Table 2 Right Heart Changes in Pulmonary Hypertension
From: Cardiovascular magnetic resonance in pulmonary hypertension
RV hypertrophy involving the papillary muscles, trabeculations and interventricular septum [72]. Asymmetric septal hypertrophy may be present [73–75] |
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Progressive RV dilatation until it becomes the dominant, apex-forming ventricle |
Abnormal interventricular septal motion |
Tricuspid regurgitation as a consequence of RV dilatation and stretching of the valve annulus |
Interatrial septum becomes convex leftwards reflecting elevated RA pressures |
Dilated RA |
Plethoric vena cavae |
Pericardial effusion |