Echocardiographic Assessment of Regional Right Ventricular Function: A Head-to-head Comparison Between 2-Dimensional and Tissue Doppler–derived Strain Analysis

Teske, Arco J.; Boeck, Bart W.L. De; Olimulder, M. A. G. M.; Prakken, Niek H J; Doevendans, Pieter A.; Cramer, Maarten J.

doi:10.1016/j.echo.2007.08.027

Cited by 126 publications

(100 citation statements)

References 19 publications

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“…33 Previous studies have demonstrated feasibility for measuring RV strain using speckle-tracking echocardiography in PH 34,35 and other causes of RV dysfunction. [36][37][38][39] However, these studies included limited numbers of patients with PH. Fukuda et al 15 performed RV strain analysis in 45 patients with PH and 22 healthy control subjects.…”

Section: Discussionmentioning

confidence: 99%

Outcome Prediction by Quantitative Right Ventricular Function Assessment in 575 Subjects Evaluated for Pulmonary Hypertension

Fine

Chen

Bastiansen

et al. 2013

Circ: Cardiovascular Imaging

380

289

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Background-Although right ventricular (RV) dysfunction is a major determinant of outcome in patients with pulmonary hypertension (PH), the optimal measure of RV function is poorly defined. We hypothesized that RV strain measured by speckle-tracking echocardiography predicts outcome in PH over a broad range of pulmonary pressures. Methods and Results-Prospective peak RV longitudinal systolic strain measurement was performed on 575 patients (mean age, 56±18 years; 63% women) referred for echocardiography for known or suspected PH. Survival status was assessed over a median of 16.5 (interquartile range, 7.6-20.0) months. There were 406 patients with PH (71%) (74% group 1, 14% group 3, and 12% group 4) and 169 patients without evidence of PH (29%). Among patients with PH, 46% were World Health Organization functional class III-IV. The mean RV strain was −21.2±6.7% for all patients. RV strain declined with worse functional class, shorter 6-minute walk distances, higher N-terminal pro-B-type natriuretic peptide levels, and the presence of right heart failure. RV strain predicted outcome across pulmonary pressures and groups of PH. Eighteenmonth survival was 92%, 88%, 85%, and 71% according to RV strain quartile (P<0.001), with a 1.46 higher risk of death (95% confidence interval, 1.05-2.12) per 6.7% decline in RV strain. RV strain predicted survival when adjusted for pulmonary pressure, pulmonary vascular resistance, and right atrial pressure and provided incremental prognostic value over conventional clinical and echocardiographic variables. Conclusions-Quantitative

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Section: Discussionmentioning

confidence: 99%

Outcome Prediction by Quantitative Right Ventricular Function Assessment in 575 Subjects Evaluated for Pulmonary Hypertension

Fine

Chen

Bastiansen

et al. 2013

Circ: Cardiovascular Imaging

380

289

View full text Add to dashboard Cite

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“…Nevertheless, previous studies have demonstrated the value of measuring RV strain to detect changes in RV function in several populations. 16,17 Previous studies demonstrated that 2-dimensional speckle-tracking strain imaging is a useful modality in the assessment of RV function.…”

Section: Rv Strainmentioning

confidence: 99%

“…Although this methodology has been primary and extensively tested to assess left ventricular performance, several reports have shown its feasibility and accuracy to evaluate RV function. 16,17 As previously described, the endocardial border of the RV free wall was manually traced at end-systole and automatically adjusted to include the entire myocardium. 18 Subsequently, the region of interest was manually adjusted to the thickness of the myocardium to ensure proper tracking.…”

Section: Two-dimensional Speckle-tracking Analysismentioning

confidence: 99%

Prognostic Value of Right Ventricular Longitudinal Peak Systolic Strain in Patients With Pulmonary Hypertension

Haeck

Scherptong

Marsan

et al. 2012

Circ: Cardiovascular Imaging

217

137

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Background-Right ventricular (RV) function is an important prognostic marker in patients with pulmonary hypertension.The present evaluation assessed the prognostic value of RV longitudinal peak systolic strain (LPSS) in patients with pulmonary hypertension. Methods and Results-A total of 150 patients with pulmonary hypertension of different etiologies (mean age, 59±15 years; 37.3% male) were evaluated. RV fractional area change and tricuspid annular plane systolic excursion index were evaluated with 2-dimensional echocardiography. RV LPSS was assessed with speckle-tracking echocardiography. The patient population was categorized according to a RV LPSS value of -19%. Among several clinical and echocardiographic parameters, the significant determinants of all-cause mortality were evaluated. There were no significant differences in age, sex, pulmonary hypertension cause and left ventricular ejection fraction between patients with RV LPSS <−19% and patients with RV LPSS ≥−19%. However, patients with RV LPSS ≥−19% had significantly worse New York Heart Association functional class (2.7±0.6 versus 2.3±0.8; P=0.003) and lower tricuspid annular plane systolic excursion (16±4 mm versus 18±3 mm; P<0.001) than their counterparts. During a median follow-up of 2.6 years, 37 patients died. RV LPSS was a significant determinant of all-cause mortality (HR, 3.40; 95% CI, P=0.02). Conclusions-In patients with pulmonary hypertension, RV LPSS is significantly associated with all-cause mortality. RV LPSS may be a valuable parameter for risk stratification of these patients. Future studies are needed to confirm these results in the pulmonary hypertension subgroups. (Circ Cardiovasc Imaging. 2012;5:628-636.)

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“…Therefore, myocardial longitudinal systolic strain rate was the sensitive index in ischemia myocardial, which represented the maximum deformation degree of systole and the contractibility. Recently, the left ventricular longitudinal strain were reported that its significance in the early detection of ischemia myocardial dysfunction in sub-endocardial myocardial, as well as the sensitive index of myocardial contractility of left ventricle [11][12][13][14].…”

Section: Discussionmentioning

confidence: 99%

Evaluation of two-dimensional strain rate imaging on left ventricular longaxis systolic function in patients with slow coronary flow

Fu¹,

Wang²,

Chen³

et al. 2018

biomedicalresearch

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Objective: To evaluate the value of two-dimensional strain rate imaging (STE) in detecting the alteration of regionally left ventricular long-axis systolic function in patients with slow coronary flow (SCF). Methods: 24 patients who were with SCF but without significant coronary artery stenosis in LAD were included in left anterior descending artery (LAD) group, and 15 patients with slow flow in right coronary artery (RCA) were included in RCA group, and 20 patients who were without significant coronary stenosis or abnormal corrected thrombolysis in myocardial infarction frame count (CTFC) were included in control group. CTFC was carried on 3 groups. Peak systolic strain rate (PSRs) were measured at basal, middle and apical segments in left ventricular walls, including the septal, lateral, inferior and anterior.

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Echocardiographic Assessment of Regional Right Ventricular Function: A Head-to-head Comparison Between 2-Dimensional and Tissue Doppler–derived Strain Analysis

Cited by 126 publications

References 19 publications

Outcome Prediction by Quantitative Right Ventricular Function Assessment in 575 Subjects Evaluated for Pulmonary Hypertension

Outcome Prediction by Quantitative Right Ventricular Function Assessment in 575 Subjects Evaluated for Pulmonary Hypertension

Prognostic Value of Right Ventricular Longitudinal Peak Systolic Strain in Patients With Pulmonary Hypertension

Evaluation of two-dimensional strain rate imaging on left ventricular longaxis systolic function in patients with slow coronary flow

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