HF/RV function & TR Educational Series

In this series of tutorials, Karl-Philipp Rommel (Leipzig, Germany) shares insights on physiology relevant to diagnosing and treating TR-related right heart failure. He guides you through the hemodynamic assessment, the right ventricular (patho)physiology, the implications of transcatheter tricuspid valve interventions, the prognosis after such interventions, and the open questions that remain for the future.

Karl-Philipp Rommel

Interventional cardiologist / Cardiologist

Universitätsmedizin der Johannes Gutenberg-Universität Mainz - Mainz, Germany

Episode #1 - Hemodynamic diagnosis of TR/right heart failure

In this video you will learn:

  • to recognize the intricate relationship between symptoms and hemodynamics in (TR-related) right heart failure.
  • to understand the role of invasive hemodynamic assessment in the evaluation of TR patients

Episode #2 - Pathophysiology of RV volume/pressure load

In this video you will learn about:

  • the unique physiology of right ventricular function
  • the implications of RV pressure and volume load using the pressure-volume-loop framework
  • the concept of right ventricular-pulmonary arterial (RV-PA) coupling

Episode #3 - Hemodynamic implications of TTVI

In this video you will learn:

  • the theoretical implications of TR reduction for RV performance
  • the clinical implications of TR reduction for biventricular performance

Episode #4 - Prognosis after TTVI

In this video you will learn about:

  • the data supporting prognostic implications of interventional TR reduction
  • the prognostic value of hemodynamic factors
  • the importance of central venous congestion

Episode #5 - Uncertainties in TTVI

In this video, you will:

  • appreciate the challenges in patient assessment
  • understand the need for adjunctive treatment targets
  • acknowledge challenges in multivalvular disease