume and pressure loading of the RV in the context of congenital heart disease and describes the most relevant imaging modalities for monitoring RV function. |
| doi_str_mv | 10.1136/hrt.2005.077438 |
| format | Article |
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During the last 50 years evidence is accumulating that RV dysfunction develops in many of these patients and leads to considerable morbidity and mortality. Therefore RV function in certain groups of congenital heart disease patients needs close surveillance and timely and appropriate intervention to optimise outcomes. Despite major progress being made, assessing the RV either in the subpulmonary or the systemic circulation remains challenging, often requiring a multi-imaging approach and expertise (echocardiography, magnetic resonance imaging, nuclear and occasionally invasive assessment with angiography). This review discusses the implications of volume and pressure loading of the RV in the context of congenital heart disease and describes the most relevant imaging modalities for monitoring RV function.</description><identifier>ISSN: 1355-6037</identifier><identifier>EISSN: 1468-201X</identifier><identifier>DOI: 10.1136/hrt.2005.077438</identifier><identifier>PMID: 16543599</identifier><language>eng</language><publisher>England: BMJ Publishing Group Ltd and British Cardiovascular Society</publisher><subject>ASD ; atrial septal defect ; cardiac magnetic resonance ; ccTGA ; CHD ; CMR ; computed tomography ; Congenital diseases ; congenital heart disease ; congenitally corrected transposition of the great arteries ; Echocardiography - methods ; Electrocardiography ; Heart attacks ; Heart Defects, Congenital - complications ; Heart Defects, Congenital - pathology ; Heart Defects, Congenital - physiopathology ; Heart Septal Defects, Atrial - complications ; Heart Septal Defects, Atrial - physiopathology ; Humans ; imaging ; Magnetic Resonance Angiography - methods ; magnetic resonance imaging ; Medical imaging ; MRI ; MSCT ; multislice computed tomography ; Pulmonary Valve Insufficiency - etiology ; Pulmonary Valve Insufficiency - pathology ; pulmonary valve regurgitation ; Pulmonary Valve Stenosis - etiology ; Pulmonary Valve Stenosis - pathology ; radionuclide angiography ; right ventricle ; RNA ; Stroke Volume ; TOE ; transoesophageal echocardiography ; tricuspid regurgitation ; Tricuspid Valve Insufficiency - etiology ; Tricuspid Valve Insufficiency - pathology ; Ventricular Dysfunction, Right - etiology ; Ventricular Dysfunction, Right - pathology ; Ventricular Dysfunction, Right - physiopathology ; Ventricular Outflow Obstruction - etiology ; Ventricular Outflow Obstruction - pathology</subject><ispartof>Heart (British Cardiac Society), 2006-04, Vol.92 (suppl 1), p.i27-i38</ispartof><rights>Copyright 2006 by Heart</rights><rights>Copyright: 2006 Copyright 2006 by Heart</rights><rights>Copyright © 2006 BMJ Publishing Group and British Cardiovascular Society</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b492t-49974253f59d2ec22e8eb8e159c4a874d3eb234bfb4ded2757097b1436c376463</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttp://heart.bmj.com/content/92/suppl_1/i27.full.pdf$$EPDF$$P50$$Gbmj$$H</linktopdf><linktohtml>$$Uhttp://heart.bmj.com/content/92/suppl_1/i27.full$$EHTML$$P50$$Gbmj$$H</linktohtml><link.rule.ids>114,115,230,314,724,777,781,882,3183,23552,27905,27906,53772,53774,77349,77380</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16543599$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Davlouros, P A</creatorcontrib><creatorcontrib>Niwa, K</creatorcontrib><creatorcontrib>Webb, G</creatorcontrib><creatorcontrib>Gatzoulis, M A</creatorcontrib><title>The right ventricle in congenital heart disease</title><title>Heart (British Cardiac Society)</title><addtitle>Heart</addtitle><description>In patients with congenital heart disease the right ventricle (RV) may support the pulmonary (subpulmonary RV) or the systemic circulation (systemic RV). During the last 50 years evidence is accumulating that RV dysfunction develops in many of these patients and leads to considerable morbidity and mortality. Therefore RV function in certain groups of congenital heart disease patients needs close surveillance and timely and appropriate intervention to optimise outcomes. Despite major progress being made, assessing the RV either in the subpulmonary or the systemic circulation remains challenging, often requiring a multi-imaging approach and expertise (echocardiography, magnetic resonance imaging, nuclear and occasionally invasive assessment with angiography). This review discusses the implications of volume and pressure loading of the RV in the context of congenital heart disease and describes the most relevant imaging modalities for monitoring RV function.</description><subject>ASD</subject><subject>atrial septal defect</subject><subject>cardiac magnetic resonance</subject><subject>ccTGA</subject><subject>CHD</subject><subject>CMR</subject><subject>computed tomography</subject><subject>Congenital diseases</subject><subject>congenital heart disease</subject><subject>congenitally corrected transposition of the great arteries</subject><subject>Echocardiography - methods</subject><subject>Electrocardiography</subject><subject>Heart attacks</subject><subject>Heart Defects, Congenital - complications</subject><subject>Heart Defects, Congenital - pathology</subject><subject>Heart Defects, Congenital - physiopathology</subject><subject>Heart Septal Defects, Atrial - complications</subject><subject>Heart Septal Defects, Atrial - physiopathology</subject><subject>Humans</subject><subject>imaging</subject><subject>Magnetic Resonance Angiography - methods</subject><subject>magnetic resonance imaging</subject><subject>Medical imaging</subject><subject>MRI</subject><subject>MSCT</subject><subject>multislice computed tomography</subject><subject>Pulmonary Valve Insufficiency - etiology</subject><subject>Pulmonary Valve Insufficiency - pathology</subject><subject>pulmonary valve regurgitation</subject><subject>Pulmonary Valve Stenosis - etiology</subject><subject>Pulmonary Valve Stenosis - pathology</subject><subject>radionuclide angiography</subject><subject>right ventricle</subject><subject>RNA</subject><subject>Stroke Volume</subject><subject>TOE</subject><subject>transoesophageal echocardiography</subject><subject>tricuspid regurgitation</subject><subject>Tricuspid Valve Insufficiency - etiology</subject><subject>Tricuspid Valve Insufficiency - pathology</subject><subject>Ventricular Dysfunction, Right - etiology</subject><subject>Ventricular Dysfunction, Right - pathology</subject><subject>Ventricular Dysfunction, Right - physiopathology</subject><subject>Ventricular Outflow Obstruction - etiology</subject><subject>Ventricular Outflow Obstruction - pathology</subject><issn>1355-6037</issn><issn>1468-201X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqFkctLHEEQxpsQia-ccwsDAQ_C7Pb7cQnI-kSJCkZCLk3PTO1Or7Mz2j0r-t_byywac_HUBfWrr7-qD6FvBI8IYXJch35EMRYjrBRn-hPaIlzqnGLy53OqmRC5xExtou0Y5xhjbrT8gjaJFJwJY7bQ-KaGLPhZ3WeP0PbBlw1kvs3Krp1B63vXZDW40GeVj-Ai7KKNqWsifF2_O-j38dHN5DS_uDw5mxxc5AU3tM-5MYpTwabCVBRKSkFDoYEIU3KnFa8YFJTxYlrwCiqqhMJGFYQzWTIluWQ76Oege78sFlCVK2-usffBL1x4tp3z9n2n9bWddY-WaIkVw0lgby0QuoclxN4ufCyhaVwL3TJaqZQwiUzgj__AebcMbVrOEqWxNFhqkqjxQJWhizHA9NUKwXYVhU1R2FUUdogiTXz_d4M3fn37BOQD4GMPT699F-6SOaaE_XU7sfzv1eHt9fWxPU_8_sAXi_mHv78AOAegaw</recordid><startdate>200604</startdate><enddate>200604</enddate><creator>Davlouros, P A</creator><creator>Niwa, K</creator><creator>Webb, G</creator><creator>Gatzoulis, M A</creator><general>BMJ Publishing Group Ltd and British Cardiovascular Society</general><general>BMJ Publishing Group LTD</general><general>BMJ Group</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>200604</creationdate><title>The right ventricle in congenital heart disease</title><author>Davlouros, P A ; Niwa, K ; Webb, G ; Gatzoulis, M A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b492t-49974253f59d2ec22e8eb8e159c4a874d3eb234bfb4ded2757097b1436c376463</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>ASD</topic><topic>atrial septal defect</topic><topic>cardiac magnetic resonance</topic><topic>ccTGA</topic><topic>CHD</topic><topic>CMR</topic><topic>computed tomography</topic><topic>Congenital diseases</topic><topic>congenital heart disease</topic><topic>congenitally corrected transposition of the great arteries</topic><topic>Echocardiography - methods</topic><topic>Electrocardiography</topic><topic>Heart attacks</topic><topic>Heart Defects, Congenital - complications</topic><topic>Heart Defects, Congenital - pathology</topic><topic>Heart Defects, Congenital - physiopathology</topic><topic>Heart Septal Defects, Atrial - complications</topic><topic>Heart Septal Defects, Atrial - physiopathology</topic><topic>Humans</topic><topic>imaging</topic><topic>Magnetic Resonance Angiography - methods</topic><topic>magnetic resonance imaging</topic><topic>Medical imaging</topic><topic>MRI</topic><topic>MSCT</topic><topic>multislice computed tomography</topic><topic>Pulmonary Valve Insufficiency - etiology</topic><topic>Pulmonary Valve Insufficiency - pathology</topic><topic>pulmonary valve regurgitation</topic><topic>Pulmonary Valve Stenosis - etiology</topic><topic>Pulmonary Valve Stenosis - pathology</topic><topic>radionuclide angiography</topic><topic>right ventricle</topic><topic>RNA</topic><topic>Stroke Volume</topic><topic>TOE</topic><topic>transoesophageal echocardiography</topic><topic>tricuspid regurgitation</topic><topic>Tricuspid Valve Insufficiency - etiology</topic><topic>Tricuspid Valve Insufficiency - pathology</topic><topic>Ventricular Dysfunction, Right - etiology</topic><topic>Ventricular Dysfunction, Right - pathology</topic><topic>Ventricular Dysfunction, Right - physiopathology</topic><topic>Ventricular Outflow Obstruction - etiology</topic><topic>Ventricular Outflow Obstruction - pathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Davlouros, P A</creatorcontrib><creatorcontrib>Niwa, K</creatorcontrib><creatorcontrib>Webb, G</creatorcontrib><creatorcontrib>Gatzoulis, M A</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Heart (British Cardiac Society)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Davlouros, P A</au><au>Niwa, K</au><au>Webb, G</au><au>Gatzoulis, M A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The right ventricle in congenital heart disease</atitle><jtitle>Heart (British Cardiac Society)</jtitle><addtitle>Heart</addtitle><date>2006-04</date><risdate>2006</risdate><volume>92</volume><issue>suppl 1</issue><spage>i27</spage><epage>i38</epage><pages>i27-i38</pages><issn>1355-6037</issn><eissn>1468-201X</eissn><abstract>In patients with congenital heart disease the right ventricle (RV) may support the pulmonary (subpulmonary RV) or the systemic circulation (systemic RV). During the last 50 years evidence is accumulating that RV dysfunction develops in many of these patients and leads to considerable morbidity and mortality. Therefore RV function in certain groups of congenital heart disease patients needs close surveillance and timely and appropriate intervention to optimise outcomes. Despite major progress being made, assessing the RV either in the subpulmonary or the systemic circulation remains challenging, often requiring a multi-imaging approach and expertise (echocardiography, magnetic resonance imaging, nuclear and occasionally invasive assessment with angiography). This review discusses the implications of volume and pressure loading of the RV in the context of congenital heart disease and describes the most relevant imaging modalities for monitoring RV function.</abstract><cop>England</cop><pub>BMJ Publishing Group Ltd and British Cardiovascular Society</pub><pmid>16543599</pmid><doi>10.1136/hrt.2005.077438</doi><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 1355-6037 |
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| source | MEDLINE; BMJ Journals - NESLi2; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central |
| subjects | ASD atrial septal defect cardiac magnetic resonance ccTGA CHD CMR computed tomography Congenital diseases congenital heart disease congenitally corrected transposition of the great arteries Echocardiography - methods Electrocardiography Heart attacks Heart Defects, Congenital - complications Heart Defects, Congenital - pathology Heart Defects, Congenital - physiopathology Heart Septal Defects, Atrial - complications Heart Septal Defects, Atrial - physiopathology Humans imaging Magnetic Resonance Angiography - methods magnetic resonance imaging Medical imaging MRI MSCT multislice computed tomography Pulmonary Valve Insufficiency - etiology Pulmonary Valve Insufficiency - pathology pulmonary valve regurgitation Pulmonary Valve Stenosis - etiology Pulmonary Valve Stenosis - pathology radionuclide angiography right ventricle RNA Stroke Volume TOE transoesophageal echocardiography tricuspid regurgitation Tricuspid Valve Insufficiency - etiology Tricuspid Valve Insufficiency - pathology Ventricular Dysfunction, Right - etiology Ventricular Dysfunction, Right - pathology Ventricular Dysfunction, Right - physiopathology Ventricular Outflow Obstruction - etiology Ventricular Outflow Obstruction - pathology |
| title | The right ventricle in congenital heart disease |
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