Noninvasive assessment of right atrial pressure using Doppler tissue imaging

Abbas, Amr E.; Lester, Steven J.; Moreno, F.Carlos; Srivathsan, Komandoor; Fortuin, David; Appleton, Christopher

doi:10.1016/j.echo.2004.06.005

Cited by 36 publications

(24 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…An inverse relationship was demonstrated between mean RAP and the interval between the end of the systolic annular motion to the onset of the early diastolic filling wave (right ventricular regional isovolumic relaxation time) by Abbas et al (16).…”

Section: Discussionmentioning

confidence: 89%

“…The early diastolic mitral annular velocity (Ea) has been used to assess the left ventricular (LV) relaxation, and predict LV filling pressures in a number of different populations (3)(4)(5)(6)(7)(8). However, there is conflicting data regarding the tricuspid annular velocities and their relation to right ventricular (RV) filling pressures (9)(10)(11)(12)(13)(14)(15)(16). It could be assumed that like left side the presence of regurgitations and stenoses affect the velocities of tricuspid inflow.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The time interval between the onset of tricuspid E wave and annular Ea wave (TE-Ea) can predict right atrial pressure in patients with heart failure

Naderi¹,

Amin²,

Haghighi³

et al. 2014

Anadolu Kardiyol Derg

View full text Add to dashboard Cite

Objective: There is conflicting data regarding the tricuspid annular velocities and their relation to right ventricular filling pressures. We aimed to assess if the time interval between the onset of tricuspid E wave and annular Ea wave has any correlation with right sided filling pressure in patients with heart failure. Methods: Thirty heart failure patients (left ventricular ejection fraction≤35%) were enrolled. Echocardiography was performed to obtain tricuspid inflow and tissue Doppler annular velocities just before a standard right heart catheterization. The right atrial pressure was obtained from right heart catheterization. The E/Ea [the ratio of peak velocity of early tricuspid inflow wave (E) to peak velocity of early diastolic wave of the lateral tricuspid annulus (Ea)] and the time intervals between the beginning of R wave of electrocardiogram and onset of E (TE) as well as between the beginning of R wave and onset of Et (T Ea ) were measured, T E-Ea was calculated as T E-TEa . Results: The mean right atrial pressure (RAP) was 8.8 (SD=4.7) mm Hg. The mean T E-Ea was + 8.61 milliseconds. There was no significant correlation between RAP and E/Ea (r=0.08, p>0.05) but the correlation between T E-Ea and RAP was significant (r=0.5, p=0.01). Conclusion: According to our results and in contrary to some prior studies, we showed for the first time that right side T E-Ea stands as a better surrogate of right atrial pressure than E/Ea in heart failure patients. This finding needs more accurate studies and could present T E-Ea as a feasible tool to look into hemodynamics of heart failure patients. (Anadolu Kardiyol Derg 2014; 14: 585-90)

show abstract

Section: Discussionmentioning

confidence: 89%

Section: Introductionmentioning

confidence: 99%

The time interval between the onset of tricuspid E wave and annular Ea wave (TE-Ea) can predict right atrial pressure in patients with heart failure

Naderi¹,

Amin²,

Haghighi³

et al. 2014

Anadolu Kardiyol Derg

View full text Add to dashboard Cite

show abstract

“…48 The annular tricuspid E/e ratio and annular tissue Doppler relaxation time have also shown moderate correlation with right atrial pressure. 78 Assessment of RV preload is RVFAC indicates RV fractional area change; MI, myocardial infarction; TAPSE, tricuspid annular plane systolic excursion; Sm, tissue Doppler maximal systolic velocity at the tricuspid annulus; RVMPI, RV myocardial performance index; PH, pulmonary hypertension; and CHD, congenital heart disease.…”

Section: Rv Diastolic Parameters and Estimation Of Preloadmentioning

confidence: 99%

Right Ventricular Function in Cardiovascular Disease, Part I

et al. 2008

View full text Add to dashboard Cite

I n 1616, Sir William Harvey was the first to describe the importance of right ventricular (RV) function in his seminal treatise, De Motu Cordis: "Thus the right ventricle may be said to be made for the sake of transmitting blood through the lungs, not for nourishing them." 1,2 For many years that followed, emphasis in cardiology was placed on left ventricular (LV) physiology, overshadowing the study of the RV. In the first half of the 20th century, the study of RV function was limited to a small group of investigators who were intrigued by the hypothesis that human circulation could function adequately without RV contractile function. 3 Their studies, however, were based on an open pericardial dog model, which failed to take into account the complex nature of ventricular interaction. In the early 1950s through the 1970s, cardiac surgeons recognized the importance of right-sided function as they evaluated procedures to palliate right-heart hypoplasia. Since then, the importance of RV function has been recognized in heart failure, RV myocardial infarction, congenital heart disease and pulmonary hypertension. More recently, advances in echocardiography and magnetic resonance imaging have created new opportunities for the study of RV anatomy and physiology.The goal of the present review is to offer a clinical perspective on RV structure and function. In the first part, we discuss the anatomy, physiology, aging, and assessment of the RV. In the second part, we discuss the pathophysiology, clinical importance, and management of RV failure. Anatomy of the RV Macroscopic Anatomy of the RVIn the normal heart, the RV is the most anteriorly situated cardiac chamber and lies immediately behind the sternum. In the absence of transposition of great arteries, the RV is delimited by the annulus of the tricuspid valve and by the pulmonary valve. As suggested by Goor and Lillehi, 4 the RV can be described in terms of 3 components: (1) the inlet, which consists of the tricuspid valve, chordae tendineae, and papillary muscles; (2) the trabeculated apical myocardium; and (3) the infundibulum, or conus, which corresponds to the smooth myocardial outflow region 4,5 (Figure 1). In the study of congenital heart disease, this division seems to be more practical than the traditional division of the RV into sinus and conus components. 5 Additionally, the RV can also be divided into anterior, lateral, and inferior walls, as well as basal, mid, and apical sections. 6 Three prominent muscular bands are present in the RV: the parietal band, the septomarginal band, and the moderator band. The parietal band and the infundibular septum make up the crista supraventricularis. 7 The septomarginal band extends inferiorly and becomes continuous with the moderator band, which attaches to the anterior papillary muscle. 7 When abnormally formed or hypertrophied, the septomarginal band can divide the ventricle into 2 chambers (double-chambered RV). 5 Another important characteristic of the RV is the presence of a ventriculoinfundibular fold that separate...

show abstract

“…If one or more feature identified, PH may be present RA volume [8,20] RV myocardial performance index [8,[25][26][27] Tissue Doppler index of RV free wall [7,8,31,32,34] Eccentricity index (end-systolic and diastolic) [8,43,44] Cardiac output [46,47] Congenital heart disease (in particular, exclude pulmonary stenosis)…”

Section: Causes Of Phmentioning

confidence: 99%

“…Valvular heart disease (in particular, mitral valve) LV systolic/diastolic dysfunction Pulmonary vascular resistance [46,47] Consider right heart assessment protocol Assess associated causes RV ≥1/2 LV from PLAX [11] RVOT AT <105 ms [8,15,16] RV IVRT >75 ms [8,31,32] IVC >20 mm and <50% inspiratory collapse [8] TAPSE <20 mm [8, 28-30, 33, 53, 54] End-diastolic PRV >1.0 m . s -1 [14,17] TRV ≥2.6 m .…”

Section: Causes Of Phmentioning

confidence: 99%

Echocardiographic assessment of pulmonary hypertension: standard operating procedure

Howard¹,

Grapsa²,

Dawson³

et al. 2012

Eur Respir Rev

160

157

View full text Add to dashboard Cite

Patients with suspected pulmonary hypertension (PH) should be evaluated using a multimodality approach to ensure that they receive a correct diagnosis. The series of investigations required includes clinical evaluation, noninvasive imaging techniques and right heart catheterisation (considered to be the ''gold standard'' for the diagnosis of PH). Current guidelines recommend that a detailed echocardiographic assessment is performed in all patients with suspected PH.In this review we summarise a protocol adopted by the National Pulmonary Hypertension Centres of UK and Ireland and approved by the British Society of Echocardiography for the evaluation of these patients. The views and measurements described are recommended for diagnosis, assisting in prognosis and providing a noninvasive means of following disease progression or response to therapy.

show abstract

Noninvasive assessment of right atrial pressure using Doppler tissue imaging

Cited by 36 publications

References 15 publications

The time interval between the onset of tricuspid E wave and annular Ea wave (TE-Ea) can predict right atrial pressure in patients with heart failure

The time interval between the onset of tricuspid E wave and annular Ea wave (TE-Ea) can predict right atrial pressure in patients with heart failure

Right Ventricular Function in Cardiovascular Disease, Part I

Echocardiographic assessment of pulmonary hypertension: standard operating procedure

Contact Info

Product

Resources

About