A Ride Through Right Ventricular Assessment Part 3

The Debrief:

1. Look for septal shift and the relative size of the LV and RV.  Septal shift may be in diastole, systole or both, indicating volume or pressure overload.  
2. In addition to TAPSE and S’, look at the RV free wall and fractional area of change.
3. The relative size of the atria, atrial septal shift, and the IVC also provide clues to right ventricular filling pressures and performance.