MULTIMODALITY ECHOCARDIOGRAPHIC ASSESSMENT OF RIGHT VENTRICULAR FUNCTION IN PATIENTS WITH ACUTE MYOCARDIAL INFARCTION

Cong Thuc Luong1, , Thi Ngoc Han Le1
1 Military Hospital 103

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Abstract

Right ventricular (RV) dysfunction has increasingly been recognized as an important prognostic factor in patients with acute myocardial infarction (AMI). Echocardiography remains the cornerstone imaging modality for the assessment of RV function in routine clinical practice. This review summarizes the role of contemporary echocardiographic techniques, including two-dimensional (2D) echocardiography, three-dimensional (3D) echocardiography, and speckle-tracking echocardiography (STE) in the evaluation of RV function in patients with AMI. Conventional 2D echocardiographic parameters, 3D RV ejection fraction (RVEF), and RV strain parameters derived from STE have all demonstrated prognostic value for adverse cardiovascular outcomes. In addition, RV myocardial work (RVMW) has emerged as a promising novel parameter, allowing a more comprehensive assessment of RV mechanics. Multimodality echocardiography may improve risk stratification and optimize therapeutic strategies in patients with AMI.

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References

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