Non-Invasive TAPSE/PASP Ratio is Not Predictive of Early Right Ventricular Failure Post LVAD Implantation

Shah, H.; Maharaj, Valmiki; Kenny, Barrett; Kalra, Rajat; Rafei, Abdelghani El; Duval, Sue; Schultz, Jessica; Cogswell, Rebecca; Pritzker, Marc

doi:10.1016/j.healun.2020.01.218

Cited by 3 publications

(4 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In this setting, RV longitudinal strain may be very useful, preoperatively, in predicting RHF after LVAD implantation [91], but more extensive multicenter studies are needed to fully validate this parameter. Finally, TAPSE/PASP ratio, as a surrogate of RV-PA coupling, seems to be not predicting of early RHF post LVAD implantation, even if a higher ratio was associated with the need for a right ventricular assist device (RVAD) [92].…”

Section: Right Ventricular Function and Left Ventricular Assistance Dmentioning

confidence: 98%

Right Ventricular Function in Chronic Heart Failure: From the Diagnosis to the Therapeutic Approach

Monitillo¹,

Terlizzi

Gioia

et al. 2020

JCDD

View full text Add to dashboard Cite

There is growing attention for the study of the right ventricle in cardiovascular disease and in particular in heart failure. In this clinical setting, right ventricle dysfunction is a significant marker of poor prognosis, regardless of the degree of left ventricular dysfunction. Novel echocardiographic methods allow for obtaining a more complete evaluation of the right ventricle anatomy and function as well as of the related abnormalities in filling pressures. Specific and effective therapies for the right ventricle dysfunction are still not well defined and this represents the most difficult and important challenge. This article focuses on available diagnostic techniques for studying right ventricle dysfunction as well as on the therapies for right ventricle dysfunction.

show abstract

Section: Right Ventricular Function and Left Ventricular Assistance Dmentioning

confidence: 98%

Right Ventricular Function in Chronic Heart Failure: From the Diagnosis to the Therapeutic Approach

Monitillo¹,

Terlizzi

Gioia

et al. 2020

JCDD

View full text Add to dashboard Cite

show abstract

“…95,97 TAPSE/PASP assessed pre-operatively was unpredictable of early post-operative RHF in this patient population (P = 0.77), as shown by a single-centre retrospective study involving 254 patients with HF with an implanted LVAD. 98 A higher TAPSE/ PASP ratio was a determinant of whether an LVAD implantation was necessary in patients with HF. 98 More research is needed to determine whether or not TAPSE/PASP is an appropriate RV-PA coupling indicator in patients with RHF.…”

Section: Contemporarymentioning

confidence: 99%

“…98 A higher TAPSE/ PASP ratio was a determinant of whether an LVAD implantation was necessary in patients with HF. 98 More research is needed to determine whether or not TAPSE/PASP is an appropriate RV-PA coupling indicator in patients with RHF.…”

Section: Contemporarymentioning

confidence: 99%

Application of an echocardiographic index to characterize right ventricular–pulmonary arterial coupling in heart failure

Chen,

Zhang,

Lou

et al. 2024

ESC Heart Failure

View full text Add to dashboard Cite

Heart failure (HF), with its high morbidity and mortality, remains a global public health issue. Right ventricular (RV) dysfunction is a sign of deterioration in the natural history of HF, and a thorough evaluation of the relationship between RV contractility and its afterload through RV–pulmonary arterial (RV–PA) coupling can aid in accurately assessing overall RV function. The ratio of RV end‐systolic elastance (Ees) to pulmonary arterial elastance (Ea) invasively measured by right heart catheterization served as the gold standard for evaluating RV–PA coupling. An echocardiographic index termed tricuspid annular plane systolic excursion/pulmonary artery systolic pressure (TAPSE/PASP) has been shown to correlate well with Ees/Ea. TAPSE/PASP is recognized as a non‐invasive surrogate of RV–PA coupling and has been extensively studied in patients with HF. This review briefly describes the methods of assessing RV–PA coupling, mainly discussing echocardiography, summarizes the clinical utility of TAPSE/PASP in patients with different HF types, and provides an overview of the available literature.

show abstract

“…Indices of RV systolic function can be misleading, as they can be affected by excessive afterload independent of intrinsic RV dysfunction. Measures of RV-PA coupling such as TAPSE/systolic PA pressure that have been shown to be predictive of RVF in all-comers with HF do not reliably predict RVF in the LVAD population ( 97 ). This is not surprising, as a low TAPSE/systolic PA pressure identifies patients with mild RV-PA uncoupling (initial drop in systolic function related to elevated RV afterload) but cannot capture patients with more advanced stages of RV-PA uncoupling (drop in systolic PA pressure due to a decrease in RV stroke volume), who are precisely the patients at higher risk of post-operative RVF.…”

Section: Pre-operative Prediction Of Right Ventricular Failurementioning

confidence: 99%

Prediction, prevention, and management of right ventricular failure after left ventricular assist device implantation: A comprehensive review

Ródenas-Alesina

Brahmbhatt

Rao

et al. 2022

Front. Cardiovasc. Med.

View full text Add to dashboard Cite

Left ventricular assist devices (LVADs) are increasingly common across the heart failure population. Right ventricular failure (RVF) is a feared complication that can occur in the early post-operative phase or during the outpatient follow-up. Multiple tools are available to the clinician to carefully estimate the individual risk of developing RVF after LVAD implantation. This review will provide a comprehensive overview of available tools for RVF prognostication, including patient-specific and right ventricle (RV)-specific echocardiographic and hemodynamic parameters, to provide guidance in patient selection during LVAD candidacy. We also offer a multidisciplinary approach to the management of early RVF, including indications and management of right ventricular assist devices in this setting to provide tools that help managing the failing RV.

show abstract

Non-Invasive TAPSE/PASP Ratio is Not Predictive of Early Right Ventricular Failure Post LVAD Implantation

Cited by 3 publications

References 0 publications

Right Ventricular Function in Chronic Heart Failure: From the Diagnosis to the Therapeutic Approach

Right Ventricular Function in Chronic Heart Failure: From the Diagnosis to the Therapeutic Approach

Application of an echocardiographic index to characterize right ventricular–pulmonary arterial coupling in heart failure

Prediction, prevention, and management of right ventricular failure after left ventricular assist device implantation: A comprehensive review

Contact Info

Product

Resources

About