Tricuspid Annular Plane Systolic Excursion and Its Association with Mortality in Critically Ill Patients

Gajanana, Deepakraj; Rammohan, Harish Seetha; Alli, Oluseun; Romero‐Corral, Abel; Purushottam, Bhaskar; Ponamgi, Shiva; Figueredo, Vincent M.; Pressman, Gregg S.

doi:10.1111/echo.12926

Cited by 26 publications

(23 citation statements)

References 22 publications

(34 reference statements)

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“…Notably, patients with TAPSE < 16 mm showed a higher mortality rate when compared to those with TAPSE > 16 mm, a trend which did not reach statistical significance probably due to the small number of patients. However, our results are in keeping with those by Gajanana et al . who documented that TAPSE, as an index of RV systolic function, has an important prognostic value in critically ill patients.…”

Section: Discussionsupporting

confidence: 93%

Pulmonary vascular dysfunction in refractory acute respiratory distress syndrome before veno‐venous extracorporeal membrane oxygenation

Lazzeri

Cianchi

Bonizzoli

et al. 2015

Acta Anaesthesiol Scand

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In patients with refractory ARDS immediately before ECMO implantation, the prevalence of acute cor pulmonale is low (9.5%). Survival is associated with higher LVEF and lower systolic pulmonary arterial pressure. These findings support the idea that echocardiographic assessment of pulmonary artery pressure in patients with refractory ARDS before VV-ECMO implantation may have value for risk-stratification.

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Section: Discussionsupporting

confidence: 93%

Pulmonary vascular dysfunction in refractory acute respiratory distress syndrome before veno‐venous extracorporeal membrane oxygenation

Lazzeri

Cianchi

Bonizzoli

et al. 2015

Acta Anaesthesiol Scand

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“…E/e’ was greater in non-survivors than survivors (15.32 ± 2.74 vs 9.05 ± 2.75, respectively; p = 0.0002) Lanspa et al (2016) [ 60 ] Single-center prospective cohort study/ICU 167 To compare the feasibility and prognostic significance of a simplified definition of diastolic dysfunction (using e’ and E/e’) with 2009 ASE guidelines. Primary outcome was 28-day mortality Simplified definition had better feasibility (87 vs 35%); similar clinical outcomes between groups suggesting limited utility of LAVI and DT in this setting Right ventricle Systolic TAPSE Gajanana et al (2015) [ 64 ] Single-center prospective cohort study/ICU 120 To evaluate the prognostic value of TAPSE in patients with critical illness A reduced TAPSE measurement (< 2.4 cm) was correlated with increased in-hospital mortality (χ(2) = 4.6, P = 0.03) and a longer length of hospital stay TAPSE TDI RV FAC Vallabhajosyula et al (2017) [ 67 ] Single-center retrospective cohort study/ICU 388 To evaluate the prognostic significance RV dysfunction in patients with severe sepsis and septic shock. Primary outcome was 1-year survival Isolated RV dysfunction is an independent predictor of 1-year survival (HR 1.6; p = 0.002).…”

Section: Pathophysiologymentioning

confidence: 99%

Pathophysiology, echocardiographic evaluation, biomarker findings, and prognostic implications of septic cardiomyopathy: a review of the literature

et al. 2018

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BackgroundSepsis is a common condition encountered by emergency and critical care physicians, with significant costs, both economic and human. Myocardial dysfunction in sepsis is a well-recognized but poorly understood phenomenon. There is an extensive body of literature on this subject, yet results are conflicting and no objective definition of septic cardiomyopathy exists, representing a critical knowledge gap.ObjectivesIn this article, we review the pathophysiology of septic cardiomyopathy, covering the effects of key inflammatory mediators on both the heart and the peripheral vasculature, highlighting the interconnectedness of these two systems. We focus on the extant literature on echocardiographic and laboratory assessment of the heart in sepsis, highlighting gaps therein and suggesting avenues for future research. Implications for treatment are briefly discussed.ConclusionsAs a result of conflicting data, echocardiographic measures of left ventricular (systolic or diastolic) or right ventricular function cannot currently provide reliable prognostic information in patients with sepsis. Natriuretic peptides and cardiac troponins are of similarly unclear utility. Heterogeneous classification of illness, treatment variability, and lack of formal diagnostic criteria for septic cardiomyopathy contribute to the conflicting results. Development of formal diagnostic criteria, and use thereof in future studies, may help elucidate the link between cardiac performance and outcomes in patients with sepsis.

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“…TAPSE is one of the most feasible and reproducible parameters that can reflect RV systolic function and has important prognostic value in critically ill patients. 4,21,22 MAPSE is a parameter found to be a highly accurate predictor of LV EF even by an untrained observer. 23 We also found that VTI is doi:10.24920/003685 much easier to acquire than LVEF.…”

Section: Discussionmentioning

confidence: 99%

Study on Image Acquisition of Transthoracic Echocardiography in Mechanically Ventilated ICU Patients

Wang

Deng

Zhang

et al. 2020

Chinese Medical Sciences Journal

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Objective This study is aimed to determine which echocardiographic parameters are more likely to be affected in a critical care setting. Methods Ninety Mechanically ventilated ICU patients were enrolled into the study group. The con trol group consisted of 90 patients underwent an interventional therapy. The transthoracic echocardio graphy examined eyeballing parameters [visual assessment of right ventricular size and septal kinetics (RV eyeballing), visual assessment of left ventricular ejection fraction (LVEF eyeballing)], M-mode pa rameters [tricuspid annular plane systolic excursion (TAPSE), mitral annular plane systolic excursion (MAPSE)], pulse-Doppler parameters [right ventricular outflow tract velocity-time integral (RVOT V TI), left ventricular outflow tract velocity-time integral (LVOT VTI)] and endocardium-tracing param eters [right ventricular fraction of area change (FAC), left ventricular ejection fraction (LVEF Simpso n)]. We compared the differences in these parameters obtained by the transthoracic echocardiography between the two groups. Results There were significantly fewer patients in the study group who had optimal images for par ameters from M-mode method, pulse Doppler method and endocardium-tracing method than in the control group (P＜0.05); The two groups showed no significant difference in the number of patient s with optimal images for RV eyeballing and LVEF eyeballing. In the study group, there were signi ficantly fewer patients with optimal images for FAC than for TAPSE and RVOT VTI (P＜0.001); t here were also fewer patients with optimal images for LVEF Simpson than for MAPSE and LVOT VTI (P＜0.001). Conclusion TTE images tend to be obtained less in mechanically ventilated ICU patients, but eye balling mathod could be an alternative. Among the quantitative parameters, M-mode based longitudin al function and pulse Doppler-based VTI were obtained more than endocardium-tracing based param eters.

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Tricuspid Annular Plane Systolic Excursion and Its Association with Mortality in Critically Ill Patients

Cited by 26 publications

References 22 publications

Pulmonary vascular dysfunction in refractory acute respiratory distress syndrome before veno‐venous extracorporeal membrane oxygenation

Pulmonary vascular dysfunction in refractory acute respiratory distress syndrome before veno‐venous extracorporeal membrane oxygenation

Pathophysiology, echocardiographic evaluation, biomarker findings, and prognostic implications of septic cardiomyopathy: a review of the literature

Study on Image Acquisition of Transthoracic Echocardiography in Mechanically Ventilated ICU Patients

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