Prevalence of, Associations With, and Prognostic Value of Tricuspid Annular Plane Systolic Excursion (TAPSE) Among Out-Patients Referred for the Evaluation of Heart Failure

Damy, Thibaud; Kallvikbacka‐Bennett, Anna; Goode, Kevin; Khaleva, Olga; Lewinter, Christian; Hobkirk, James; Nikitin, Nikolay P.; Dubois‐Randé, Jean‐Luc; Hittinger, Luc; Clark, Andrew L.; Cleland, John G.F.

doi:10.1016/j.cardfail.2011.12.003

Cited by 147 publications

(97 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In addition, TAPSE can be derived in the vast majority of patients, regardless of HR and rhythm, extending the advantages of its measurement to patients with elevated HR and atrial fibrillation. Interestingly, the most recent findings suggest that TAPSE is also predictive in patients with HFpEF with a 1-yr mortality rate of 9% for patients in the lower TAPSE quartile (6). Our data confirm the information that TAPSE has strong predictive value and expand the evidence by analyzing a heterogeneous population with different severity and both HFrEF and HFpEF.…”

Section: Discussionsupporting

confidence: 86%

“…Notwithstanding, there is agreement in considering echocardiography as the most immediate and simple approach to obtain reliable markers of RV systolic function in cardiopulmonary disorders (32). Among the echoderived variables used for RV systolic function assessment, tricuspid annular plane systolic excursion (TAPSE) is easily obtainable, reproducible, and highly predictive of poor outcome in a wide spectrum of HF cohorts (6,10,11,26).…”

mentioning

confidence: 99%

See 1 more Smart Citation

Tricuspid annular plane systolic excursion and pulmonary arterial systolic pressure relationship in heart failure: an index of right ventricular contractile function and prognosis

Guazzi

Bandera

Pasqui

et al. 2013

American Journal of Physiology-Heart and Circulatory Physiology

515

401

View full text Add to dashboard Cite

Ghio S, Temporelli PL, Arena R. Tricuspid annular plane systolic excursion and pulmonary arterial systolic pressure relationship in heart failure: an index of right ventricular contractile function and prognosis. Am J Physiol Heart Circ Physiol 305: H1373-H1381, 2013. First published August 30, 2013; doi:10.1152/ajpheart.00157.2013.-Echoderived pulmonary arterial systolic pressure (PASP) and right ventricular (RV) tricuspid annular plane systolic excursion (TAPSE; from the end of diastole to end-systole) are of basic relevance in the clinical follow-up of heart failure (HF) patients, carrying two-to threefold increase in cardiac risk when increased and reduced, respectively. We hypothesized that the relationship between TAPSE (longitudinal RV fiber shortening) and PASP (force generated by the RV) provides an index of in vivo RV length-force relationship, with their ratio better disclosing prognosis. Two hundred ninety-three HF patients with reduced (HFrEF, n ϭ 247) or with preserved left ventricular (LV) ejection fraction (HFpEF, n ϭ 46) underwent echo-Doppler studies and N-terminal pro-brain-type natriuretic peptide assessment and were tracked for adverse events. The median follow-up duration was 20.8 mo. TAPSE vs. PASP relationship showed a downward regression line shift in nonsurvivors who were more frequently presenting with higher PASP and lower TAPSE. HFrEF and HFpEF patients exhibited a similar distribution along the regression line. Given the TAPSE, PASP, and TAPSE-to-PASP ratio (TAPSE/PASP) collinearity, separate Cox regression and Kaplan-Meier analyses were performed: one with TAPSE and PASP as individual measures, and the other combining them in ratio form. Hazard ratios for variables retained in the multivariate regression were as follows: TAPSE/PASP Ͻ/Ն 0.36 mm/mmHg [hazard ratio (HR): 10.4, P Ͻ 0.001]; TAPSE Ͻ/Ն 16 mm (HR: 5

show abstract

Section: Discussionsupporting

confidence: 86%

mentioning

confidence: 99%

Tricuspid annular plane systolic excursion and pulmonary arterial systolic pressure relationship in heart failure: an index of right ventricular contractile function and prognosis

Guazzi

Bandera

Pasqui

et al. 2013

American Journal of Physiology-Heart and Circulatory Physiology

515

401

View full text Add to dashboard Cite

show abstract

“…Similar findings were reported by looking at RV global longitudinal early diastolic strain rate and systolic RV global longitudinal systolic strain. 10 In a larger population of PH-HFpEF, Damy et al 9 confirmed an RV dysfunction rate of 50% of cases. Although the prevalence of a severely compromised RV function (tricuspid annular plane systolic excursion, TAPSE <14 mm) was lower in patients with HFpEF than in patients with HFrEF (19% versus 39%), a similar prediction power was found for the lower TAPSE irrespective of systolic or diastolic origin of left-sided PH.…”

Section: Guazzi Pulmonary Hypertension In Diastolic Heart Failure 371mentioning

confidence: 94%

“…6 Studies investigating the pattern of right heart function and geometry in PH-HFpEF are summarized in Table 1. [9][10][11]14,15,21,[40][41][42][43][44][45] In a report by Puwanant et al, 11 RV dysfunction, assessed by RV fractional area and tissue Doppler S prime, was not uncommon in patients with HFpEF although in a milder degree compared with HFrEF. Similar findings were reported by looking at RV global longitudinal early diastolic strain rate and systolic RV global longitudinal systolic strain.…”

Section: Guazzi Pulmonary Hypertension In Diastolic Heart Failure 371mentioning

confidence: 99%

Pulmonary Hypertension in Heart Failure Preserved Ejection Fraction

Guazzi

2014

Circ: Heart Failure

103

View full text Add to dashboard Cite

“…Obviously, interpreting TAPSE as an index of RV function assumes that RV basal segment is representative of global function. A TAPSE of more than 15 mm indicates RV dysfunction [Vieillard-Baron et al 2002;Portnoy and Rudski, 2015;Khrishnan and Schmidt, 2015], and it has been associated with a poor prognosis in patients with chronic right-sided heart disease [Forfia et al 2006;Damy et al 2012] and in critically ill patients [Gajanana et al 2015]. A strong relation between TAPSE and LV ejection fraction has been reported in 86 critically ill patients admitted to ICU for acute respiratory failure, circulatory failure or coma [Lamia et al 2007].…”

Section: Rv Wall Thicknessmentioning

confidence: 99%

The potential role and limitations of echocardiography in acute respiratory distress syndrome

Lazzeri

Cianchi

Bonizzoli

et al. 2015

Ther Adv Respir Dis

View full text Add to dashboard Cite

Bedside use of Doppler echocardiography is being featured as a promising, clinically useful tool in assessing the pulmonary circulation in patients with acute respiratory distress syndrome (ARDS). The present review is aimed at summarizing the available evidence obtained with echocardiography on right ventricle (RV) function and pulmonary circulation in ARDS and to highlight the potential of this technique in clinical practice (only articles in English language were considered). According to the available evidence on echocardiographic findings, the following conclusions can be drawn: (a) echocardiography (transthoracic and transesophageal) has a growing role in the management ARDS patients mainly because of the strict interactions between the lung (and ventilation) and the RV and pulmonary circulation; (b) there may be a continuum of alterations in RV size and function and pulmonary circulation which may end in the development of acute cor pulmonale, probably paralleling ARDS disease severity; and (c) the detection of acute cor pulmonale should prompt intensivists to tailor their ventilatory strategy to the individual patient depending on the echocardiography findings. Bearing in mind the clinical role and growing importance of echocardiography in ARDS and the available evidence on this topic, we present a flow chart including the parameters to be measured and the timing of echo exams in ARDS patients. Despite the important progress that echocardiography has gained in the evaluation of patients with ARDS, several open questions remain and echocardiography still appears to be underused in these patients. A more systematic use of echocardiography (mainly through shared protocols) in ARDS could help intensivists to tailor the optimal treatment in individual patients as well as highlighting the limits and potential of this methodology in patients with ALI.

show abstract

Prevalence of, Associations With, and Prognostic Value of Tricuspid Annular Plane Systolic Excursion (TAPSE) Among Out-Patients Referred for the Evaluation of Heart Failure

Cited by 147 publications

References 25 publications

Tricuspid annular plane systolic excursion and pulmonary arterial systolic pressure relationship in heart failure: an index of right ventricular contractile function and prognosis

Tricuspid annular plane systolic excursion and pulmonary arterial systolic pressure relationship in heart failure: an index of right ventricular contractile function and prognosis

Pulmonary Hypertension in Heart Failure Preserved Ejection Fraction

The potential role and limitations of echocardiography in acute respiratory distress syndrome

Contact Info

Product

Resources

About