Mitral annular plane systolic excursion in the assessment of left ventricular diastolic dysfunction in obese adults

Taşolar, Hakan; Mete, Türkan; Çetın, Mustafa; Altun, Burak; Ballı, Mehmet; Bayramoğlu, Adil; Otlu, Yılmaz Ömür

doi:10.5152/akd.2014.5561

Cited by 9 publications

(11 citation statements)

References 28 publications

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“…Patients in this study showed a marked decrease of LV ejection fraction (EF) measured by auto LV EF compared to the control, similar findings were reported by Koestenberger et al, Bergenzaun, and Taşolar et al [15], this may support that EF is an easy, sensitive tool for evaluation of LV systolic function [16,17,15]. In the current study speckling tracking echocardiography was used to measure the sphericity index of the left ventricle.…”

Section: Like Other Previous Studies Mcmahon Et Al Andsupporting

confidence: 88%

Assessment of Right Ventricular Function and Structure in Children with Idiopathic Dilated Cardiomyopathy

El-Fiky

Elnemr

Tolba

et al. 2021

AJPR

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Background: Dilated cardiomyopathy (DCM) refers to dilating the ventricles and dysfunction of their systolic functions (predominantly the left ventricle) with or without congestive heart failure. In children, it is the most common form of heart muscle disease. We aimed to evaluate the right ventricular functions and structure using speckling tracking echocardiography in children with dilated cardiomyopathy and correlate this parameter with other echocardiographic findings. Methods: This observational Case-Control Study was carried out on 75 subjects. They were subdivided into two groups: Group 1: 50 patients with dilated cardiomyopathy Group 2: 25 healthy children matched for age and sex. Patients were evaluated by M-mode echocardiography, Transthoracic 2DE Examination (TTE), Tissue Doppler Examination (TDE) and Speckling Tracking Technique. Results: Left ventricle (LV) and right ventricle (RV) systolic dysfunction was evidenced by a significant decrease of mitral and tricuspid annular systolic velocities and a significant decrease of LV and RV global systolic strain and a significant decrease of LV and RV Ejection fraction (EF). LV and RV diastolic dysfunction were evidenced by a significant decrease of mitral and tricuspid annular diastolic velocities (E’/A’) and a significant increase of LV and RV Myocardial Perfusion Imaging (MPI). LV and RV global strains were significantly reduced in comparison to controls, suggesting that the dilated cardiomyopathy is a diffuse disease. Conclusion: In DCM patients, RV had significant systolic and diastolic dysfunction mainly elicited by the Tissue Doppler imaging (TDI) beside LV affection secondary to the interventricular interaction. TDI and 2D-STE add value to interpreting the findings and the dependency of RV systolic and diastolic functions on each other in DCM patients.

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Section: Like Other Previous Studies Mcmahon Et Al Andsupporting

confidence: 88%

Assessment of Right Ventricular Function and Structure in Children with Idiopathic Dilated Cardiomyopathy

El-Fiky

Elnemr

Tolba

et al. 2021

AJPR

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“…The diagnosis of subclinical LV systolic dysfunction can be detected by assessing MAPSE. MAPSE was significantly reduced in patients with chronic heart failure, with a good correlation between MAPSE and EF 17 – 19 . Among our patients the mean MAPSE was comparable between SCD and controls and was higher in βTM patients (p=0.019) when compared to SCD and controls.…”

Section: Discussionmentioning

confidence: 87%

The relationships between pancreatic T2* values and pancreatic iron loading with cardiac dysfunctions, hepatic and cardiac iron siderosis among Egyptian children and young adults with β-thalassaemia major and sickle cell disease: a cross-sectional study

et al. 2021

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Background: Cardiac, hepatic and pancreatic T2* measured by magnetic resonance imaging (MRI) has been proven to be an accurate and non-invasive method for measuring iron overload in iron overload conditions. There is accumulating evidence that pancreatic iron can predict cardiac iron in young children because the pancreas loads earlier than the heart. The aim of our study was to assess the relationships between pancreatic T2* values and pancreatic iron loading with cardiac dysfunctions and liver and cardiac iron among patients with β-thalassaemia major (βTM) and sickle cell disease (SCD). Methods: 40 βTM and 20 transfusion-dependant SCD patients were included along with 60 healthy age and sex-matched controls. Echocardiography and Tissue Doppler Imaging were performed for all subjects as well as the control group. Hepatic, cardiac and pancreatic iron overload in cases were assessed by MRI T2*. Results: The mean age of our patients was 13.7 years with mean frequency of transfusion/year 12. Mean cardiac T2* was 32.9 ms and mean myocardial iron concentration was 0.7 mg/g; One patient had cardiac iron overload of moderate severity. Mean pancreatic T2* was 22.3 ms with 20 patients having mild pancreatic iron overload. Pancreatic T2* correlated positively peak late diastolic velocity at septal mitral annulus (r=0.269, p=0.038), peak early diastolic velocity at tricuspid annulus (r=0.430, p=0.001) and mitral annular plane systolic excursion (r=0.326, p=0.01); and negatively with end systolic pulmonary artery pressure (r=-0.343, p=0.007) and main pulmonary artery diameter (MPA) (r=-0.259, p=0.046). We couldn’t test the predictability of pancreatic T2* in relation to cardiac T2* as only one patient had cardiac T2*<20 ms. Conclusion: There was a relationship between pancreatic iron siderosis with cardiac dysfunction in multi-transfused patients with βTM and SCD. No direct relation between pancreatic iron and cardiac siderosis was detected.

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“…Diastolic function can also be assessed with it, i.e. in obese adults with normal LV EF [ 10 ]. Furthermore, even when performed by an untrained observer MAPSE measurements were found to be a highly accurate predictor of EF [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

Intraobserver and interobserver reproducibility of M-mode and B-mode acquired mitral annular plane systolic excursion (MAPSE) and its dependency on echocardiographic image quality in children

et al. 2018

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BackgroundMitral annular plane systolic excursion (MAPSE) is an increasingly used echocardiography technique to assess left ventricular (LV) function. However, reproducibility and dependence on echocardiographic image quality for MAPSE in pediatric patients have not been studied to date.MethodsWe analyzed 284 transthoracic echocardiograms performed on consecutive normotensive children without structural heart disease (mean age 12.6±3.1 years, 50.4% female). B-mode and M-mode derived MAPSE measurements were performed and analyzed regarding inter- and intraobserver reliability and the influence of echocardiographic image quality.ResultsOverall, MAPSE measurements were highly reproducible with only minor bias. Both inter- and intraobserver reliability were significantly better for M-mode derived MAPSE (p<0.001). Echocardiographic image quality did not significantly influence M-mode MAPSE reproducibility (p>0.235). In contrast, B-mode lateral MAPSE was significantly better reproducible in optimal image quality (-0.07±1.04) when compared to suboptimal echocardiographic images (0.42±1.59, p<0.001). Moreover, poor quality images yielded significantly lower M-mode MAPSE values (14.3±2 mm) than near-optimal (15.2±1.9 mm, p<0.001) or optimal images (15.1±2.2 mm, p = 0.006).ConclusionEchocardiographic image quality essentially has a negligible effect on MAPSE reproducibility and measurements. Consequently, MAPSE is a robust echocardiographic parameter with convincing reproducibility for the assessment of LV function in children—even in patients with substandard imaging conditions.

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Mitral annular plane systolic excursion in the assessment of left ventricular diastolic dysfunction in obese adults

Cited by 9 publications

References 28 publications

Assessment of Right Ventricular Function and Structure in Children with Idiopathic Dilated Cardiomyopathy

Assessment of Right Ventricular Function and Structure in Children with Idiopathic Dilated Cardiomyopathy

The relationships between pancreatic T2* values and pancreatic iron loading with cardiac dysfunctions, hepatic and cardiac iron siderosis among Egyptian children and young adults with β-thalassaemia major and sickle cell disease: a cross-sectional study

Intraobserver and interobserver reproducibility of M-mode and B-mode acquired mitral annular plane systolic excursion (MAPSE) and its dependency on echocardiographic image quality in children

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