Figure 1

Four-chamber and short axis views of a healthy subject, a patient with moderate PH and a patient with severe PH. The figure illustrates how the longitudinal dimension (from tricuspid annulus to apex (TA)) and transverse dimensions (from septum to free-wall (SF)) are determined. Firstly, both in end-diastole and end-systole, the left and right lateral annulus-apex lines were drawn. Secondly, the intersection through the centres of these lines was drawn. SF dimensions were considered parallel to this intersecting line. Thirdly, RV endocardial contours were drawn to determine the SF dimension at seven different levels covering the whole RV (indicated as apex-1 through base-7, with level mid-4 exactly halfway through the RV). The white lines in the short axis views indicate the intersections of the four-chamber views. RV = right ventricle, RA = right atrium, LV = left ventricle, LA = left atrium, A = Apex, T = lateral tricuspid annulus, S = RV endocardial septum, F = RV endocardial free wall.