Prognostic implication of right ventricular-pulmonary artery coupling in valvular heart disease

Valvular heart disease (VHD) leading to inadequate hemodynamic circulation is a major cause of cardiovascular morbidity and mortality worldwide. Right ventricular-pulmonary artery (RV–PA) coupling integrates the ability of RV contractility to adapt to increased pulmonary arterial afterload. If the r...

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Main Authors: Zhenni Wu, Mingxing Xie, Li Zhang, Qing He, Lang Gao, Mengmeng Ji, Yixia Lin, Yuman Li
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Cardiovascular Medicine
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Online Access:https://www.frontiersin.org/articles/10.3389/fcvm.2024.1504063/full
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author Zhenni Wu
Zhenni Wu
Zhenni Wu
Mingxing Xie
Mingxing Xie
Mingxing Xie
Li Zhang
Li Zhang
Li Zhang
Qing He
Qing He
Qing He
Lang Gao
Lang Gao
Lang Gao
Mengmeng Ji
Mengmeng Ji
Mengmeng Ji
Yixia Lin
Yixia Lin
Yixia Lin
Yuman Li
Yuman Li
Yuman Li
author_facet Zhenni Wu
Zhenni Wu
Zhenni Wu
Mingxing Xie
Mingxing Xie
Mingxing Xie
Li Zhang
Li Zhang
Li Zhang
Qing He
Qing He
Qing He
Lang Gao
Lang Gao
Lang Gao
Mengmeng Ji
Mengmeng Ji
Mengmeng Ji
Yixia Lin
Yixia Lin
Yixia Lin
Yuman Li
Yuman Li
Yuman Li
author_sort Zhenni Wu
collection DOAJ
description Valvular heart disease (VHD) leading to inadequate hemodynamic circulation is a major cause of cardiovascular morbidity and mortality worldwide. Right ventricular-pulmonary artery (RV–PA) coupling integrates the ability of RV contractility to adapt to increased pulmonary arterial afterload. If the right ventricle cannot adapt to the elevated afterload by increasing its contractile function, RV-PA uncoupling occurs. RV-PA uncoupling has been shown to be associated with poor outcomes in VHD. This review summarizes the prognostic significance of RV-PA coupling in patients with VHD.
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institution Kabale University
issn 2297-055X
language English
publishDate 2025-01-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Cardiovascular Medicine
spelling doaj-art-076badc2b9774efea7037133c8f95ab12025-01-14T06:10:24ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2025-01-011110.3389/fcvm.2024.15040631504063Prognostic implication of right ventricular-pulmonary artery coupling in valvular heart diseaseZhenni Wu0Zhenni Wu1Zhenni Wu2Mingxing Xie3Mingxing Xie4Mingxing Xie5Li Zhang6Li Zhang7Li Zhang8Qing He9Qing He10Qing He11Lang Gao12Lang Gao13Lang Gao14Mengmeng Ji15Mengmeng Ji16Mengmeng Ji17Yixia Lin18Yixia Lin19Yixia Lin20Yuman Li21Yuman Li22Yuman Li23Department of Ultrasound Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaClinical Research Center for Medical Imaging in Hubei Province, Wuhan, ChinaHubei Province Key Laboratory of Molecular Imaging, Wuhan, ChinaDepartment of Ultrasound Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaClinical Research Center for Medical Imaging in Hubei Province, Wuhan, ChinaHubei Province Key Laboratory of Molecular Imaging, Wuhan, ChinaDepartment of Ultrasound Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaClinical Research Center for Medical Imaging in Hubei Province, Wuhan, ChinaHubei Province Key Laboratory of Molecular Imaging, Wuhan, ChinaDepartment of Ultrasound Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaClinical Research Center for Medical Imaging in Hubei Province, Wuhan, ChinaHubei Province Key Laboratory of Molecular Imaging, Wuhan, ChinaDepartment of Ultrasound Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaClinical Research Center for Medical Imaging in Hubei Province, Wuhan, ChinaHubei Province Key Laboratory of Molecular Imaging, Wuhan, ChinaDepartment of Ultrasound Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaClinical Research Center for Medical Imaging in Hubei Province, Wuhan, ChinaHubei Province Key Laboratory of Molecular Imaging, Wuhan, ChinaDepartment of Ultrasound Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaClinical Research Center for Medical Imaging in Hubei Province, Wuhan, ChinaHubei Province Key Laboratory of Molecular Imaging, Wuhan, ChinaDepartment of Ultrasound Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaClinical Research Center for Medical Imaging in Hubei Province, Wuhan, ChinaHubei Province Key Laboratory of Molecular Imaging, Wuhan, ChinaValvular heart disease (VHD) leading to inadequate hemodynamic circulation is a major cause of cardiovascular morbidity and mortality worldwide. Right ventricular-pulmonary artery (RV–PA) coupling integrates the ability of RV contractility to adapt to increased pulmonary arterial afterload. If the right ventricle cannot adapt to the elevated afterload by increasing its contractile function, RV-PA uncoupling occurs. RV-PA uncoupling has been shown to be associated with poor outcomes in VHD. This review summarizes the prognostic significance of RV-PA coupling in patients with VHD.https://www.frontiersin.org/articles/10.3389/fcvm.2024.1504063/fullright ventricular-pulmonary artery couplingvalvular heart diseasepulmonary hypertensioncongenital heart defectright ventricular functionclinical utility
spellingShingle Zhenni Wu
Zhenni Wu
Zhenni Wu
Mingxing Xie
Mingxing Xie
Mingxing Xie
Li Zhang
Li Zhang
Li Zhang
Qing He
Qing He
Qing He
Lang Gao
Lang Gao
Lang Gao
Mengmeng Ji
Mengmeng Ji
Mengmeng Ji
Yixia Lin
Yixia Lin
Yixia Lin
Yuman Li
Yuman Li
Yuman Li
Prognostic implication of right ventricular-pulmonary artery coupling in valvular heart disease
Frontiers in Cardiovascular Medicine
right ventricular-pulmonary artery coupling
valvular heart disease
pulmonary hypertension
congenital heart defect
right ventricular function
clinical utility
title Prognostic implication of right ventricular-pulmonary artery coupling in valvular heart disease
title_full Prognostic implication of right ventricular-pulmonary artery coupling in valvular heart disease
title_fullStr Prognostic implication of right ventricular-pulmonary artery coupling in valvular heart disease
title_full_unstemmed Prognostic implication of right ventricular-pulmonary artery coupling in valvular heart disease
title_short Prognostic implication of right ventricular-pulmonary artery coupling in valvular heart disease
title_sort prognostic implication of right ventricular pulmonary artery coupling in valvular heart disease
topic right ventricular-pulmonary artery coupling
valvular heart disease
pulmonary hypertension
congenital heart defect
right ventricular function
clinical utility
url https://www.frontiersin.org/articles/10.3389/fcvm.2024.1504063/full
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