3D Echocardiographic Assessment of Right Ventricular Involvement of Left Ventricular Hypertrabecularization from a New Perspective
Right ventricular (RV) involvement in left ventricular hypertrabeculation (LVNC) remains under investigation. Due to its complex anatomy, assessing RV function is challenging, but 3D transthoracic echocardiography (3D_TTE) offers valuable insights. We aimed to evaluate volumetric, functional, and st...
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MDPI AG
2025-06-01
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| Series: | Journal of Imaging |
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| author | Márton Horváth Kristóf Farkas-Sütő Flóra Klára Gyulánczi Alexandra Fábián Bálint Lakatos Anna Réka Kiss Kinga Grebur Zsófia Gregor Balázs Mester Attila Kovács Béla Merkely Andrea Szűcs |
| author_facet | Márton Horváth Kristóf Farkas-Sütő Flóra Klára Gyulánczi Alexandra Fábián Bálint Lakatos Anna Réka Kiss Kinga Grebur Zsófia Gregor Balázs Mester Attila Kovács Béla Merkely Andrea Szűcs |
| author_sort | Márton Horváth |
| collection | DOAJ |
| description | Right ventricular (RV) involvement in left ventricular hypertrabeculation (LVNC) remains under investigation. Due to its complex anatomy, assessing RV function is challenging, but 3D transthoracic echocardiography (3D_TTE) offers valuable insights. We aimed to evaluate volumetric, functional, and strain parameters of both ventricles in LVNC patients with preserved left ventricular ejection fraction (EF) and compare findings to a control group. This study included 37 LVNC patients and 37 age- and sex-matched controls. 3D_TTE recordings were analyzed using TomTec Image Arena (v. 4.7) and reVISION software to assess volumes, EF, and global/segmental strains. RV EF was further divided into longitudinal (LEF), radial (REF), and antero-posterior (AEF) components. LV volumes were significantly higher in the LVNC group, while RV volumes were comparable. EF and strain values were lower in both ventricles in LVNC patients. RV movement analysis showed significantly reduced LEF and REF, whereas AEF remained normal. These findings suggest subclinical RV dysfunction in LVNC, emphasizing the need for follow-up, even with preserved EF. |
| format | Article |
| id | doaj-art-b244c6a2ed254c7f84305a2e7bf1d7c2 |
| institution | OA Journals |
| issn | 2313-433X |
| language | English |
| publishDate | 2025-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Imaging |
| spelling | doaj-art-b244c6a2ed254c7f84305a2e7bf1d7c22025-08-20T02:20:58ZengMDPI AGJournal of Imaging2313-433X2025-06-0111618110.3390/jimaging110601813D Echocardiographic Assessment of Right Ventricular Involvement of Left Ventricular Hypertrabecularization from a New PerspectiveMárton Horváth0Kristóf Farkas-Sütő1Flóra Klára Gyulánczi2Alexandra Fábián3Bálint Lakatos4Anna Réka Kiss5Kinga Grebur6Zsófia Gregor7Balázs Mester8Attila Kovács9Béla Merkely10Andrea Szűcs11Heart and Vascular Center, Semmelweis University, H-1122 Budapest, HungaryHeart and Vascular Center, Semmelweis University, H-1122 Budapest, HungaryHeart and Vascular Center, Semmelweis University, H-1122 Budapest, HungaryHeart and Vascular Center, Semmelweis University, H-1122 Budapest, HungaryHeart and Vascular Center, Semmelweis University, H-1122 Budapest, HungaryHeart and Vascular Center, Semmelweis University, H-1122 Budapest, HungaryHeart and Vascular Center, Semmelweis University, H-1122 Budapest, HungaryHeart and Vascular Center, Semmelweis University, H-1122 Budapest, HungaryHeart and Vascular Center, Semmelweis University, H-1122 Budapest, HungaryHeart and Vascular Center, Semmelweis University, H-1122 Budapest, HungaryHeart and Vascular Center, Semmelweis University, H-1122 Budapest, HungaryHeart and Vascular Center, Semmelweis University, H-1122 Budapest, HungaryRight ventricular (RV) involvement in left ventricular hypertrabeculation (LVNC) remains under investigation. Due to its complex anatomy, assessing RV function is challenging, but 3D transthoracic echocardiography (3D_TTE) offers valuable insights. We aimed to evaluate volumetric, functional, and strain parameters of both ventricles in LVNC patients with preserved left ventricular ejection fraction (EF) and compare findings to a control group. This study included 37 LVNC patients and 37 age- and sex-matched controls. 3D_TTE recordings were analyzed using TomTec Image Arena (v. 4.7) and reVISION software to assess volumes, EF, and global/segmental strains. RV EF was further divided into longitudinal (LEF), radial (REF), and antero-posterior (AEF) components. LV volumes were significantly higher in the LVNC group, while RV volumes were comparable. EF and strain values were lower in both ventricles in LVNC patients. RV movement analysis showed significantly reduced LEF and REF, whereas AEF remained normal. These findings suggest subclinical RV dysfunction in LVNC, emphasizing the need for follow-up, even with preserved EF.https://www.mdpi.com/2313-433X/11/6/181hypertrabeculationright ventricle3D echocardiography |
| spellingShingle | Márton Horváth Kristóf Farkas-Sütő Flóra Klára Gyulánczi Alexandra Fábián Bálint Lakatos Anna Réka Kiss Kinga Grebur Zsófia Gregor Balázs Mester Attila Kovács Béla Merkely Andrea Szűcs 3D Echocardiographic Assessment of Right Ventricular Involvement of Left Ventricular Hypertrabecularization from a New Perspective Journal of Imaging hypertrabeculation right ventricle 3D echocardiography |
| title | 3D Echocardiographic Assessment of Right Ventricular Involvement of Left Ventricular Hypertrabecularization from a New Perspective |
| title_full | 3D Echocardiographic Assessment of Right Ventricular Involvement of Left Ventricular Hypertrabecularization from a New Perspective |
| title_fullStr | 3D Echocardiographic Assessment of Right Ventricular Involvement of Left Ventricular Hypertrabecularization from a New Perspective |
| title_full_unstemmed | 3D Echocardiographic Assessment of Right Ventricular Involvement of Left Ventricular Hypertrabecularization from a New Perspective |
| title_short | 3D Echocardiographic Assessment of Right Ventricular Involvement of Left Ventricular Hypertrabecularization from a New Perspective |
| title_sort | 3d echocardiographic assessment of right ventricular involvement of left ventricular hypertrabecularization from a new perspective |
| topic | hypertrabeculation right ventricle 3D echocardiography |
| url | https://www.mdpi.com/2313-433X/11/6/181 |
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