Tricuspid annular plane systolic excursion as a marker of right ventricular dysfunction in pediatric patients with dilated cardiomyopathy

McLaughlin, Elizabeth A.; Travers, Curtis; Border, William L.; Deshpande, Shriprasad; Sachdeva, Ritu

doi:10.1111/echo.13416

Cited by 7 publications

(6 citation statements)

References 26 publications

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“…POCUS can be used to assess cardiac function semi-quantitatively by assessing ejection fraction (EF) and fraction shortening (FS) [14,15]. In experienced hands, POCUS can be used for further assessment of left and right ventricular function as summarised in Table 2 [14,15,[32][33][34][35][36][37][38][39][40][41][42][43][44][45]. However, a detailed assessment of cardiac function should be performed by a neonatologist/paediatric intensivist with advanced echocardiography training or a paediatric cardiologist.…”

Section: Resultsmentioning

confidence: 99%

“…In experienced hands, it may be used for hemodynamic evaluation of the ductus arteriosus [8,10]. Semi-quantitative systolic ventricular function measures that may be used in POCUS have been summarised in Table 2 [32][33][34][35][36][37][38][39][40][41][42][43][44][45].…”

Section: Resultsmentioning

confidence: 99%

“…Semi-quantitative systolic ventricular function measures that might be used by the clinician with more evolved training in cardiac POCUS. Normative values are taken from the available literature on the topic[32][33][34][35][36][37][38][39][40][41][42][43][44][45] and represent the best reference data available so far, although, in some cases, specific level for a different class of patients' age are lacking…”

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confidence: 99%

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International evidence-based guidelines on Point of Care Ultrasound (POCUS) for critically ill neonates and children issued by the POCUS Working Group of the European Society of Paediatric and Neonatal Intensive Care (ESPNIC)

et al. 2020

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Background: Point-of-care ultrasound (POCUS) is nowadays an essential tool in critical care. Its role seems more important in neonates and children where other monitoring techniques may be unavailable. POCUS Working Group of the European Society of Paediatric and Neonatal Intensive Care (ESPNIC) aimed to provide evidence-based clinical guidelines for the use of POCUS in critically ill neonates and children. Methods: Creation of an international Euro-American panel of paediatric and neonatal intensivists expert in POCUS and systematic review of relevant literature. A literature search was performed, and the level of evidence was assessed according to a GRADE method. Recommendations were developed through discussions managed following a Quaker-based consensus technique and evaluating appropriateness using a modified blind RAND/UCLA voting method. AGREE statement was followed to prepare this document. Results: Panellists agreed on 39 out of 41 recommendations for the use of cardiac, lung, vascular, cerebral and abdominal POCUS in critically ill neonates and children. Recommendations were mostly (28 out of 39) based on moderate quality of evidence (B and C). Conclusions: Evidence-based guidelines for the use of POCUS in critically ill neonates and children are now available. They will be useful to optimise the use of POCUS, training programs and further research, which are urgently needed given the weak quality of evidence available.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

mentioning

confidence: 99%

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International evidence-based guidelines on Point of Care Ultrasound (POCUS) for critically ill neonates and children issued by the POCUS Working Group of the European Society of Paediatric and Neonatal Intensive Care (ESPNIC)

et al. 2020

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“…Moreover, RV strain has an important prognostic value in patients with HFrEF [ 103 , 104 ] and a better mortality prediction in HFrEF than conventional echocardiographic parameters, CMR-derived RVEF and CMR-derived RV strain [ 105 ]. Ishiwata et al [ 106 ] found that FAC, TAPSE, RVLS (RV free-wall longitudinal strain) were independent predictors for primary outcome (composite of LV assist device implantation and all-cause death) and only the combined evaluation of FAC and RVGLS improved risk stratification in patients with DCM [ 107 ]. However, the current echocardiographic guidelines don’t recommend any definite reference range for either global or regional RV strain or strain rate due to the lack of validated data from large studies involving multivendor equipment [ 33 ].…”

Section: Right Ventricular Dilatation and Disfunctionmentioning

confidence: 99%

Echocardiographic Advances in Dilated Cardiomyopathy

Faggiano

Avallone

Gentile

et al. 2021

JCM

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Although the overall survival of patients with dilated cardiomyopathy (DCM) has improved significantly in the last decades, a non-negligible proportion of DCM patients still shows an unfavorable prognosis. DCM patients not only need imaging techniques that are effective in diagnosis, but also suitable for long-term follow-up with frequent re-evaluations. The exponential growth of echocardiography’s technology and performance in recent years has resulted in improved diagnostic accuracy, stratification, management and follow-up of patients with DCM. This review summarizes some new developments in echocardiography and their promising applications in DCM. Although nowadays cardiac magnetic resonance (CMR) remains the gold standard technique in DCM, the echocardiographic advances and novelties proposed in the manuscript, if properly integrated into clinical practice, could bring echocardiography closer to CMR in terms of accuracy and may certify ultrasound as the technique of choice in the follow-up of DCM patients. The application in DCM patients of novel echocardiographic techniques represents an interesting emergent research area for scholars in the near future.

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“…McLaughlin et al [24] demonstrated that children with dilated cardiomyopathy were more likely to develop RV systolic dysfunction measured by TAPSE, which was also associated with worse prognoses.…”

Section: Tricuspid Annular Plane Systolic Excursionmentioning

confidence: 99%

Echocardiographic evaluation of right ventricular systolic function: The traditional and innovative approach

Smolarek¹,

Gruchała

Sobiczewski

2017

Cardiol J.

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Estimation of right ventricular (RV) performance still remains technically challenging due to its anatomical and functional distinctiveness. The current guidelines for the echocardiographic quantification of RV function recommend using multiple indices to describe the RV in a thorough and comprehensive manner, such as RV index of myocardial performance, tricuspid annular plane systolic excursion, fractional area change, Doppler tissue imaging-derived tricuspid lateral annular systolic velocity (S'-wave), three-dimensional RV ejection fraction (3D RVEF), RV longitudinal strain (RVLS)/strain rate by speckle-tracking echocardiography (STE). Among these, the last one mentioned here is an innovative and a particularly promising tool that yields more precise information about complex regional and global RV mechanics. STE was initially designed to evaluate left ventricular function, but recently it has been intro-duced to assess RV performance, which is difficult due to its unique structure and physiology. Many studies have shown that both free wall and 6-segment RVLS present a stronger correlation with the RVEF assessed by cardiac magnetic resonance than conventional parameters and seem to be more sensitive in detecting myocardial dysfunction at an earlier, subclinical stage. (Cardiol J 2017; 24, 5: 563-572)

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Tricuspid annular plane systolic excursion as a marker of right ventricular dysfunction in pediatric patients with dilated cardiomyopathy

Abstract: Children with DCM have a high prevalence of RVSD based on reduced TAPSE, and those with moderate or severe RVSD have worse clinical outcomes.

Cited by 7 publications

References 26 publications

International evidence-based guidelines on Point of Care Ultrasound (POCUS) for critically ill neonates and children issued by the POCUS Working Group of the European Society of Paediatric and Neonatal Intensive Care (ESPNIC)

International evidence-based guidelines on Point of Care Ultrasound (POCUS) for critically ill neonates and children issued by the POCUS Working Group of the European Society of Paediatric and Neonatal Intensive Care (ESPNIC)

Echocardiographic Advances in Dilated Cardiomyopathy

Echocardiographic evaluation of right ventricular systolic function: The traditional and innovative approach

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