{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T20:21:23Z","timestamp":1787602883490,"version":"build-2736575974"},"reference-count":14,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T00:00:00Z","timestamp":1786924800000},"content-version":"vor","delay-in-days":16,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Echocardiography"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    Pulmonary arterial hypertension follow\u2010up relies on composite clinical risk assessment, yet symptoms and functional markers may not always reflect right ventricular (RV) adaptation. We propose the\n                    <jats:bold>RV\u20103 Check<\/jats:bold>\n                    , a practical framework for serial RV assessment using three complementary domains:\n                    <jats:bold>remodeling, systolic performance, and RV\u2013pulmonary arterial coupling<\/jats:bold>\n                    . Each domain is classified as improving, stable, worsening, or indeterminate, with overall RV direction assigned when at least two domains change concordantly. The framework is intended to identify clinically important discordance, particularly symptomatic improvement despite progressive RV deterioration, or persistent symptoms despite objective RV recovery. The RV\u20103 Check does not replace ESC\/ERS risk stratification or invasive hemodynamics; rather, it serves as a structured confirmation tool that may prompt repeat imaging, cardiac magnetic resonance, or right\u2010heart catheterization when findings are uncertain or management\u2010changing. Prospective validation is needed before it can be used as an independent treatment algorithm.\n                  <\/jats:p>","DOI":"10.1111\/echo.70600","type":"journal-article","created":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:14:38Z","timestamp":1787019278000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["From Snapshot to Trajectory: The RV\u20103 Check for Pulmonary Arterial Hypertension Follow\u2010up"],"prefix":"10.1111","volume":"43","author":[{"given":"Arif","family":"Albulushi","sequence":"first","affiliation":[{"name":"Department of Adult Cardiology National Heart Center The Royal Hospital  Muscat Oman"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed","family":"Shams","sequence":"additional","affiliation":[{"name":"Department of Adult Cardiology National Heart Center The Royal Hospital  Muscat Oman"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hatem","family":"Farhan","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Sultan Qaboos University Hospital  Muscat Oman"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,17]]},"reference":[{"key":"e_1_2_17_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehac237"},{"key":"e_1_2_17_3_1","doi-asserted-by":"publisher","DOI":"10.1183\/13993003.00889-2017"},{"key":"e_1_2_17_4_1","doi-asserted-by":"publisher","DOI":"10.1183\/13993003.02311-2021"},{"key":"e_1_2_17_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.echo.2025.01.006"},{"key":"e_1_2_17_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehag023"},{"key":"e_1_2_17_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/heartjnl-2021-320733"},{"key":"e_1_2_17_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.healun.2017.09.026"},{"key":"e_1_2_17_9_1","doi-asserted-by":"publisher","DOI":"10.5001\/omj.2024.82"},{"key":"e_1_2_17_10_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCIMAGING.119.009047"},{"key":"e_1_2_17_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chest.2021.09.040"},{"key":"e_1_2_17_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/eschf\/xvaf026"},{"key":"e_1_2_17_13_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.201909-1771OC"},{"key":"e_1_2_17_14_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2213558"},{"key":"e_1_2_17_15_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2415160"}],"container-title":["Echocardiography"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/echo.70600","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/echo.70600","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/echo.70600","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T19:28:20Z","timestamp":1787599700000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/echo.70600"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":14,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["10.1111\/echo.70600"],"URL":"https:\/\/doi.org\/10.1111\/echo.70600","archive":["Portico"],"relation":{},"ISSN":["0742-2822","1540-8175"],"issn-type":[{"value":"0742-2822","type":"print"},{"value":"1540-8175","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8]]},"assertion":[{"value":"2026-07-19","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-28","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-17","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70600"}}