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Right ventricular function in congenital cardiac disease: noninvasive quantitative parameters for clinical follow-up

Published online by Cambridge University Press:  24 May 2005

Igor I. Tulevski ,
Ali Dodge-Khatami ,
Maarten Groenink ,
Ernst E. van der Wall ,
Hans Romkes  and
Barbara J. M. Mulder
Igor I. Tulevski
Affiliation:
Department of Cardiology, Academic Medical Center, University of Amsterdam, Amsterdam The Netherlands
Ali Dodge-Khatami
Affiliation:
Department of Cardiothoracic Surgery, Academic Medical Center, University of Amsterdam, Amsterdam The Netherlands
Maarten Groenink
Affiliation:
Department of Cardiology, Academic Medical Center, University of Amsterdam, Amsterdam The Netherlands
Ernst E. van der Wall
Affiliation:
Department of Cardiology, Leiden University Medical Center, Leiden, The Netherlands
Hans Romkes
Affiliation:
Department of Cardiology, Academic Medical Center, University of Amsterdam, Amsterdam The Netherlands
Barbara J. M. Mulder
Affiliation:
Department of Cardiology, Academic Medical Center, University of Amsterdam, Amsterdam The Netherlands
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Abstract

Right ventricular function is of great importance in patients with both acute and chronic ventricular overload. The early detection of right ventricular dysfunction may have an impact on therapeutic decision making, helping to prevent or further delay functional deterioration of the right ventricle.

In patients with right ventricular overload due to congenital cardiac diseases, dobutamine stress testing combined with magnetic resonance imaging, electrocardiographic changes, and monitoring of concentrations of plasma brain natriuretic peptide are very suitable parameters for the early detection of ventricular dysfunction, and should therefore be used in the follow-up of these patients.

It is apparent that no single measurement of anatomy or function can ever adequately describe the form or performance of the right ventricle. Rather, we should be looking more towards an integrated approach of different parameters for right ventricular function. The quantitative parameters described in this study can serve this purpose. The strong correlation found between these non-invasive and independent parameters encourages their clinical implementation.

Keywords

Adult congenital heart diseaseechocardiographymagnetic resonance imaging
Type
Review
Information
Cardiology in the Young , Volume 13 , Issue 5 , October 2003 , pp. 397 - 403
Copyright
© 2003 Cambridge University Press

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