Using 4D FLOW CMR, flow components including percent of direct flow (PDF), retained inflow (PRI), delayed ejection flow (PDE) and residual volume (PRV) of bi-ventricles in patients with PH were quantified. Compared with non-PH patients, flow components had significantly alterations. RV PDF and PRV significantly correlated with RVEDV, RSV, RVEF and RV mass as well as NT-proBNP. Moreover, RV PDF and PVR correlated with pulmonary artery pressure and PVR. We think that 4D flow CMR may become a powerful surrogate for the future PH studies
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