In patients with ischemic heart disease (IHD), the main focus is currently on the pathology of the left ventricle (LV), while the right ventricle (RV) is overlooked. This is logical, since, in IHD, as a result of damage to the left parts of the heart, their remodeling, dilatation and development of heart failure (HF) occur. However, the results of studies in recent years have shown that IHD, ischemia and myocardial infarction (MI) of the pancreas, are one of the main causes of pancreatic dysfunction. Thus, in patients with lower myocardial infarction, pancreatic pathology occurs in 41.1% of cases and is a predictor of mortality in late periods after myocardial infarction, associated with the occurrence of recurrent myocardial infarction and stent thrombosis [1,15]. In general, right ventricular dysfunction is considered to be one of the strongest independent predictors of prognosis after MI, even in the absence of RV MI [2], so it is important to diagnose this pathology as early as possible. In this regard, the assessment of RV diastolic function is considered more informative, which, on the one hand, is a marker of early or latent RV dysfunction [3, 4], and on the other hand, also has independent prognostic value [2,15].

Right ventricle, diastolic dysfunction, echocardiography

Joy M.H. Wang, Rabjot Rai, Mark Carrasco, Tiwadayo Sam-Odusina, Sonja Salandy, Jerzy Gielecki, Anna Zurada, Marios Loukas. An anatomical review of the right ventricle. Translational Research in Anatomy. Volume 17, 2019.

Сокольская Н.О., Копылова Н.С., Иванов А.В., Кокшенев И.В. Анатомия и функция правого желудочка. Этиология, патогенез и современные аспекты эхокардиографической оценки правожелудочковой недостаточности. Клиническая физиология кровообращения. 2020; 17 (4): 266–83. DOI: 10.24022/1814-6910-2020-17-4-266-283.

RV diastolic dysfunction: time to re-evaluate its importance in heart failure. Axell RG, Hoole SP, Hampton-Till J, White PA. Heart Fail Rev. 2015; 20(3): 363-73.

H. Muresian, The clinical anatomy of the right ventricle, Clin. Anat. 29 (3) (2016) 380–398.

Sumin AN, Arkhipov OG. Indicators of right ventricular diastolic function with varying severity of pulmonary hypertension in patients with chronic pulmonary heart. Journal of Cardiac Failure. 2012; 1: 13-8.

Sanders JL, Koestenberger M, Rosenkranz S, Maron BA. Right ventricular dysfunction and long-term risk of death. Cardiovasc Diagn Ther 2020; 10(5): 1646- 1658. Doi: 10.21037/cdt-20-450.

Buslenko NS, Buziashvili YI, Koksheneva IV, et al. Right heart remodeling in patients with coronary heart disease: clinical and pathophysiological correlation. Cardiovascular Therapy and Prevention, 2005; 4 (5): 23-31.

Lang R.M., Badano L.P., Mor-Avi V., Afilalo J., Armstrong A., Ernande L. et al. Recommendations for cardiac chamber quantification by echocardiography in adults: an update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. J. Am. Soc. Echocardiogr. 2015; 28: 1–39.e14.

Беленков Ю.Н., Агеев Ф.Т., Мареев В.Ю. Знакомьтесь: диастолическая сердечная недостаточность. Серд. недостат 2000; 2: 58-61.

F. Saremi, S.Y. Ho, J.A. Cabrera, D. Sanchez-Quintana, Right ventricular outflow tract imaging with CT and MRI: Part 1, morphology, Am. J. Roentgenol. 200 (2013) W39–W50.

L.A. Walker, P.M. Buttrick, The right ventricle: biologic insights and response to disease: updated, Curr. Cardiol. Rev. 9 (1) (2013) 73–81

F. Saremi, S.Y. Ho, J.A. Cabrera, D. Sanchez-Quintana, Right ventricular outflow tract imaging with CT and MRI: Part 2, function, Am. J. Roentgenol. 200 (2013) W51–W61

Kholikov I.B., Tashkenbaeva E.N. ECHOCARDIOGRAPHIC ANATOMY OF THE RIGHT VENTRICLE: VISUALIZATION ACCESSES. Journal of

cardiorespiratory research. 2022, vol 3, issue 3, pp.98-103.

S.Y. Ho, Cardiac anatomy and pathology, Clinical Cardiac Pacing, Defibrillation and Resynchronization Therapy, fifth ed., Elseveir, Inc, Philadelphia, PA, 2017,

pp. 3–14.

Arkhipov O.G., Sumin A.N. DIASTOLIC DYSFUNCTION OF THE RIGHT VENTRICLE IN CORONARY HEART DISEASE PATIENTS. Russian Journal

of Cardiology. 2017;(3):37-45.

Kholikov I.B., Tashkenbaeva E.N. Right ventricular dysfunction in coronary heart disease: modern concepts of the problem and methods of diagnosis. Journal of cardiorespiratory research. 2022, Special Issue 2.1, pp. 66-71.

Сокольская Н.О., Копылова Н.С., Иванов А.В., Кокшенев И.В. Анатомия и функция правого желудочка. Этиология, патогенез и современные аспекты эхокардиографической оценки правожелудочковой недостаточности. Клиническая физиология кровообращения. 2020; 17 (4): 266–83.

R.H. Anderson, D.E. Spicer, A.M. Hlavacek, A.C. Cook, C.L. Backer, Wilcox's Surgical Anatomy of the Heart, fourth ed., Cambridge University Press, Cambridge, 2013

Yanase O, Motomiya T, Tejima T, Nomura S. Doppler echocardiographic assessment of right ventricular filling characteristics in hemodynamically significant right ventricular infarction. Am J Noninvasiv Cardiol 1992;6: 230-6.

S.Y. Ho, P. Nihoyannopulos, Anatomy, echocardiography, and normal right ventricular dimensions, Heart 92 (Suppl I) (2006) i2–i13.

Беленков Ю.Н. Роль нарушений систолы и диастолы в развитии сердечной недостаточности. Тер архив 1994; 9: 387.

Vonk Noordegraaf A, Westerhof BE, Westerhof N. The Relationship Between the Right Ventricle and its Load in Pulmonary Hypertension. J Am Coll Cardiol 2017; 69:236-43.

Мухарлямов Н.М. Ранние стадии недостаточности кровообращения и механизмы ее компенсации. Москва «Медицина» 1978; 248 с.

Estimation of left and right ventricular filling pressures after heart transplantation by tissue Doppler imaging. Sundereswaran L, Nagueh SF, Vardan S, Middleton KJ, Zoghbi WA, Quinones MA, et al. Am J Cardiol 1998;82:352-7.

Ольбинская Л.И., Сизова Ж.М. Хроническая сердечная недостаточность. Монография. Москва «Реафарм» 2001; 344 с.