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44. Decompensated Right Ventricular Failure in Pulmonary Arterial Hypertension

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The Role of RV in Prognosis

The RV essentially on this echo is awful and I think it's really important that you don't just take one measure and say oh the TAPSI looks normal and therefore it's okay. You really have to look at the images. The RVEDP of 16 tells me that there's not much RV reserve for something like this and atrial tachycardia. Tricuspid regurgitation even though it seems basic that the higher the velocity jet the worse off you are.

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