Inter- and Intra-Observer Variability in the Echocardiographic Evaluation of Right Ventricular Function

Pinedo, Marta; Villacorta, Eduardo; Tapia, Cristina; Arnold, Román; López, Javier; Revilla, Ana; Gómez, Itzíar; Fulquet, Enrique; Román, José Alberto San

doi:10.1016/s1885-5857(10)70165-1

Cited by 33 publications

(33 citation statements)

References 18 publications

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“…In addition, TAPSE was found to be well correlated with RV EF which was calculated by radionuclide angiography [25]. With the lowest intra-and inter-observer variability, TAPSE < 2 cm indicates that the RV EF is below 40% measured with RV fractional area change [26,27]. Although TAPSE values increase from birth to adolescence, it does not change through adulthood [28,29].…”

Section: Discussionmentioning

confidence: 84%

Echocardiographic assessment of right ventricular functions in nondiabetic normotensive hemodialysis patients

Karaveli̇oğlu

Özkurt

Kalçık

et al. 2015

IMAS

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Abstract:Purpose: Heart is aff ected structurally and functionally in end-stage renal disease (ESRD). However, the data available about adverse eff ects of ESRD on right ventricle (RV) is scarce. We aimed to evaluate echocardiographic parameters of RV in nondiabetic, normotensive patients with ESRD undergoing hemodialysis (HD). Methods: A total of 45 (24 women; mean age 52.4 ± 12.4 years) consecutive nondiabetic, normotensive patients with ESRD undergoing HD and 39 healthy age and sex-matched control subjects (22 women; mean age 50.3 ± 6.6 years) were enrolled in the study. M-mode and two dimensional images, color, pulsed and continuous wave Doppler, and tissue Doppler measurements were acquired from all subjects. Echocardiographic evaluation was performed in the days between HD dates of the patients. Results: RV fractional area change, tricuspid annular plane systolic excursion, tricuspid E velocity, E/A ratio, tricuspid annular E´ velocity, and E´/A´ ratio were lower in patients than controls (p < 0.001, p = 0.003, p = 0.007, p = 0.005, p < 0.001, and p = 0.034, respectively). However, RV diastolic area, RV myocardial performance index, E/E´ ratio, and mean and systolic pulmonary artery pressure were higher in patients than controls (p < 0.001, p = 0.007, p = 0.005, p < 0.001, p = 0.006, respectively). Conclusions: RV systolic and diastolic functions of nondiabetic, normotensive HD patients are deteriorated as compared to healthy controls.

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Section: Discussionmentioning

confidence: 84%

Echocardiographic assessment of right ventricular functions in nondiabetic normotensive hemodialysis patients

Karaveli̇oğlu

Özkurt

Kalçık

et al. 2015

IMAS

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“…2,20 The substernal location of the RV poses further challenges for imaging by transthoracic echocardiography because of inadequate acoustic windows and suboptimal visualization of its anterior wall. 32,37 Both thermodilution and contrast ventriculography are invasive, with the latter also limited by the complex RV geometry. The clinical application of these catheterization techniques for RV evaluation is therefore limited.…”

Section: Discussionmentioning

confidence: 99%

The Prevalence and Prognostic Significance of Right Ventricular Systolic Dysfunction in Nonischemic Dilated Cardiomyopathy

et al. 2013

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Background-Cardiovascular magnetic resonance is the gold-standard technique for the assessment of ventricular function.Although left ventricular volumes and ejection fraction are strong predictors of outcome in dilated cardiomyopathy (DCM), there are limited data regarding the prognostic significance of right ventricular (RV) systolic dysfunction (RVSD). We investigated whether cardiovascular magnetic resonance assessment of RV function has prognostic value in DCM. Methods and Results-We prospectively studied 250 consecutive DCM patients with the use of cardiovascular magnetic resonance. RVSD, defined by RV ejection fraction ≤45%, was present in 86 (34%) patients. During a median follow-up period of 6.8 years, there were 52 deaths, and 7 patients underwent cardiac transplantation. Received March 10, 2013; accepted July 30, 2013. From the Royal Brompton Hospital, London, United Kingdom (A.G., T.F.I., A.J., F.A., K.G., N.A.I., S.R., J.K., T.D.H.B., K.M., E.L., M.R., R.W., T.C.P., R.S., J.-P.C., S.A.C., M.R.C., R.G.A., D.J.P., S.K.P.); Ealing Hospital, London, United Kingdom (R.G.A.); National Heart & Lung Institute, Imperial College, London, United Kingdom (T.F.I., K.G., R.S., J.-.P.C., S.A.C., M.R.C., D.J.P., S.K.P.); and National Heart Centre Singapore, Singapore (S.A.C.).The online-only Data Supplement is available with this article at http://circ.ahajournals.org/lookup/suppl

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“…8 19 There are also haemodynamic data in the newborn period that SGA babies have relative cardiac hypertrophy and elevated brain natriuretic peptide levels, possibly indicative of increased cardiac workload and ventricular dysfunction. 20 Population studies have also indicated that birth weight independently correlates with LV mass in adolescence. 9 Our data, however, indicated that, in proportion to body size, the left (and possibly right) ventricle was very subtly dilated in adults who were born SGA, as distinct from previous studies in childhood that showed a more globular heart with increased transverse diameters and reduced longitudinal lengths.…”

Section: Discussionmentioning

confidence: 99%

Subtle increases in heart size persist into adulthood in growth restricted babies- the cardiovascular risk in young Finns study

Arnott

Skilton

Ruohonen

et al. 2015

Heart, Lung and Circulation

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Background and objectives: Impaired fetal growth is associated with increased cardiovascular morbidity and mortality in adulthood. We sought to determine whether adults born with intrauterine growth restriction have primary maladaptive changes in cardiac structure.Methods: Study participants were adults (34-49 years) who attended the 31-year follow-up of the Cardiovascular Risk in Young Finns Study (longitudinal cohort). Transthoracic echocardiograms and demographic and cardiovascular risk surveys were completed for 157 adults born small for gestational age (SGA, birth weight <10th population centile) and 627 born average for gestational age (average for gestational age (AGA), birth weight 50th-90th population centile).Results: Those born growth restricted had subtly enlarged hearts with indexed left ventricular (LV) endsystolic and end-diastolic diameters slightly greater in the SGA individuals than the AGA group (LVESD 18.7 mm/m 2 SGA vs 18.1 mm/m 2 AGA, p<0.01; LVEDD 27.5 mm/m 2 SGA vs 26.6 mm/m 2 AGA, p<0.01); LV base-to-apex length (47.4 mm/m 2 SGA vs 46.0 mm/m 2 AGA, p<0.01); LV basal diameter (26.4 mm/m 2 SGA vs 25.7 mm/m 2 AGA, p<0.01); and right ventricular baseto-apex length (40.1 mm/m 2 SGA vs 39.2 mm/m 2 AGA, p=0.02). LV stroke volume was greater in those born AGA (74.5 mL SGA vs 78.8 mL AGA, p<0.01), with no significant difference in cardiac output (5 L/min SGA vs 5.2 L/min AGA, p=0.06), heart rate, diastolic indices or sphericity index.

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Inter- and Intra-Observer Variability in the Echocardiographic Evaluation of Right Ventricular Function

Cited by 33 publications

References 18 publications

Echocardiographic assessment of right ventricular functions in nondiabetic normotensive hemodialysis patients

Echocardiographic assessment of right ventricular functions in nondiabetic normotensive hemodialysis patients

The Prevalence and Prognostic Significance of Right Ventricular Systolic Dysfunction in Nonischemic Dilated Cardiomyopathy

Subtle increases in heart size persist into adulthood in growth restricted babies- the cardiovascular risk in young Finns study

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