# Right Heart MasterClass

## Metadata
- Content type: Course
- Canonical URL: https://123sonography.com/course/rightheartmasterclass
- Published: October 4, 2018
- Last updated: April 25, 2025
- Category: Echo
- Course Type: Master Class

## Overview
The Right Heart MasterClass will cover everything you need to know in order to diagnose and manage patients with right heart pathologies. Benefit from high-quality videos brought to you directly from the pulmonary clinic, dissection room as well as the echo- and cath lab. Note: This course includes AI-generated translations in Spanish and Arabic. Accuracy is not guaranteed (read more in Terms & Conditions)

## Media
![rhmc trailer thumbnail](https://123sonography.com/sites/default/files/2024-04/screenshot_2024-04-17_at_11.29.40.png)

## Snapshot
- Duration: 8.7 hours
- Total CME credits that can be earned: 7.25
- Chapters: 21
- Lectures: 23
- Quizzes: 20

## Intended Audience
- Cardiologists
- General practitioners
- Medical Students
- Pulmonologists
- Pulmonary Hypertension Specialists
- Sonographers

## Faculty
- [Prof. Thomas Binder, MD, FESC](/speaker/30) - Cardiologist, Head of Digital Learning; Medical University of Vienna
- [Elena Surkova, MD, MSc, PhD](/speaker/32) - Cardiologist; Royal Brompton and Harefield Hospitals
- [Florian Wolf, MD](/speaker/66) - Radiologist, Medical University of Vienna
- [Univ. Prof. Irene Lang, MD](/speaker/31) - Cardiologist, Medical University of Vienna
- [Yu Taniguchi, MD](/speaker/75)
- [Ioana Campean, MD](/speaker/73)
- [Eva Otter](/speaker/72)
- [Christian Gerges, MD](/speaker/77)

## Learning Objectives
- After completing the Right Heart MasterClass, you will know how to identify right heart diseases.
- You will be able to classify the pathology and assess its prognosis.
- Know how to possess a thorough understanding of the individual treatment options.

## Topics
- Cardiology
- Internal Medicine
- Anaesthesiology

## Pricing Options
- Supported currencies: AED, CLP, COP, EGP, EUR, INR, MXN, PEN, QAR, USD

### One-Month Access
- Payment type: Monthly subscription
- Price: €139
- Currency: EUR
- Access duration: 1 month
- Add to cart: /add-to-cart/51/152
Take the most flexible route with a monthly subscription.

You get:

- Cancellation possible anytime after 4 months minimum run time
- Ability to complete quizzes and earn CME credits

### Two-Year Access
- Payment type: One-time payment
- Price: €1848
- Currency: EUR
- Access duration: 24 months
- Add to cart: /add-to-cart/51/422
If you want to take your time learning, this option is perfect for you. Save 40% on the 6-month option.

You get:

- 24 months access to our course
- Ability to complete quizzes and earn CME credits

### One-Year Access
- Payment type: One-time payment
- Price: €1078
- Currency: EUR
- Access duration: 12 months
- Add to cart: /add-to-cart/51/424
Our most recommended access duration to dive deep into the course. Save 30% on the 6-month option.

You get:

- 12 months access to our course
- Ability to complete quizzes and earn CME credits

### Half-Year Access
- Payment type: One-time payment
- Price: €770
- Currency: EUR
- Access duration: 6 months
- Add to cart: /add-to-cart/51/426
Our shortest option for very fast learners. Ideal for people who have plenty of time to learn.

You get:

- 6 months access to our course
- Ability to complete quizzes and earn CME credits

## Recommended Blog Posts
- [Funnel Chest: Impact on RV hemodynamics](/blog/case/funnel-chest-impact-rv-hemodynamics) - Did you know that anatomical configurations like a funnel chest can actually influence the heart function with hemodynamic significance? What do you think to be the consequence?
- [Beat the Heat Part 2 - Which procedure was performed in this patient?](/blog/cases/echo-summer-challenge-1-which-procedure-was-performed-patient) - Are you ready for some important teaching points? Can you solve the following „echo mystery“?

## CME Information

### Introduction

The goal of this activity is to provide online education for the course Right Heart MasterClass. This activity is intended for Cardiologists, General Practitioners, Medical Students, Pulmonologists, Pulmonary Hypertension Specialists and Sonographers.

### Financial disclosures

Prof Binder does not have any relevant financial relationship with ineligible companies to disclose; Dr. Elena Surkova does not have any relevant financial relationship with ineligible companies to disclose; Prof. Dr. Binder does not have any relevant financial relationship with ineligible companies to disclose; Christian Gerges does not have any relevant financial relationship to disclose; Florian Wolf does not have any relevant financial relationship with ineligible companies to disclose; Dr. Lang has the following financial relationships to disclose: Actelion, Aoporphan, MSD, Bayer (consultancy); Yu Taniguchi does not have any relevant financial relationship to disclose; Ioana Campean does not have any relevant financial relationship to disclose; Eva Otter does not have any relevant financial relationship to disclose; Staff at Siyemi Learning and 123 Sonography do not have any relevant financial relationship with ineligible companies to disclose.

This course is certified for CME, further information on how to claim your CME credits can be found below.

### CME information

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Siyemi Learning and 123 Sonography. Siyemi Learning is accredited by the ACCME to provide continuing medical education for physicians.

Siyemi Learning designates this enduring material for a maximum of 7.25 *AMA PRA Category 1 Credits™*. Physicians should claim only the credits commensurate with the extent of their participation in the activity.

![](https://legacy.123sonography.com/profiles/sono/modules/custom/sonocertificates/resources/accme.png) ![](https://legacy.123sonography.com/profiles/sono/modules/custom/sonocertificates/resources/siyemi.png)

### How to earn your CME credit

In order to earn credit, you must watch the videos, take the quiz (pass mark 75%) and complete the evaluation. While you can claim CME certificates as you work through each chapter, if you prefer (e.g. if you are only able to use full credits because you are based in Europe) you can claim a single certificate for your total activity in this course. You will need to pass the quiz at the end of each chapter you complete, then just let us know you are ready to claim your certificate. Send a mail to <office@123sonography.com>.

Release date: October 2018

Expiry date: October 2021

Revision date: October 2021

Expiry date: October 2024

Revision date: October 2024
Expiry date: October 2027

## Curriculum

### Free lectures
- Chapter content: 3 lectures and 0 quizzes
- Lecture: [Free lecture 1](/course/rightheartmasterclass#sg_course_lecture_2371) (Duration: 00:24; Free) - This is the first part of our Right Heart Introductory Course, featuring important highlights and teaching points in pulmonary hypertension. We will answer questions such as: Where can we find the right heart in the chest? What are the anatomic landmarks of the right heart? How...
- Lecture: [Free lecture 2](/course/rightheartmasterclass#sg_course_lecture_2372) (Duration: 00:19; Free)
- Lecture: [Free lecture 3](/course/rightheartmasterclass#sg_course_lecture_2373) (Duration: 00:20; Free)

### Anatomy of the Right Heart
The anatomy of the right heart is distinctly different than that of the left heart. If you want to assess right heart pathologies it is important to know the differences. In this chapter we will give you a detailed explanation of right heart anatomy and demonstrate how the specific features of the right atrium and right ventricle can be identified on the echocardiogram. Watch demonstrations on real anatomy specimens, intracardiac angioscopic videos and see lots of echo examples.
- Chapter content: 1 lectures and 1 quizzes
- Chapter CME credits that can be earned: 0.25
- Lecture: [Anatomy of the Right Heart](/course/rightheartmasterclass#sg_course_lecture_791) (Duration: 00:13)
- CME Quiz: Right Heart MasterClass - Anatomy of the Right Heart (CME: 0.25)

### Physiology of the Right Heart
The pressures found within pulmonary circulation are significantly lower than those in systemic circulation. For this reason the right heart contracts and functions differently than the left. In this chapter, we will cover right heart physiology and discuss what happens if the right heart is confronted with an increase or decrease in afterload.
- Chapter content: 1 lectures and 1 quizzes
- Chapter CME credits that can be earned: 0.25
- Lecture: [Physiology of the Right Heart](/course/rightheartmasterclass#sg_course_lecture_792) (Duration: 00:12)
- CME Quiz: Right Heart MasterClass - Physiology of the right heart (CME: 0.25)

### Echocardiographic Assessment - How to Image the Right Heart
Imaging of the right heart using standard views is an essential part of every echo exam. But if you want to assess right heart pathologies, it is often necessary to use additional and sometimes even "exotic" views. In this chapter, we will show you how you can get more out of your exam. Here you will see many live imaging demonstrations, simulations and echo examples.
- Chapter content: 1 lectures and 1 quizzes
- Chapter CME credits that can be earned: 0.25
- Lecture: [Echocardiographic Assessment - How to Image the Right Heart](/course/rightheartmasterclass#sg_course_lecture_793) (Duration: 00:14)
- CME Quiz: Right Heart MasterClass - Echocardiographic assessment - How to image the right heart (CME: 0.25)

### Echocardiographic Assessment - Size
Dilatation of the right heart is a common feature of right heart disease. But how can you tell if the right heart is truly dilated? What are the normal values? What is the degree of right heart enlargement? In this chapter, we will focus on the various measurements proposed by the guidelines, provide you with the normal values, and discuss the advantages and disadvantages of the individual parameters.
- Chapter content: 1 lectures and 1 quizzes
- Chapter CME credits that can be earned: 0.25
- Lecture: [Echocardiographic Assessment - Size](/course/rightheartmasterclass#sg_course_lecture_794) (Duration: 00:16)
- CME Quiz: Right Heart MasterClass - Echocardiographic assessment - Size (CME: 0.25)

### Echocardiographic Assessment - Function
Quantification of right heart function is quite tricky and more difficult than the quantification of left heart function. There are several different parameters that can be used. These include "eyeballing", TAPSE, fractional area change, tissue Doppler of the RV, and right ventricular strain. Here we will show you how to obtain these individual measurements and how they can be used in an "integrative approach" to quantifying right heart function.
- Chapter content: 1 lectures and 1 quizzes
- Chapter CME credits that can be earned: 0.5
- Lecture: [Echocardiographic Assessment - Function](/course/rightheartmasterclass#sg_course_lecture_795) (Duration: 00:34)
- CME Quiz: Right Heart MasterClass - Echocardiographic assessment - Function (CME: 0.5)

### Echocardiographic Assessment - Pulmonary Pressure
The ability of echocardiography to quantify pulmonary pressures is one of the main reasons why this method is so important in right heart disease. But how is it done correctly? What do the values mean? In which clinical scenarios is it important to know how high pulmonary pressure is? What do we do if there is no adequate TR signal from which we can calculate pulmonary pressures? These and many other questions will be answered here.
- Chapter content: 1 lectures and 1 quizzes
- Chapter CME credits that can be earned: 0.25
- Lecture: [Echocardiographic Assessment - Pulmonary Pressure](/course/rightheartmasterclass#sg_course_lecture_796) (Duration: 00:21)
- CME Quiz: Right Heart MasterClass - Echocardiographic assessment - pulmonary pressure (CME: 0.25)

### Role of Radiology - Part 1: Overview, Chest X-Ray, CT, Pulmonary Angiography
Radiology plays an important role in the assessment of right heart disease. Florian Wolf, an expert in the field of cardiovascular imaging, will guide you through the wide spectrum of modalities that radiology offers. In this chapter, we will give you an overview of the different modalities and then focus on CT, Angio-CT, and Pulmonary Angiography. Learn how they are performed, when they are applied, and what the risks are.
- Chapter content: 1 lectures and 1 quizzes
- Chapter CME credits that can be earned: 0.5
- Lecture: [Role of Radiology - Part 1: Overview, Chest X-Ray, CT, Pulmonary Angiography](/course/rightheartmasterclass#sg_course_lecture_797) (Duration: 00:25)
- CME Quiz: Right Heart MasterClass - Role of radiology - Part 1, Overview, Chest X-ray, CT, Pulmonary Angiography (CME: 0.5)

### Role of Radiology - Part 2: MRI, Clinical Examples in Radiology
In the second part dealing with Radiology, Florian Wolf will focus on the role of magnetic resonance imaging and show you several cases of patients with a right heart pathology and how CT and MRI can help to detect the problem.
- Chapter content: 1 lectures and 1 quizzes
- Chapter CME credits that can be earned: 0.25
- Lecture: [Role of Radiology - Part 2: MRI, Clinical Examples in Radiology](/course/rightheartmasterclass#sg_course_lecture_798) (Duration: 00:20)
- CME Quiz: Right Heart MasterClass - Role of radiology - Part 2, MRI, clinical examples in radiology (CME: 0.25)

### Pulmonary Hypertension - Classification/Pathophysiology
Pulmonary hypertension can have many causes. The international societies propose a classification scheme that guides us through the 'jungle' of different disease entities. In this chapter, Irene Lang, a leading expert in the field of pulmonary hypertension, will explain the pathophysiology of PHT and discuss the different causes of pulmonary hypertension.
- Chapter content: 1 lectures and 1 quizzes
- Chapter CME credits that can be earned: 0.5
- Lecture: [Pulmonary Hypertension - Classification/Pathophysiology](/course/rightheartmasterclass#sg_course_lecture_799) (Duration: 00:27)
- CME Quiz: Right Heart MasterClass - Pulmonary hypertension - Classification / pathophysiology (CME: 0.5)

### Pulmonary Hypertension - Diagnosis: Overview Part 1 (+ Right Heart Cath)
Signs and symptoms of pulmonary hypertension can be quite vague and unspecific. It is not uncommon that there is a long delay until the diagnosis is established. In this chapter, we introduce you to a patient with pulmonary hypertension who will share her personal story with you. She will tell you how she was diagnosed and how the disease impacts her life. In addition, we will discuss the individual diagnostic tests that are applied in the workup of patients inclduing: BNP, 6 min walk test, CT scan, and most importantly, right heart catheter. Here we will take you to the cath lab to show you a complete procedure.
- Chapter content: 1 lectures and 1 quizzes
- Chapter CME credits that can be earned: 0.5
- Lecture: [Pulmonary Hypertension - Diagnosis: Overview Part 1 (+ Right Heart Cath)](/course/rightheartmasterclass#sg_course_lecture_800) (Duration: 00:29)
- CME Quiz: Right Heart MasterClass - Pulmonary hypertension - Diagnosis - overview Part 1 (+ right heart cath) (CME: 0.5)

### Pulmonary Hypertension - Diagnosis: Overview Part 2
In the second part of this course dealing with the diagnosis of pulmonary hypertension, we will discuss issues including as the role of the ECG, the six minute walk test, and pulmonary function testing. Here we will also show you the typical features of CTEPH and PAH on the pulmonary angiogram.
- Chapter content: 1 lectures and 1 quizzes
- Chapter CME credits that can be earned: 0.25
- Lecture: [Pulmonary Hypertension - Diagnosis: Overview Part 2](/course/rightheartmasterclass#sg_course_lecture_801) (Duration: 00:14)
- CME Quiz: Right Heart MasterClass - Pulmonary hypertension - Diagnosis - overview Part 2 (CME: 0.25)

### Pulmonary Hypertension - Diagnosis: Echo Features of PHT
Echocardiography plays an important role in pulmonary hypertension — not only in the screening of patients, but also in assessing prognosis and monitoring of treatment effects. This chapter will provide you with the typical echo features of pulmonary hypertension such as right ventricular enlargement, the "D-shaped" ventricle, right ventricular dysfunction, poor cardiac output, and more. You will learn how these findings impact prognosis and how they are used in various clinical scenarios.
- Chapter content: 1 lectures and 1 quizzes
- Chapter CME credits that can be earned: 0.25
- Lecture: [Pulmonary Hypertension - Diagnosis: Echo Features of PHT](/course/rightheartmasterclass#sg_course_lecture_802) (Duration: 00:21)
- CME Quiz: Right Heart MasterClass - Pulmonary hypertension - Diagnosis - Echo features of PHT (CME: 0.25)

### Pulmonary Hypertension - Therapy: Drugs
Tremendous achievements have been made in the treatment of pulmonary hypertension and we now have numerous, highly effective drugs at hand. In his chapter, we explain how medication alters prognosis, which class of drugs are available, how to use a risk score to guide medication, and why combination therapy is important.
- Chapter content: 1 lectures and 1 quizzes
- Chapter CME credits that can be earned: 0.5
- Lecture: [Pulmonary Hypertension - Therapy: Drugs](/course/rightheartmasterclass#sg_course_lecture_803) (Duration: 00:27)
- CME Quiz: Right Heart MasterClass - Pulmonary hypertension - Therapy - Drugs (CME: 0.5)

### Pulmonary Hypertension - Interventional and Surgical Techniques
Interventional and surgical techniques such as Balloon Pulmonary Angioplasty, Thromboendarterectomy, and Lung Transplantation are important options for patients with pulmonary hypertension. But which patients are potential candidates for these therapies? How are they performed? And what is their impact on prognosis? All of these questions will be answered in this chapter.
- Chapter content: 1 lectures and 1 quizzes
- Chapter CME credits that can be earned: 0.25
- Lecture: [Pulmonary Hypertension - Interventional and Surgical Techniques](/course/rightheartmasterclass#sg_course_lecture_804) (Duration: 00:20)
- CME Quiz: Right Heart MasterClass - Pulmonary Hypertension - Interventional and surgical Techniques (CME: 0.25)

### Right Heart Volume Overload
Right ventricular volume overload can have disastrous effects on the right heart. But when does it occur? How does it affect the right heart? Which abnormalities do we see on the echo and what is its consequence? These topics will be discussed here. Since tricuspid regurgitation (TR) is the most common cause of right ventricular volume overload, we will also focus on the tricuspid valve and its pathologies. You will also learn how to quantify TR and which treatment options for TR are available. Other topics related to volume overload covered in this chapter are pulmonic regurgitation and atrial septal defects.
- Chapter content: 1 lectures and 1 quizzes
- Chapter CME credits that can be earned: 0.5
- Lecture: [Right Heart Volume Overload](/course/rightheartmasterclass#sg_course_lecture_805) (Duration: 00:35)
- CME Quiz: Right Heart MasterClass - Right Heart Volume Overload (CME: 0.5)

### Pulmonary Embolism
Watch this chapter to better understand pulmonary embolism (PE) and its sequels. Here you will learn when to suspect PE, how to diagnose it, which pathologies can mimic PE, what impacts prognosis and how echocardiography can help you to stratify patients into high and low risk groups. We will present several cases that will demonstrate the typical echocardiographic features of acute pressure overload.
- Chapter content: 1 lectures and 1 quizzes
- Chapter CME credits that can be earned: 0.5
- Lecture: [Pulmonary Embolism](/course/rightheartmasterclass#sg_course_lecture_806) (Duration: 00:29)
- CME Quiz: Right Heart MasterClass - Pulmonary embolism (CME: 0.5)

### The Right Heart in CAD, CMP and Valvular HD
The right heart is often affected in disease of the left heart. Left heart disease is actually the most common reason for pulmonary hypertension. Did you know that myocardial infarctions can also involve the right heart? And that right ventricular dysfunction is frequently present in patients with myocarditis and dilated and restrictive cardiomyopathy? Using a case based approach, we will cover these topics in this chapter and discuss the importance of the right ventricle is various "left heart" scenarios.
- Chapter content: 1 lectures and 1 quizzes
- Chapter CME credits that can be earned: 0.5
- Lecture: [The Right Heart in CAD, CMP and Valvular HD](/course/rightheartmasterclass#sg_course_lecture_807) (Duration: 00:24)
- CME Quiz: Right Heart MasterClass - The right heart in CAD, CMP and Valvular HD (CME: 0.5)

### Arrhythmogenic Right Ventricular Dysplasia/Carcinoid Heart Disease
Echocardiography plays an important role in the diagnosis and management of right ventricular dysplasia and carcinoid heart disease. In both disease entities, it is important to establish the diagnosis as early as possible. In this chapter, we will show you the typical echocardiographic features of carcinoid heart disease and right ventricular dysplasia that will make it easy for you to make the diagnosis. With the help of several case examples, you will be able to put everything you have learned into a clinical context.
- Chapter content: 1 lectures and 1 quizzes
- Chapter CME credits that can be earned: 0.25
- Lecture: [Arrhythmogenic Right Ventricular Dysplasia/Carcinoid Heart Disease](/course/rightheartmasterclass#sg_course_lecture_808) (Duration: 00:16)
- CME Quiz: Right Heart MasterClass - Arrhythmogenic Right Ventricular Dysplasia / Carcinoid Heart Disease (CME: 0.25)

### Right Heart in Congenital Heart Disease - Part 1
The right heart is frequently involved in congenital heart disease. In this chapter, we will provide an overview of different congenital defects that can cause volume overload, such as primum and secundum atrial septal defects, sinus venosus defects, pulmonary regurgitation / Fallot tetralogy. We will also provide clues that will help you to identify the right ventricle in complex situations.
- Chapter content: 1 lectures and 1 quizzes
- Chapter CME credits that can be earned: 0.5
- Lecture: [Right Heart in Congenital Heart Disease - Part 1](/course/rightheartmasterclass#sg_course_lecture_809) (Duration: 00:30)
- CME Quiz: Right Heart MasterClass - Right heart in congenital Heart Disease - Part 1 (CME: 0.5)

### Right Heart in Congenital Heart Disease - Part 2
This is the second chapter that deals with right heart disease in congenital heart defects. Here we will cover defects that cause pulmonary hypertension as they can occur in congenital left heart disease (post-capillary pulmonary hypertension), shunt lesions and preoperatively. The following defects will be discussed: Coarctation of the Aorta (CoA), ASD with pulmonary hypertension, ventricular septal defects, Patent ductus arteriosus (PDA), and single ventricles. Special emphasis is placed on the Eisenmenger syndrome to help you understand the pathophysiology behind, when it occurs, how patients with Eisenmenger present and which factors can lead to clinical deterioration.
- Chapter content: 1 lectures and 1 quizzes
- Chapter CME credits that can be earned: 0.25
- Lecture: [Right Heart in Congenital Heart Disease - Part 2](/course/rightheartmasterclass#sg_course_lecture_810) (Duration: 00:18)
- CME Quiz: Right Heart MasterClass - Right heart in congenital Heart Disease - Part 2 (CME: 0.25)