Methods Healthy controls and patients with heart failure related structural heart disease underwent a standard cardiac magnetic resonance examination. Right and left ventricular ejection fraction (EF) and end diastolic volumes (EDV) were traced from cine imaging. RVD was defined as RVEF less than mean minus 2 standard deviations of healthy gender matched controls. RVE was defined as either indexed RVEDV or RVEDV/LVEDV exceeding mean plus 2 standard deviations of healthy gender matched controls. The prevalence of RV abnormalities and pattern of ventricular remodeling was compared among patient subgroups.