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Although current guidelines have improved standardization, there is anecdotal evidence suggesting that there is significant variability in clinical practice regarding acquisition and reporting persist.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This international survey evaluated the extent of variability in echocardiographic assessment of the RH. A simple method for the standardization of RH measurements is proposed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The international anonymous survey consisted of 68 questions with a primary focus on routine methods and measurements of RH echocardiography by transthoracic (TTE) and transesophageal (TEE) modalities. The questions were developed using a standardization framework, focused on six key areas: views and settings, phase, orientation, interface, timing and selection, as well as scaling and indexing (V-POINTS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The survey was available from November 2024 to February 2025. A total of 588 international respondents from various disciplines and professions responded. The majority of respondents had certification in echocardiography (74%), 34% reported 10 to 20 years of experience, 22% reported more than 20 years of experience. The 4-chamber (80%) and right ventricular (RV) focused (67%) views were most commonly used in TTE. The functional parameters included tricuspid annular plane systolic excursion (TAPSE) (80%), visual assessment (66%), RV S\u2019 (50%), and fractional area change (FAC) (42%). RV strain and 3D metrics were less frequently used. Using TEE the mid-esophageal 4-chamber view was most commonly used (80%), RV function was mostly assessed visually, and quantification playing a secondary role (TAPSE 44% and RVFAC 34%). There was considerable variability in the definition of cardiac phases across both modalities. RV dimensions and areas were measured at the compacted region by 58% of the respondents. Scaling and indexing were not routinely used in practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      The survey identified significant variability in the practice of RH echocardiography. We propose a simple system (\n                      <jats:bold>V-POINTS) which may improve standardization of image acquisition and corresponding measurements.<\/jats:bold>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s44156-026-00121-7","type":"journal-article","created":{"date-parts":[[2026,6,7]],"date-time":"2026-06-07T23:01:50Z","timestamp":1780873310000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["International practices and variability in right heart echocardiography: results from the RVNet(Work) international survey"],"prefix":"10.1186","volume":"13","author":[{"given":"Harry","family":"Magunia","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel X.","family":"Augustine","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Attila","family":"Kov\u00e1cs","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alina","family":"Nicoara","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marius","family":"Keller","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dick","family":"Thijssen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca T.","family":"Hahn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Denisa","family":"Muraru","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lawrence","family":"Rudski","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karima","family":"Addetia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monica","family":"Mukherjee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arie","family":"van Dijk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andre","family":"Denault","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elena","family":"Surkova","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francois","family":"Haddad","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Oxborough","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,6,8]]},"reference":[{"issue":"19","key":"121_CR1","doi-asserted-by":"publisher","first-page":"1954","DOI":"10.1016\/j.jacc.2023.03.392","volume":"81","author":"RT Hahn","year":"2023","unstructured":"Hahn RT, Lerakis S, Delgado V, Addetia K, Burkhoff D, Muraru D, et al. 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DM received research equipment and speakers\u2019 honoraria from GE Healthcare and Philips Medical Systems. ES is an employee and a shareholder of AstraZeneca. MM receives funding from the NIH\/NHLBI R01HL162851 and US Department of Defense PR231648. Unrelated to this work, Dr. Mukherjee serves on the DSMB for Advarra, Inc and as a consultant to AllRock Bio, Inc. MK has received speaker honoraria from AOP Health outside the submitted work. RTH reports speaker fees from Abbott Structural, Baylis Medical, Edwards Lifesciences and Philips Healthcare; she is Chief Scientific Officer for the Echocardiography Core Laboratory at the Cardiovascular Research Foundation for multiple industry-sponsored valve trials, for which she receives no direct industry compensation. KA reports a Pfizer Grant for Cardiac Amyloidosis Research. All other authors declare that there are no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"22"}}