Determinación de valores normalizados del desplazamiento sistólico del plano del anillo tricuspídeo (TAPSE) en 405 niños y adolescentes españoles

Núñez‐Gil, Iván J.; Rubio, María Dolores Mesa; Cartón, Antonio J.; López-Romero, Pedro; Deiros, Lucía; Garcı́a-Guereta, Luis; Labrandero, Carlos; Gutiérrez-Larraya, Federico

doi:10.1016/j.recesp.2011.04.006

Cited by 37 publications

(15 citation statements)

References 19 publications

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“…8,9,12,26,27 We have confirmed the reliability of the measurement of TAPSE in TOF, but we failed to demonstrate an association of TAPSE and RVEF on CMR. These findings are in contrast to those of some studies but in agreement with the results of others.…”

Section: Discussionmentioning

confidence: 50%

Tricuspid Annular Plane Systolic Excursion in the Assessment of Right Ventricular Function in Children and Adolescents after Repair of Tetralogy of Fallot

Mercer‐Rosa

Parnell

Forfia

et al. 2013

Journal of the American Society of Echocardiography

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Background Assessing right ventricular (RV) performance is essential for patients with tetralogy of Fallot (TOF). The aim of this study was to investigate the reliability and validity of tricuspid annular plane systolic excursion (TAPSE) against cardiac magnetic resonance imaging measures and cardiopulmonary exercise testing. Methods A retrospective study was performed in 125 outpatients with repaired TOF with available protocoldriven echocardiography, cardiac magnetic resonance imaging, and exercise stress testing obtained as part of a cross-sectional study. TAPSE was measured on the two-dimensional apical four-chamber view on echocardiography by two readers. Multivariate linear regression was used to examine the association between TAPSE and measures of RV function and exercise capacity. Results The mean age was 12.6 ± 3.3 years, 41 patients (33%) were female, and 104 (83%) were white. TAPSE averaged 1.6 ± 0.37 cm, with an interreader intraclass correlation coefficient of 0.78 (n = 18). TAPSE was significantly associated with cardiac magnetic resonance–based RV stroke volume after adjustment for gender and body surface area (β = 13.8; 95% confidence interval, 2.25–25.30; P = .02). TAPSE was not associated with cardiac magnetic resonance–based RV ejection fraction (P = .77). On exercise testing, TAPSE was not associated with peak oxygen consumption, percentage of predicted oxygen consumption, oxygen pulse, or the ventilatory equivalent for carbon dioxide in patients with maximal exercise stress testing (n = 73 [58%]). Conclusions TAPSE is reproducibly measured by echocardiography in patients with TOF. It is not associated with RV ejection fraction or exercise performance, and its association with RV stroke volume may be confounded by body size. On the basis of these results, TAPSE is not representative of global RV performance in patients with TOF.

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Section: Discussionmentioning

confidence: 50%

Tricuspid Annular Plane Systolic Excursion in the Assessment of Right Ventricular Function in Children and Adolescents after Repair of Tetralogy of Fallot

Mercer‐Rosa

Parnell

Forfia

et al. 2013

Journal of the American Society of Echocardiography

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“…In literature, normal ranges of TAPSE have been determined for children (10, 11, 28). However, there are no established references values for children living in Turkey.…”

Section: Discussionmentioning

confidence: 99%

“…Recent studies using cardiac magnetic resonance imaging (MRI) suggest that TAPSE values correlate well with right ventricular ejection fraction (6, 7). The reference values of TAPSE have been determined for adults (8, 9); however, only a limited number of studies have been conducted to determine the reference values of TAPSE in the pediatric age group (10, 11). The aim of the present study is to evaluate the reference values of TAPSE in healthy Turkish children.…”

Section: Introductionmentioning

confidence: 99%

Determination of reference values for tricuspid annular plane systolic excursion in healthy Turkish children

Uysal¹,

Bostan²,

Çil³

2015

Anatol J Cardiol

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Objective:Tricuspid annular plane systolic excursion (TAPSE) is an echocardiographic measurement used for evaluating right ventricular systolic function. While established reference values of TAPSE exist for the adult population, only a limited number of studies have attempted to evaluate reference values for the pediatric population. The aim of the present study was to determine the reference values for TAPSE in healthy children in Turkey.Methods:A total of 765 healthy children aged between 0 and 18 years, all of whom were referred to our clinic with cardiac murmurs, were evaluated prospectively. Patients with no cardiac pathologies or other disorders were excluded from the study. The measurement of TAPSE was obtained using a 2D-guided M-mode technique with echocardiography, and the relationship between age and surface area with TAPSE was investigated. The statistical analysis was carried out using the SPSS 20.0 software package (SPSS Inc., Chicago, IL, USA, 2012).Results:The mean TAPSE value was found to be 19.56±5.54 mm, and no significant difference was identified between male and female children. TAPSE values showed a positive correlation with increasing age and surface area. The mean TAPSE value was 9.09±1.36 mm in newborns and 25.91±3.60 mm in the 13-18 years age group. A negative correlation was seen between TAPSE and heart rate.Conclusion:In the present study, the reference values for TAPSE in healthy Turkish children were presented in percentile tables and the corresponding z-scores were determined. These reference values may be useful in daily practice for the evaluation of right ventricular systolic function in children.

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“…There have been multiple studies for calculating Z-scores of various cardiac structures. [15] The most recent publications in this area[51617181920] reveal that none of the latest Z-score research has come from any developing country.…”

Section: Discussionmentioning

confidence: 99%

“…Almost all these studies[51617181920] have been done on hospital-based samples. Hospital-based samples have their inherent disadvantages including selection bias.…”

Section: Discussionmentioning

confidence: 99%

A pediatric echocardiographic Z-score nomogram for a developing country

Anantharaj

Gokhroo

Bisht

et al. 2017

Annals of Pediatric Cardiology

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Background:Almost all presently available pediatric echocardiography Z-score nomograms are based on Western data. They may not be a suitable reference standard for assessing the sizes of cardiac structures of children from developing countries.Objective:This study's objective was to collect normative data of 21 commonly measured cardiovascular structures using M-mode and two-dimensional echocardiography in Indian children aged between 4 and 15 years and to derive Z-score nomograms for each.Subjects and Methods:The study was conducted at two centers in India - Ajmer, Rajasthan, and Mohali, Punjab. We studied a community-based sample involving healthy school going children. After excluding children with cardiovascular abnormalities on the screening echocardiogram, 746 children were included in the final analysis. Echocardiographic assessment was performed using a Philips iE33 system.Results and Analysis:For each parameter measured, seven models were evaluated to assess the relationship of that parameter with the body surface area and the one with the best fit was used to plot the Z-score chart for that parameter. Z score charts were thus derived.Conclusions:The Z-score nomograms derived by this study may be better alternatives to the Western nomograms for use in India and other developing countries for preprocedural decision making in the pediatric population. However, they will require validation in large-scale studies before they can become clinically applicable.

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Determinación de valores normalizados del desplazamiento sistólico del plano del anillo tricuspídeo (TAPSE) en 405 niños y adolescentes españoles

Cited by 37 publications

References 19 publications

Tricuspid Annular Plane Systolic Excursion in the Assessment of Right Ventricular Function in Children and Adolescents after Repair of Tetralogy of Fallot

Tricuspid Annular Plane Systolic Excursion in the Assessment of Right Ventricular Function in Children and Adolescents after Repair of Tetralogy of Fallot

Determination of reference values for tricuspid annular plane systolic excursion in healthy Turkish children

A pediatric echocardiographic Z-score nomogram for a developing country

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