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Right ventricular (RV) dysfunction is a sign of deterioration in the natural history of HF, and a thorough evaluation of the relationship between RV contractility and its afterload through RV\u2013pulmonary arterial (RV\u2013PA) coupling can aid in accurately assessing overall RV function. The ratio of RV end-systolic elastance (Ees) to pulmonary arterial elastance (Ea) invasively measured by right heart catheterization served as the gold standard for evaluating RV\u2013PA coupling. An echocardiographic index termed tricuspid annular plane systolic excursion\/pulmonary artery systolic pressure (TAPSE\/PASP) has been shown to correlate well with Ees\/Ea. TAPSE\/PASP is recognized as a non-invasive surrogate of RV\u2013PA coupling and has been extensively studied in patients with HF. This review briefly describes the methods of assessing RV\u2013PA coupling, mainly discussing echocardiography, summarizes the clinical utility of TAPSE\/PASP in patients with different HF types, and provides an overview of the available literature.<\/jats:p>","DOI":"10.1002\/ehf2.14663","type":"journal-article","created":{"date-parts":[[2024,1,17]],"date-time":"2024-01-17T02:44:30Z","timestamp":1705459470000},"page":"1290-1304","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Application of an Echocardiographic Index to Characterize Right Ventricular\u2013Pulmonary Arterial Coupling in Heart Failure"],"prefix":"10.1093","volume":"11","author":[{"given":"Xin","family":"Chen","sequence":"first","affiliation":[{"name":"Department of Ultrasound Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology , Wuhan ,","place":["China"]},{"name":"Clinical Research Centre for Medical 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,","place":["China"]},{"name":"Hubei Province Key Laboratory of Molecular Imaging , Wuhan ,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruohan","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Ultrasound Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology , Wuhan ,","place":["China"]},{"name":"Clinical Research Centre for Medical Imaging in Hubei Province , Wuhan ,","place":["China"]},{"name":"Hubei Province Key Laboratory of Molecular Imaging , Wuhan ,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siyi","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Ultrasound Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology , Wuhan ,","place":["China"]},{"name":"Clinical Research Centre for Medical Imaging in Hubei Province , Wuhan ,","place":["China"]},{"name":"Hubei Province Key Laboratory of Molecular Imaging , Wuhan ,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mingxing","family":"Xie","sequence":"additional","affiliation":[{"name":"Department of Ultrasound Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology , Wuhan ,","place":["China"]},{"name":"Clinical Research Centre for Medical Imaging in Hubei Province , Wuhan ,","place":["China"]},{"name":"Hubei Province Key Laboratory of Molecular Imaging , Wuhan ,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qing","family":"Lv","sequence":"additional","affiliation":[{"name":"Department of Ultrasound Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology , Wuhan ,","place":["China"]},{"name":"Clinical Research Centre for Medical Imaging in Hubei Province , Wuhan ,","place":["China"]},{"name":"Hubei Province Key Laboratory of Molecular Imaging , Wuhan 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