Novel quantitative echocardiographic parameters in acute PE

Holley, Aaron B.; Cheatham, Joseph G.; Jackson, Jeffrey L.; Moores, Lisa K.; Villines, Todd C.

doi:10.1007/s11239-009-0322-6

Cited by 17 publications

(11 citation statements)

References 26 publications

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“…It has been shown to correlate with other quantitative assessments of right ventricular systolic function measured by 2D echocardiography, radionuclide angiography and magnetic resonance imaging in adults. The prognostic value of TAPSE has also been established in pulmonary hypertension, congestive heart failure, pulmonary embolism, and early detection of right ventricular dysfunction . As a result, TAPSE is widely used for the assessment of longitudinal right ventricular systolic performance owing to its feasibility and reproducibility .…”

mentioning

confidence: 99%

Two‐Dimensional Measurement of Tricuspid Annular Plane Systolic Excursion in Children: Can It Substitute for an M‐Mode Assessment?

et al. 2014

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mentioning

confidence: 99%

Two‐Dimensional Measurement of Tricuspid Annular Plane Systolic Excursion in Children: Can It Substitute for an M‐Mode Assessment?

et al. 2014

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“…The value of TAPSE in this context has recently been looked at in a small study involving patients with nonmassive PE followed up over a short term. [33] A lower value for TAPSE (, 1.8 cm) was significantly correlated with clinical and laboratory markers of poor prognosis. This thought-provoking study called for larger scale investigations to be conducted for a better definition of the value of TAPSE in acute PE over and above other subjective measures of RV function.…”

Section: Acute Pulmonary Embolismmentioning

confidence: 91%

Utility of tricuspid annular plane systolic excursion in the assessment of right ventricular function

Champion¹,

Zeineh²

2010

PVRI Review

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Right ventricular (RV) function is an important determinant of prognosis in a large number of cardiopulmonary disease conditions and its assessment is a challenge in day-to-day clinical practice, mostly because of the complex geometry of the chamber. The search for, and validation of reliable indexes of RV function are ongoing. In particular, a large body of evidence has accumulated regarding the use of the tricuspid annular plane systolic excursion (TAPSE) as an index of RV systolic function in a variety of pathologic conditions. We will review the different areas of application of TAPSE to date.

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“…A TAPSE of 18 mm or greater is typically considered normal. 41 TAPSE is a technique for assessing RV function that is well described in the cardiology literature, but to our knowledge only described once in the EP literature. [42][43][44][45] In our experience it is easily measured when an adequate A4C view is present and has been described as reproducible and perhaps better than RV size as a predictor of PE severity.…”

Section: Equalitymentioning

confidence: 99%

“…[42][43][44][45] In our experience it is easily measured when an adequate A4C view is present and has been described as reproducible and perhaps better than RV size as a predictor of PE severity. 41,43,45 Right ventricle systolic pressure may be estimated quantitatively when tricuspid regurgitation is present. The peak velocity of the tricuspid regurgitant jet should be measured using continuous wave spectral Doppler with the Doppler signal in line with the jet (typically in an A4C view).…”

Section: Equalitymentioning

confidence: 99%

The “5Es” of Emergency Physician–performed Focused Cardiac Ultrasound: A Protocol for Rapid Identification of Effusion, Ejection, Equality, Exit, and Entrance

Hall

Coffey

Herbst

et al. 2015

Academic Emergency Medicine

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Emergency physician (EP)-performed focused cardiac ultrasound (EP FOCUS) has been increasingly recognized as a crucial tool to help clinicians diagnose and treat potentially life-threatening conditions. The existing literature demonstrates a variety of EP FOCUS applications and protocols; however, EP FOCUS is not taught, practiced, or interpreted consistently between institutions. Drawing on over 12 years of experience in a large-volume, high-acuity academic emergency department, we have developed a protocol for teaching and performing EP FOCUS known as "The 5Es," where each E represents a specific assessment for immediately relevant clinical information. These include pericardial effusion, qualitative left ventricular ejection, ventricular equality, exit (aortic root diameter), and entrance (inferior vena cava diameter and respirophasic variation). Each of these assessments has been well described in the emergency medicine literature and is within the scope of EP-performed echocardiography. This approach provides a reliable and easily recalled framework for assessing, teaching, and communicating EP FOCUS findings that are essential in caring for the patient in the emergency setting.ACADEMIC EMERGENCY MEDICINE 2015;22:583-593 © 2015 by the Society for Academic Emergency Medicine I t has been recognized for more than 25 years that emergency physician (EP)-performed focused cardiac ultrasound (EP FOCUS) is an important skill for the care of patients with potentially life-threatening presentations.1,2 A recent review detailed 16 specific protocols that included cardiac ultrasound (US) as part of the point-of-care US assessment in medical shock. 3The term "focused cardiac ultrasound" has been addressed in some detail (FOCUS, 4 FCU, 5 and FoCUS 6 ). However, this term is not specialty-specific, may include assessments that are not relevant in the acute/emergency setting, and has not included assessment of the thoracic aortic root ("exit"), which may be particularly applicable to acute and emergent presentations. We have found that the proximal thoracic aorta can be reliably assessed, providing vital information about potential aortic pathology in patients presenting with acute symptoms. 7 We thus propose the "5Es" to assess for the presence of a pericardial effusion, left ventricular ejection, ventricular equality, exit (aortic root diameter), and entrance (inferior vena cava [IVC] diameter and respirophasic variation). The 5Es protocol provides an easy-toteach, evidence-based, and standardized approach to EP FOCUS for the rapid identification and management of time-sensitive pathologic conditions. APPROACH TO EXAMTypically EP FOCUS uses one or more of three windows and five views: a parasternal long-axis (PSLA), a

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Novel quantitative echocardiographic parameters in acute PE

Cited by 17 publications

References 26 publications

Two‐Dimensional Measurement of Tricuspid Annular Plane Systolic Excursion in Children: Can It Substitute for an M‐Mode Assessment?

Two‐Dimensional Measurement of Tricuspid Annular Plane Systolic Excursion in Children: Can It Substitute for an M‐Mode Assessment?

Utility of tricuspid annular plane systolic excursion in the assessment of right ventricular function

The “5Es” of Emergency Physician–performed Focused Cardiac Ultrasound: A Protocol for Rapid Identification of Effusion, Ejection, Equality, Exit, and Entrance

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