Table 1.
Summary of haemodynamic assessments
Technique | View | Cursor position | Comment | |
---|---|---|---|---|
Ventricular function | ||||
RV fractional area change | 2‐D | Apical four chamber | Include full view of the right ventricle (base to apex) | [(RV four‐chamber area at end‐diastole – RV four‐chamber area at end‐systole)/RV four‐chamber area at end‐diastole] × 100% |
Tricuspid annular peak systolic excursion | M‐mode | Apical four chamber | Tricuspid annulus | Measure of longitudinal contractility |
Tricuspid MPI | TDI | Apical four chamber | Tricuspid lateral annulus | (IVCT + IVRT)/RVET |
Pulmonary vascular dynamics | ||||
TPV/RVETc | PWD | Long axis RVOT | Aligned with the flow, sample at tips of pulmonary leaflets | 1/(TPV/RVETc) acts as a surrogate for pulmonary resistance |
RPA inferior wall thickness in diastole | CCM TDI | Short axis | Perpendicular to RPA | Measured in end diastole |
RPA pulsatile diameter | CMM TDI | Short axis | Perpendicular to RPA | Difference between the RPA internal calibre in diastole and systole |
PWD, pulse wave Doppler; CMM, colour m‐mode; TPV, time to peak velocity; RVET, right ventricular ejection time; TAPSE, tricuspid annular peak systolic excursion; RV, right ventricular; 2‐D, two dimensional; RVOT, right ventricular outflow tract; TDI, tissue Doppler imaging; IVCT, isovolumic contraction time; IVRT, isovolumic relaxation time.