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In this tutorial, the importance of fractional area change in assessing the right heart is discussed. The structure and function of the right side of the heart are influenced by various conditions. Quantification of right heart parameters is crucial for diagnosis, prognosis, and monitoring therapy response. While echocardiography is the primary imaging tool for right heart assessment, guidance for the right ventricle is limited compared to the left ventricle. Evaluating the right ventricle is essential for managing conditions affecting the right heart, and indices of right ventricular size and function are prognostic in various congenital and acquired disorders.