Right ventricular failure across load and myocardial phenotypes: anatomy, plasticity and therapeutic implications

Clicks: 4
ID: 337973
2026
Free PDF
Article Quality & Performance Metrics
Overall Quality
Not rated
Combines reader engagement with the AI quality analysis. This article has not been analysed, so there is no overall score — reader engagement is measured and shown alongside.
AI Quality Assessment
Not analyzed
Readership in this journal
Emerging

Ranked #71 of 72 articles by views in European Heart Journal - Imaging Methods and Practice

Most read Least read

Bar heights use a square-root scale.

Mint this article as an NFT
Not yet minted

Create a permanent, verifiable on-chain record of this article on the Scimatic Network. The NFT is held in your Journament account, and you can withdraw it to your own wallet at any time.

5 SUSD one-off · no wallet required
Sign in to mint
Abstract
Abstract The right ventricle (RV) is a load-dependent chamber whose performance reflects myocardial reserve, loading conditions and ventricular interdependence. Volume overload, pressure overload and intrinsic myocardial dysfunction produce distinct, often overlapping remodelling trajectories and therapeutic targets. This review integrates contemporary imaging and prognostic evidence into a mechanism-to-decision framework. Its clinical contribution is to explain how deformation and chamber geometry should be interpreted with regurgitant burden and forward flow in volume overload, vascular load and coupling in pressure overload, and regional motion and tissue injury in intrinsic disease. Echocardiography combines these measurements with valve assessment, pulmonary outflow Doppler, left-heart filling phenotype and systemic venous congestion. Cardiovascular magnetic resonance, computed tomography, right heart catheterisation and stress testing resolve selected anatomical or physiological uncertainty. Automated measurements can support serial phenotyping but require image and contour review. Reverse remodelling describes favourable structural change; meaningful recovery additionally requires preserved or restored effective forward performance and improvement in clinical or venous consequences after treatment of the causal load, lesion or myocardial substrate. This framework helps recognise discordant findings, select further assessment and judge treatment response without equating a single load-dependent index with myocardial recovery.
Reference Key
openalex_W7224997189 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Laura Scelsi, Alessandra Greco, Mauro Acquaro
Are you one of these authors? Claim your profile
Journal European Heart Journal - Imaging Methods and Practice
Year 2026
DOI
10.1093/ehjimp/qyag185
URL
https://doi.org/10.1093/ehjimp/qyag185
Keywords Keywords not found

Citations

No citations found. To add a citation, contact the admin at info@scimatic.org

Comments

No comments yet. Be the first to comment on this article.