Redefining the role of cardiovascular imaging in patients with pulmonary arterial hypertension

Benjamin H. Freed*, Amit R. Patel, Roberto M. Lang

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

8 Scopus citations

Abstract

While pulmonary arterial hypertension is a disease primarily affecting the pulmonary vasculature, the right ventricle plays an integral part in the disease process. Although widely used, two-dimensional echocardiography is limited in visualizing the right ventricle and, therefore, assessment of its structure and function has been largely subjective or invasive. Advanced imaging modalities such as real-time three-dimensional echocardiography and cardiovascular magnetic resonance overcome many challenges of two-dimensional echocardiography and have provided further insight into the pathophysiology of pulmonary arterial hypertension. Indices of right ventricular function obtained from these noninvasive techniques are being assessed for their prognostic capabilities as well as their ability to monitor response to pulmonary arterial hypertension-specific therapies. Future research is needed to compare the accuracy, reproducibility, and prognostic value of each of these parameters to definitively establish the role of cardiovascular imaging in the management of patients with pulmonary arterial hypertension.

Original languageEnglish (US)
Pages (from-to)366-373
Number of pages8
JournalCurrent Cardiology Reports
Volume14
Issue number3
DOIs
StatePublished - Jun 2012

Keywords

  • Cardiovascular imaging
  • Cardiovascular magnetic resonance
  • Clinical end points
  • Prognostic parameters
  • Pulmonaryarterialhypertension
  • Real-time three-dimensional echocardiography
  • Right ventricle
  • Two-dimensional echocardiography

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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