Usefulness of mitral annular plane systolic excursion in assessment of left ventricular systolic function in mechanically ventilated obese patients

Zidan, Dina; Helmy, Tamer A.

doi:10.1016/j.jcrc.2016.03.022

Cited by 12 publications

(9 citation statements)

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“…MAPSE reflected LV deterioration in patients with heart failure and preserved EF [ 6 ], in adult males with severely impaired LV EF [ 7 ] and in critically ill patients with shock [ 8 ]. Moreover, MAPSE detection was found to be feasible, an easier technique, and shorter in duration compared with the eyeball method in the determination of LV EF in mechanically ventilated obese patients [ 9 ]. Diastolic function can also be assessed with it, i.e.…”

Section: Introductionmentioning

confidence: 99%

Intraobserver and interobserver reproducibility of M-mode and B-mode acquired mitral annular plane systolic excursion (MAPSE) and its dependency on echocardiographic image quality in children

et al. 2018

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BackgroundMitral annular plane systolic excursion (MAPSE) is an increasingly used echocardiography technique to assess left ventricular (LV) function. However, reproducibility and dependence on echocardiographic image quality for MAPSE in pediatric patients have not been studied to date.MethodsWe analyzed 284 transthoracic echocardiograms performed on consecutive normotensive children without structural heart disease (mean age 12.6±3.1 years, 50.4% female). B-mode and M-mode derived MAPSE measurements were performed and analyzed regarding inter- and intraobserver reliability and the influence of echocardiographic image quality.ResultsOverall, MAPSE measurements were highly reproducible with only minor bias. Both inter- and intraobserver reliability were significantly better for M-mode derived MAPSE (p<0.001). Echocardiographic image quality did not significantly influence M-mode MAPSE reproducibility (p>0.235). In contrast, B-mode lateral MAPSE was significantly better reproducible in optimal image quality (-0.07±1.04) when compared to suboptimal echocardiographic images (0.42±1.59, p<0.001). Moreover, poor quality images yielded significantly lower M-mode MAPSE values (14.3±2 mm) than near-optimal (15.2±1.9 mm, p<0.001) or optimal images (15.1±2.2 mm, p = 0.006).ConclusionEchocardiographic image quality essentially has a negligible effect on MAPSE reproducibility and measurements. Consequently, MAPSE is a robust echocardiographic parameter with convincing reproducibility for the assessment of LV function in children—even in patients with substandard imaging conditions.

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Section: Introductionmentioning

confidence: 99%

Intraobserver and interobserver reproducibility of M-mode and B-mode acquired mitral annular plane systolic excursion (MAPSE) and its dependency on echocardiographic image quality in children

et al. 2018

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“…Mitral annular plane systolic excursion (MAPSE) and TD PSV are surrogates for the LV longitudinal function [11][12][13] and there is a close correlation between them [2,3]. Both parameters are simple, easily measured and reproducible, even when performed by the beginner practitioners [12,[14][15][16] and in patients with poor echogenicity when endocardial delineation is suboptimal [17][18][19] as well as in mechanically ventilated obese patients [20].…”

Section: Discussionmentioning

confidence: 99%

“…[31] with values of lateral MAPSE generally higher than those of septal MAPSE [20,32]. In addition, a mean value for MAPSE of ≤ 5 provided the best balanced sensitivity (67.1%) and specificity (76.5%) to predict EF < 30% where a cut off value of ≤ 3.9 could determine EF < 30% in 100% of the patients [24].…”

Section: Mapsementioning

confidence: 99%

Correlation of Mitral Annular Plane Systolic Excursion (MAPSE) and Tissue Doppler peak Systolic Velocity with Left Ventricular Systolic Function

Khorshid¹,

Wadeea²,

Sabry³

2017

JCCR

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Background: Estimation of left ventricular function has major diagnostic and prognostic importance in cardiac patients. The most commonly used measure of the systolic function of the left ventricle is ejection fraction (EF), however, the accuracy is limited especially in patients with poor image quality. Mitral annular plane systolic excursion (MAPSE) and tissue Doppler peak systolic velocity (TD PSV) are measurements of longitudinal function which has been shown to correlate with LV global systolic function. Objective:To validate the correlation of mitral annular plane systolic excursion (MAPSE) and TD PSV (Sm) at the medial and lateral mitral annuli as surrogates for estimation of LV systolic function. Methods:The study included 200 patients divided into 2 groups; Group (A) which included 100 patients with normal EF as assessed by biplane Simpson's method (defined as EF>50%) and Group (B) which included 100 patients with reduced ejection fraction (defined as EF<50%). MAPSE and TD PSV (Sm) were recorded at medial and lateral mitral annuli in the apical four-chamber approach. Results:The cut off value of MAPSE at medial annulus of ≤ 7mm suggested an impaired systolic function with sensitivity of 73 % and specificity of 100%. While the cut off value of MAPSE at lateral annulus of ≤ 10mm suggested an impaired systolic functions with sensitivity of 82% and specificity of 93%. TD PSV (Sm) cut off value at the Medial and lateral annuli ≤ 7cm/s suggested an impaired LV systolic function with sensitivity of 91% and specificity of 85% for the medial annulus and with sensitivity of 72% and specificity of 93% for the lateral annulus. When the cut-off values of both parameters (TD PSV and MAPSE) were combined to detect LVEF<50, the sensitivity and specificity increased to 95.9% and 100 % respectively for the Medial Mitral annulus and 85.5% and 97.7% respectively for the lateral Mitral annulus Conclusion: Combining the measurement of both MAPSE and Mitral annular TD PSV increased their sensitivity and specificity for predicting normal or subnormal EF.

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“…Overweight is common in China, with a prevalence of about 33.8% [19] and creates difficulties in obtaining good images. For those who have inadequate images for AFI, the simple M-mode based MAPSE could be an alternative [20] , but it is limited by incomplete assessment of LV longitudinal function even though the movement of the mitral annulus integrates regional motion. Previously, some studies have shown that MAPSE can be an indicator of disease prognosis [13,14,21] .…”

Section: Advantage Of Mapse Over Automated Function Imagingmentioning

confidence: 99%

Fast Assessment of Left Ventricular Systolic Function in Obstructive Sleep Apnea Patients with Automated Function Imaging: Comparison with Mitral Annular Plane Systolic Excursion

Chi

Sanderson

Chen

et al. 2021

Preprint

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Background: Early cardiovascular impairment in obstructive sleep apnea (OSA) patients is often overlooked, leading to irreversible outcome. Left ventricular (LV) global longitudinal strain (GLS) derived from automated function imaging (AFI) echocardiography provides a fast tool to assess global longitudinal function. We therefore aimed to compare the feasibility and reproducibility of AFI with mitral annulus plane systolic excursion (MAPSE) as obesity is common in OSA. Methods: A comprehensive echocardiographic examination was done in 186 consecutive patients having polysomnography for suspected OSA in this prospective study. MAPSE was measured by using M-mode. AFI was derived by offline analysis of three long-axis views that semi-automatically detects LV endocardial boundary, which is adjusted manually as necessary. Variability of AFI and MAPSE were compared among the different subgroups and further tested in BMI subgroups. Results: Despite a relatively high obesity rate (42.9%), AFI was feasible in 94% (175/186) patients and MAPSE could be recorded in all patients. Although more segments were measured with AFI it showed excellent correlation (r=0.882) superior to MAPSE (r=0.819) between the expert and beginner. Intra- and inter- observer variability of AFI were comparable with MAPSE in Bland-Altman analysis, 5.5% and 6.5% for AFI, 6.2% and 8.8% for MAPSE, respectively. In repeated measurements, AFI showed higher intra-class correlation (ICC=0.95) than MAPSE (ICC=0.87). Furthermore, analysis showed that AFI was feasible even in more obese patients (BMI≥28kg/m2). Conclusions: Even in obese patients with OSA, AFI-GLS is feasible and more reliable for less expert operators than MAPSE for detecting LV longitudinal dysfunction.

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Usefulness of mitral annular plane systolic excursion in assessment of left ventricular systolic function in mechanically ventilated obese patients

Cited by 12 publications

References 10 publications

Intraobserver and interobserver reproducibility of M-mode and B-mode acquired mitral annular plane systolic excursion (MAPSE) and its dependency on echocardiographic image quality in children

Intraobserver and interobserver reproducibility of M-mode and B-mode acquired mitral annular plane systolic excursion (MAPSE) and its dependency on echocardiographic image quality in children

Correlation of Mitral Annular Plane Systolic Excursion (MAPSE) and Tissue Doppler peak Systolic Velocity with Left Ventricular Systolic Function

Fast Assessment of Left Ventricular Systolic Function in Obstructive Sleep Apnea Patients with Automated Function Imaging: Comparison with Mitral Annular Plane Systolic Excursion

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