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Right ventricle (Size)
Guidelines for the Echocardiographic Assessment of the Right Heart in Adults: ASE, EACVI, ESC, CSE (2010)RVD1basal Right ventricular basal diameter at end-diastole
25 - 41mm RVD2mid Right ventricular mid diameter at end-diastole
19 - 35mm RVD3long Right ventricular longitudinal diameter at end-diastole
59 - 83mm RVOTprox(PLAX) Right ventricular outflow tract at proximal (PLAX)
20 - 30mm RVOTprox(PSAX) Right ventricular outflow tract at proximal (PSAX)
21 - 35mm RVOTdistal(PSAX) Right ventricular outflow tract at distal (PSAX)
17 - 27mm PAdiameter Main pulmonary artery diameter
15 - 25mm RVWT Right ventricular wall thickness
1 - 5mm
Recommendations for Cardiac Chamber Quantification by Echocardiography in Adults: An Update from the ASE and EACVI (2015)
Guidelines for the diagnosis and management of acute pulmonary embolism ESC, ERS (2019) -
Right ventricle (Area, Volume)
Recommendations for Cardiac Chamber Quantification by Echocardiography in Adults: An Update from the ASE and EACVI (2015)Male Female RV EDA (cm2) Right ventricular end-diastolic area
10 - 24 8 - 20 RV EDA (cm2/m2) Right ventricular end-diastolic area
5 - 12,6 4,5 - 11,5 RV ESA (cm2) Right ventricular end-systolic area
3 - 15 3 - 11 RV ESA (cm2/m2) Right ventricular end-systolic area
2 - 7,4 1,6 - 6,4 RV EDV (ml/m2) Right ventricular end-diastolic volume
35 - 87 32 - 74 RV ESV (ml/m2) Right ventricular end-systolic volume
10 - 44 8 - 36 -
Right ventricle (Function)
Guidelines for the Echocardiographic Assessment of the Right Heart in Adults: ASE, EACVI, ESC, CSE (2010)Variable Abnormal TAPSE Tricuspid annular plane systolic excursion
<17mm S’ WavepulsedTDI Peak systolic velocity tricuspid annulus (Pulsed TDI)
<9,5cm/s S’ WavecolorTDI Peak systolic velocity tricuspid annulus (Color TDI)
<6cm/s FAC Fractional Area Change
<35% RV EF Right ventricular ejection fraction
<45% RIMPTDI Right Ventricular Index of Myocardial Performance (TDI)
>0,54 RIMPPWd Right Ventricular Index of Myocardial Performance (PWd)
>0,43 IVARV Myocardial acceleration during isovolumic contraction
<1,1m/s2 PVR Pulmonary vascular ressistance
>3WU RV dP/dt Rate of rise of right ventricle pressure
<400mmHg/s E/ATrV Tricuspid valve E / A wave ratio
<0,8
>2DT TrV Tricuspid valve deceleration time
<119ms
>242mse’ waveTrV eak velocity in early diastole of tricuspid annulus (TDI)
<7,8cm/s e’/a’TrV Tricuspid valve e� / a� ratio (TDI)
<0,52 E/e’TrV Tricuspid valve E / e� ratio
>6 PAAT Pulmonary artery acceleration time
<100ms
Recommendations for Cardiac Chamber Quantification by Echocardiography in Adults: An Update from the ASE and EACVI (2015)
Guidelines for the diagnosis and management of acute pulmonary embolism ESC, ERS (2019) -
Right ventricle (Pressure)
Guidelines for the Echocardiographic Assessment of the Right Heart in Adults: ASE, EACVI, ESC, CSE (2010)Variable Abnormal RVSP(SPAP) Right ventricular systolic pressure
>35mmHg mPAP Mean pulmonar arterial pressure
>25mmHg PADP Pulmonary artery diastolic pressure
>15mmHg -
Right ventricle (Pressure overload)
Guidelines for the diagnosis and management of acute pulmonary embolism ESC, ERS (2019)Variable Abnormal RVOTprox(PLAX) Right ventricular outflow tract at proximal (PLAX)
>30mm Basal RV/LV Basal right/left ventricle ratio
>1 D septum D shaped septum
Yes IVCdiameter Inferior vena cava diameter
>2,1cm IVCcollaps Inferior vena cava collapsibility
<50% 60/60 sign 60/60 Echo sign
Yes McConnel’s sign Mid wall hypokinesia and apical hyperkinesia
Yes Trombus RV Right heart mobile trombus
Yes TAPSE Tricuspid annular plane systolic excursion
<16mm S’ wavepulsedTDI Peak systolic velocity tricuspid annulus (Pulsed TDI)
<9,5cm/s