Severe Tricuspid Regurgitation Shows Significant Impact in the Relationship Among Peak Systolic Tricuspid Annular Velocity, Tricuspid Annular Plane Systolic Excursion, and Right Ventricular Ejection Fraction

Hsiao, Shih-Hung; Lin, Shih-Kai; Wang, Wen-Chin; Yang, Shu-Hsin; Gin, Pei-Lan; Liu, Chun–Peng

doi:10.1016/j.echo.2006.01.014

Cited by 134 publications

(90 citation statements)

References 34 publications

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“…However, TAPSE does not give any information about segmental wall motion abnormalities. Also, reliability of TAPSE decreases in the presence of severe tricuspid regurgitation [30]. Thus, we did not include patients with severe TR in order to exclude the confl icting aff ect of tricuspid regurgitation on TAPSE values.…”

Section: Discussionmentioning

confidence: 99%

Echocardiographic assessment of right ventricular functions in nondiabetic normotensive hemodialysis patients

Karaveli̇oğlu

Özkurt

Kalçık

et al. 2015

IMAS

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Abstract:Purpose: Heart is aff ected structurally and functionally in end-stage renal disease (ESRD). However, the data available about adverse eff ects of ESRD on right ventricle (RV) is scarce. We aimed to evaluate echocardiographic parameters of RV in nondiabetic, normotensive patients with ESRD undergoing hemodialysis (HD). Methods: A total of 45 (24 women; mean age 52.4 ± 12.4 years) consecutive nondiabetic, normotensive patients with ESRD undergoing HD and 39 healthy age and sex-matched control subjects (22 women; mean age 50.3 ± 6.6 years) were enrolled in the study. M-mode and two dimensional images, color, pulsed and continuous wave Doppler, and tissue Doppler measurements were acquired from all subjects. Echocardiographic evaluation was performed in the days between HD dates of the patients. Results: RV fractional area change, tricuspid annular plane systolic excursion, tricuspid E velocity, E/A ratio, tricuspid annular E´ velocity, and E´/A´ ratio were lower in patients than controls (p < 0.001, p = 0.003, p = 0.007, p = 0.005, p < 0.001, and p = 0.034, respectively). However, RV diastolic area, RV myocardial performance index, E/E´ ratio, and mean and systolic pulmonary artery pressure were higher in patients than controls (p < 0.001, p = 0.007, p = 0.005, p < 0.001, p = 0.006, respectively). Conclusions: RV systolic and diastolic functions of nondiabetic, normotensive HD patients are deteriorated as compared to healthy controls.

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Section: Discussionmentioning

confidence: 99%

Echocardiographic assessment of right ventricular functions in nondiabetic normotensive hemodialysis patients

Karaveli̇oğlu

Özkurt

Kalçık

et al. 2015

IMAS

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“…12,13 It is affected by tricuspid regurgitation and is reduced in the presence of atrial fibrillation. 14,15 There has been a wide range of correlations between TAPSE and other measures of RV function. Good correlations were obtained comparing TAPSE with RVEF, [16][17][18][19][20] and better correlations were obtained comparing TAPSE with RV fractional area of change 6,12 and global RV strain.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of TAPSE as a measure of right ventricular output

Tousignant

Kim

Papa

et al. 2012

Can J Anesth/J Can Anesth

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Purpose This study was designed to show the relationship between tricuspid annular plane systolic excursion (TAPSE) and stroke volume (SV) by thermodilution using three different methods and also to assess whether TAPSE can track hemodynamic changes associated with volume loading and ephedrine administration. Methods This was an observational study in 61 elective patients with a pulmonary artery catheter who were undergoing coronary artery bypass graft surgery in a cardiac surgical centre. We measured TAPSE by three methods using transesophageal echocardiography: M mode, speckle tracking at the lateral wall, and tissue tracking at the inferior wall. There were two interventions: leg raising (volume recruitment) or administration of ephedrine 5 mg iv. Echo and hemodynamic measurements were performed before and after each intervention.Results Eleven patients were excluded due to poor imaging. There were 26 patients in the leg raising group and 24 patients in the ephedrine group. The correlation coefficient between stroke volume (SV) and TAPSE by M mode, speckle tracking, and tissue tracking was 0.48, 0.44, and 0.09, respectively. There was a significant increase in SV following each intervention; however, the changes in TAPSE by any method and velocity were not large enough to reach statistical significance. Conclusion Tricuspid annular plane systolic excursion by M mode and by speckle tracking correlates modestly with SV. There was no correlation between TAPSE and SV by tissue tracking at the inferior wall of the right ventricle. Tricuspid annular plane systolic excursion by M mode and by speckle tracking does not track changes in SV following either volume loading or ephedrine administration. RésuméObjectif Cette e´tude a e´te´conçue pour montrer le rapport entre le de´placement systolique du plan de l'anneau tricuspidien (TAPSE) avec le volume d'e´jection systolique (SV) par thermodilution en utilisant trois me´thodes diffe´rentes et aussi pour de´terminer si le TAPSE peut suivre les modifications he´modynamiques associe´es a`une charge volumique et a`une administration d'e´phe´drine. Méthodes Il s'agit d'une e´tude observationnelle mene´e chez 61 patients se´lectionne´s porteurs d'un cathe´ter de l'arte`re pulmonaire qui devaient subir un pontage coronarien dans un centre de chirurgie cardiaque. Nous avons mesure´le TAPSE par trois me´thodes diffe´rentes al 'aide d'une e´chocardiographie transoesophagienne: mode M;suivi de granularite´s (speckle tracking) sur la paroi late´rale; et suivi de tissu (tissue tracking) sur la paroi infe´rieure. Il y a eu deux interventions: jambes releve´es

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“…In addition, RV assessment is restricted to the longitudinal movement of the RV free wall and does not measure the contribution of the intraventricular septum and RV outflow tract (RVOT) . Finally, apical akinesis may preserve normal TAPSE values with impairment of RV function whereas severe tricuspid regurgitation can also underestimate RV dysfunction and correlation with RV ejection fraction & Hsiao et al, 2006.…”

Section: Use Of Tapse and Tricuspid Annular Tissue Doppler Imaging Inmentioning

confidence: 99%

The use of Tricuspid Annular Plane Systolic Excursion and Tissue Doppler Imaging Velocities for the Estimation of Pulmonary Hypertension and Right Ventricular Function in Mechanically Ventilated Patients

Papaioannou¹,

Pneumatikos²

2011

Establishing Better Standards of Care in Doppler Echocardiography, Computed Tomography and Nuclear Cardiology

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Severe Tricuspid Regurgitation Shows Significant Impact in the Relationship Among Peak Systolic Tricuspid Annular Velocity, Tricuspid Annular Plane Systolic Excursion, and Right Ventricular Ejection Fraction

Cited by 134 publications

References 34 publications

Echocardiographic assessment of right ventricular functions in nondiabetic normotensive hemodialysis patients

Echocardiographic assessment of right ventricular functions in nondiabetic normotensive hemodialysis patients

Evaluation of TAPSE as a measure of right ventricular output

The use of Tricuspid Annular Plane Systolic Excursion and Tissue Doppler Imaging Velocities for the Estimation of Pulmonary Hypertension and Right Ventricular Function in Mechanically Ventilated Patients

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