Echocardiographic Assessment of Right Ventricular Function by Two-Dimensional Strain In Patients with Left-Sided Valvular Heart Disease: Comparison with Three-Dimensional Echocardiography

Felix, Alex dos Santos; Siciliano, Ana Paula dos Reis Velloso; Belém, Luciano; Azevedo, F.; Xavier, Sérgio Salles; Lorenzo, Andréa Rocha de; Filho, Clério Francisco de Azevedo

doi:10.5935/2359-4802.20180062

Cited by 5 publications

(4 citation statements)

References 13 publications

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“…In another research, the majority of patients showed normal RV systolic function (RVEF 3D 44%), although there were a considerable number of patients with RV dysfunction (n = 14; 27.4%). Despite an increase in the median values of PASP (40 mmHg (30-54)), related to the advanced stage of the illness in these individuals, the mean values of conventional RV function parameters (TAPSE, PSV, FAC) and 2DS parameters (RVFWS, RVGS) remained normal considering the whole study group (13) . As was previously demonstrated by another author Kong et al (14) (97%), in the whole group of people with RHD, the mean values of TAPSE, FAC, and EF were normal.…”

Section: Discussionmentioning

confidence: 81%

Assessment of Right ventricular Systolic and Diastolic Function in Rheumatic Heart Disease in Suez Canal University Hospital

2023

The Egyptian Journal of Hospital Medicine

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Background: Right ventricular (RV) dysfunction, despite its importance as a prognostic factor, has been underestimated in patients with rheumatic valvular disease. Early detection of RV functional changes may improve the outcome of patients particularly if detected in early stages of rheumatic heart disease (RHD) (mild to moderate). Objective: To assess RV function in patients with early stages of RHD and in order to observe changes in RV function, we repeated the measurements (follow up) at 6 months form baseline. Patients and methods: 50 consecutive patients with mild to moderate valvular RHD were enrolled in this study in which we assessed the RV systolic and diastolic functions, LA and RA volume and sPAP. Results: In RHD patients with mild to moderate valvular lesion RV systolic function was normal by using different methods (TAPSE, RIMP, FAC and S' wave). TAPSE was normal at baseline & follow up with increase at follow up but with statistical insignificant difference. 2D FAC is normal at baseline & follow up with decrease at follow up but with statistically insignificant difference. RIMP showed impaired RV systolic function at baseline with mean of 0.73 ± 0.26 & at follow up with mean of 0.56 ± 0.14 with statistically significant decrease at follow up. S' wave showed normal RV systolic function at baseline (mean 14.32 ± 2.36) & follow up (mean 13.09 ± 1.48) with statistical significant decrease at follow up. Conclusion:There is association between RV functions and degree of valve disease in patients with RHD.

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Section: Discussionmentioning

confidence: 81%

Assessment of Right ventricular Systolic and Diastolic Function in Rheumatic Heart Disease in Suez Canal University Hospital

2023

The Egyptian Journal of Hospital Medicine

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“…Alex Felix et al, 2018 [ 15 ] conducted a study to evaluate right ventricular function in subjects with left-sided valve lesions, but patients with severe TR were excluded from the study as it could interfere during RV strain measurements. They concluded that RV function was depressed in these patients, and hence RV function assessment should also be considered in patients with left-sided valvular lesions.…”

Section: Discussionmentioning

confidence: 99%

“…Later, in literature many studies were done to assess RV function by echocardiography in left –sided valvular lesions, whereas none included MVD.They concluded that the impairment of RV function in left-sided valvular disease is either due to increased pulmonary capillary pressures, RV overload, ventricular interdependence (due to septal flattening because of RV enlargement) and due to some inflammatory changes due to rheumatic disease in RHD cases [ 15 – 20 ].…”

Section: Discussionmentioning

confidence: 99%

Ventricular strain patterns in multivalvular heart disease: a cross-sectional study

Prabhu

Nayak

Prabhu

et al. 2022

Int J Cardiovasc Imaging

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Multivalvular heart disease (MVD) is an aggregate of regurgitant and/or stenotic lesions of at least two cardiac valves. Ventricular tissue deformation imaging is a powerful predictor of subclinical myocardial dysfunction in patients with MVD.The aim of this study was to examine the left and right ventricular strain patterns in MVD as well as observe any association between right–sided valvular involvement (tricuspid or pulmonary valve lesion) with that of aortic and/or mitral valve lesion. Patients with at least moderate forms of MVD were included in the present study. 72 patients with mean age of 56.69 ± 14.59 years and various presentations of MVD were finally enrolled in this study. The commonest cause for MVD was rheumatic heart disease in these patients. Conventional 2-dimensional parameters as well as tissue deformation imaging parameters were assessed in offline mode for these patients. The Mean ± SD values for various quantitative 2D echocardiographic conventional and tissue deformation imaging were assessed. It was observed that LV strain parameters including the global longitudinal strain (GLS) were preserved whereas the RV strain parameters were mildly reduced (RV GLS total is − 19.49 ± 6.08%). Also, when conventional echocardiographic parameters were assessed to see any association between aortic and/or mitral valve disease with that of right-sided valvular lesions (tricuspid or pulmonary); 2D conventional echocardiographic parameters like left atrial dimension (p = 0.034), TAPSE (tricuspid annular plane systolic excursion) (p < 0.001), RVSP (right ventricular systolic pressure) (p < 0.001) and IVC (inferior vena cava) dimensions (p < 0.001) showed a statistically significant result; whereas, when strain parameters for LV and RV were assessed, they did not show any statistical difference for the same. In this series of patients with significant MVD, our findings suggest that ventricular strain parameters may be reliable markers of myocardial dysfunction, but may alter depending on the underlying combination of MVD, and right ventricular strain should also be an important parameter while assessing different combinations of MVD.

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“…Past studies have elucidated the importance of global longitudinal strain in different types of single valvular heart disease [14][15][16][17][18][19][20] . Despite having preserved LV ejection fraction (EF), presence of >/moderate valvular lesion have been shown to alter the myocardial function (both LV and RV) as demonstrated by Strain echocardiography.…”

Section: Introductionmentioning

confidence: 99%

Distribution, Etiology and Myocardial deformation imaging by speckle-tracking echocardiography in Valvular heart disease: A sub-analysis from a Clinical Registry

Nayak,

Manjoosha

et al. 2023

Preprint

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Purpose Valvular Heart Disease (VHD) has been a major contributor of global cardiovascular morbidity and mortality with increasing need of percutaneous/surgical cardiac intervention. Strain echocardiography has been widely recognizable tool to guide the timings of interventions in these patients. The purpose of this study was to document the demographic, clinical signs and symptoms, Electrocardiographic and Echocardiographic parameters in different groups of VHD as well as to assess Left ventricular and right ventricular function in specific groups of VHD.Methods All patients with valvular heart disease who visited a tertiary care hospital in Karnataka during the study period were included in the registry. However, for the study purpose VHD with a severity of at least more than or equal to moderate and with preserved Left ventricle ejection fraction (LV EF) were included for the analysis. Basic demographic, clinical, electrocardiographic, standard echocardiographic and strain parameters were obtained and evaluated.Results During the study period of 10 month a total number of 5,271 subjects had VHD (excluding the presence of trivial or mild functional regurgitant lesion). The most commonly occurring single valvular disease was mitral regurgitation (31%) followed by aortic stenosis (15%) and aortic regurgitation (13%). Rheumatic heart disease (RHD) was the dominant etiology (32.8%) for VHD followed by degenerative heart disease (31.3%). Deformation imaging by 2D speckle-tracking echocardiography was preserved for left ventricle (LV) but mildly reduced for right ventricle (RV).Conclusion MR was the most common valvular lesion followed by AS and AR. Rheumatic disease still prevails as the major precursor. Ventricular remodelling varied depending on the lesion type.

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Echocardiographic Assessment of Right Ventricular Function by Two-Dimensional Strain In Patients with Left-Sided Valvular Heart Disease: Comparison with Three-Dimensional Echocardiography

Cited by 5 publications

References 13 publications

Assessment of Right ventricular Systolic and Diastolic Function in Rheumatic Heart Disease in Suez Canal University Hospital

Assessment of Right ventricular Systolic and Diastolic Function in Rheumatic Heart Disease in Suez Canal University Hospital

Ventricular strain patterns in multivalvular heart disease: a cross-sectional study

Distribution, Etiology and Myocardial deformation imaging by speckle-tracking echocardiography in Valvular heart disease: A sub-analysis from a Clinical Registry

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