Skip to main content

Advanced Echocardiographic Techniques in Arrhythmogenic Right Ventricular Cardiomyopathy

  • Chapter
  • First Online:
Clinical Echocardiography and Other Imaging Techniques in Cardiomyopathies

Abstract

Considering the significant limitations of basic echocardiography in the evaluation of arrhythmogenic right ventricular cardiomyopathy (ARVC), substantial research has been made in recent years regarding the possible diagnostic contribution of advanced echocardiographic techniques in this disease. Three-dimensional echocardiography has good accuracy for RV volumes and ejection fraction assessment with respect to cardiac magnetic resonance in ARVC patients. Furthermore, tissue Doppler imaging allows quantitative assessment of RV longitudinal function by measuring myocardial velocities and velocity-derived deformation parameters (strain and strain rate) and provides interesting information in ARVC patients, considering the dyshomogeneous nature of myocardial involvement in this peculiar type of cardiomyopathy. Finally, speckle-tracking echocardiography applied in ARVC shows significantly reduced RV global longitudinal strain in this patient population.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 139.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Shimada YJ, Shiota M, Siegel RJ et al (2010) Accuracy of right ventricular volumes and function determined by three-dimensional echocardiography in comparison with magnetic resonance imaging: a meta-analysis study. J Am Soc Echocardiogr 23:943–953

    Article  PubMed  Google Scholar 

  2. Lang RM, Badano LP, Tsang W et al (2012) EAE/ASE recommendations for image acquisition and display using three-dimensional echocardiography. Eur Heart J Cardiovasc Imaging 13:1–46

    Article  PubMed  Google Scholar 

  3. Tamborini G, Marsan NA, Gripari P et al (2010) Reference values for right ventricular volumes and ejection fraction with real-time three-dimensional echocardiography: evaluation in a large series of normal subjects. J Am Soc Echocardiogr 23:109–115

    Article  PubMed  Google Scholar 

  4. Prakasa KR, Dalal D, Wang J et al (2006) Feasibility and variability of three dimensional echocardiography in arrhythmogenic right ventricular dysplasia/cardiomyopathy. Am J Cardiol 97:703–709

    Article  PubMed  Google Scholar 

  5. Goland S, Czer LS, Luthringer D et al (2008) A case of arrhythmogenic right ventricular cardiomyopathy. Can J Cardiol 24:61–62

    Article  PubMed  PubMed Central  Google Scholar 

  6. Marcus FI, McKenna WJ, Sherrill D et al (2010) Diagnosis of arrhythmogenic right ventricular cardiomyopathy/dysplasia: proposed modification of the Task Force Criteria. Eur Heart J 31:806–814

    Article  PubMed  PubMed Central  Google Scholar 

  7. Weidemann F, Kowalski M, D'Hooge J et al (2001) Doppler myocardial imaging. A new tool to assess regional inhomogeneity in cardiac function. Basic Res Cardiol 96:595–605

    Article  PubMed  CAS  Google Scholar 

  8. Jurcut R, Wildiers H, Ganame J et al (2008) Detection and monitoring of cardiotoxicity-what does modern cardiology offer? Support Care Cancer 16:437–445

    Article  PubMed  Google Scholar 

  9. Voigt JU, Exner B, Schmiedehausen K et al (2003) Strain-rate imaging during dobutamine stress echocardiography provides objective evidence of inducible ischemia. Circulation 107:2120–2126

    Article  PubMed  Google Scholar 

  10. Wang J, Prakasa K, Bomma C et al (2007) Comparison of novel echocardiographic parameters of right ventricular function with ejection fraction by cardiac magnetic resonance. J Am Soc Echocardiogr 20:1058–1064

    Article  PubMed  Google Scholar 

  11. D’Hooge J, Heimdal A, Jamal F et al (2000) Regional strain and strain rate measurements by cardiac ultrasound: principles, implementation and limitations. Eur J Echocardiogr 1:154–170

    Article  PubMed  Google Scholar 

  12. Jamal F, Bergerot C, Argaud L et al (2003) Longitudinal strain quantitates regional right ventricular contractile function. Am J Physiol Heart Circ Physiol 285:H2842–H2847

    PubMed  CAS  Google Scholar 

  13. Kjaergaard J, Sogaard P, Hassager C (2006) Quantitative echocardiographic analysis of the right ventricle in healthy individuals. J Am Soc Echocardiogr 19:1365–1372

    Article  PubMed  Google Scholar 

  14. Teske AJ, Cox MG, De Boeck BW et al (2009) Echocardiographic tissue deformation imaging quantifies abnormal regional right ventricular function in arrhythmogenic right ventricular dysplasia/cardiomyopathy. J Am Soc Echocardiogr 22:920–927

    Article  PubMed  Google Scholar 

  15. Kukulski T, Hubbert L, Arnold M et al (2000) Normal regional right ventricular function and its change with age: a Doppler myocardial imaging study. J Am Soc Echocardiogr 13:194–204

    Article  PubMed  CAS  Google Scholar 

  16. Teske AJ, Cox MG, Te Riele AS et al (2012) Early detection of regional functional abnormalities in asymptomatic ARVD/C gene carriers. J Am Soc Echocardiogr 25:997–1006

    Article  PubMed  Google Scholar 

  17. Sarvari SI, Haugaa KH, Anfinsen OG et al (2011) Right ventricular mechanical dispersion is related to malignant arrhythmias: a study of patients with arrhythmogenic right ventricular cardiomyopathy and subclinical right ventricular dysfunction. Eur Heart J 32:1089–1096

    Article  PubMed  Google Scholar 

  18. Korinek J, Kjaergaard J, Sengupta PP et al (2007) High spatial resolution speckle tracking improves accuracy of 2-dimensional strain measurements: an update on a new method in functional echocardiography. J Am Soc Echocardiogr 20:165–170

    Article  PubMed  Google Scholar 

  19. Amundsen BH, Helle-Valle T, Edvardsen T et al (2006) Noninvasive myocardial strain measurement by speckle tracking echocardiography: validation against sonomicrometry and tagged magnetic resonance imaging. J Am Coll Cardiol 47:789–793

    Article  PubMed  Google Scholar 

  20. Teske AJ, De Boeck BW, Olimulder M et al (2008) Echocardiographic assessment of regional right ventricular function: a head-to-head comparison between 2-dimensional and tissue Doppler-derived strain analysis. J Am Soc Echocardiogr 21:275–283

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Andreea M. Dragos MD .

Editor information

Editors and Affiliations

1 Electronic Supplementary Material

Below is the link to the electronic supplementary material.

(MOV 1976 kb)

(MOV 1931 kb)

(MOV 1490 kb)

(MOV 1489 kb)

(MOV 1265 kb)

(MOV 1621 kb)

(MOV 1522 kb)

(MOV 1361 kb)

(MOV 1174 kb)

(MOV 1901 kb)

(MOV 1646 kb)

(MOV 1301 kb)

(MOV 1406 kb)

(MOV 1557 kb)

(MOV 1509 kb)

(MOV 1528 kb)

(MOV 1494 kb)

(MOV 1879 kb)

(MOV 1197 kb)

(MOV 1323 kb)

(MOV 868 kb)

(MOV 785 kb)

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Dragos, A.M., Abate, E., Pinamonti, B. (2014). Advanced Echocardiographic Techniques in Arrhythmogenic Right Ventricular Cardiomyopathy. In: Pinamonti, B., Sinagra, G. (eds) Clinical Echocardiography and Other Imaging Techniques in Cardiomyopathies. Springer, Cham. https://doi.org/10.1007/978-3-319-06019-4_16

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-06019-4_16

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-06018-7

  • Online ISBN: 978-3-319-06019-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics