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Global cardiac function is a key determinant of prognosis and treatment response in SSc\u2010PAH, necessitating precise and dynamic assessment. Echocardiography provides a comprehensive, noninvasive modality for this purpose. This narrative review synthesizes recent advances in echocardiographic evaluation of global cardiac function in SSc\u2010PAH. It covers established parameters of right and left ventricular function, emerging indices such as the TAPSE\/sPAP ratio and atrial strain, and the role of advanced techniques including stress echocardiography and speckle\u2010tracking imaging. The integration of these approaches enhances early detection, risk stratification, and therapeutic monitoring. Future directions, including three\u2010dimensional echocardiography and artificial intelligence, are highlighted for their potential to refine a comprehensive, ultrasound\u2010based assessment framework for SSc\u2010PAH.<\/jats:p>","DOI":"10.1111\/echo.70442","type":"journal-article","created":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T15:19:13Z","timestamp":1775056753000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Echocardiographic Evaluation of Global Cardiac Function in Systemic Sclerosis\u2010Associated Pulmonary Arterial Hypertension: An Integrated Review of Parameters and Techniques"],"prefix":"10.1111","volume":"43","author":[{"given":"Zitong","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Ultrasound Diagnosis Affiliated Hospital of Inner Mongolia Medical University  Hohhot Inner Mongolia 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