Sequential right-sided changes due to pulmonary hypertension (PH) detected by cardiovascular magnetic resonance (CMR) modalities

Physiologic changes assessed by CMRCMR sequence
Stiffening of the pulmonary artery with gradual increase in pressure at rest, leading to worsening of pulmonary artery compliance and reduced RACCine
Velocity-encoded phase contrast
Right ventricular hypertrophy, progressive right ventricular dilation with leftward shift in IVS or D-septumCine
Strain imaging
Adenosine stress perfusion to assess cardiac ischaemia
Tricuspid regurgitation due to right ventricular dilation and valve annulus stretchCine
Velocity-encoded phase contrast
Increased right ventricular pressure leading to a dilated right ventricle with leftward shift of the interatrial septumLGE imaging for myocardial scar
Engorged vena cavae with pericardial effusionCine cardiac structure/function
T1-weighted fast spin echo without fat suppression to assess pericardium
Myocardial oedema imaging with T2 weighted sequences

RAC: relative area change; IVS: interventricular septum; LGE: late gadolinium enhancement.