Assessment of right atrial pressure with two-dimensional, Doppler and speckle tracking echocardiography in patients with acute right ventricular myocardial infarction.

Ivey‐Miranda, Juan Betuel; Posada-Martínez, Edith Liliana; Almeida-Gutiérrez, Eduardo; Flores‐Umanzor, Eduardo; Borrayo–Sánchez, Gabriela; Saturno-Chiu, Guillermo

doi:10.1016/j.medine.2017.10.015

Cited by 2 publications

(2 citation statements)

References 9 publications

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“…In summary, several studies involving PH or advanced HF/transplantation populations have compared invasively measured RAP with RV-E/e′ estimated RAP. The results showed a reasonable diagnostic ability of RV-E/e′ for estimating RAP in patients with coronary artery disease and RV systolic dysfunction [34] , [37] , [38] , [39] . The diagnostic ability of RV-E/e′ was generally poor in studies of pediatrics, heart failure and mitral stenosis [35] , [36] , [40] , while the results were equivocal in other diseases [41] .…”

Section: Ra Pressuresmentioning

confidence: 77%

Echocardiographic evaluation of the right atrial size and function: Relevance for clinical practice

Sun

et al. 2023

American Heart Journal Plus: Cardiology Research and Practice

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Section: Ra Pressuresmentioning

confidence: 77%

Echocardiographic evaluation of the right atrial size and function: Relevance for clinical practice

Sun

et al. 2023

American Heart Journal Plus: Cardiology Research and Practice

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“…The study of acute RV infarction by Ivey-Miranda et al (27) Therefore, the data reviewed does not strongly support the validity of RV-E/e' for assessing RAP in patients with common cardiac diseases or heart failure. However, a commonality of the papers reviewed in this section was the lack of rigorous statistical analysis or inappropriate statistical interpretation.…”

Section: Cardiac Diseases and Heart Failurementioning

confidence: 96%

Echocardiographic RV-E/e′ for predicting right atrial pressure: a review

Fletcher

Robinson

Rana

2020

Echo Research and Practice

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Right atrial pressure (RAP) is a key cardiac parameter of diagnostic and prognostic significance, yet current two-dimensional echocardiographic methods are inadequate for the accurate estimation of this haemodynamic marker. Right-heart trans-tricuspid Doppler and tissue Doppler echocardiographic techniques can be combined to calculate the right ventricular (RV) E/e’ ratio – a reflection of RV filling pressure which is a surrogate of RAP. A systematic search was undertaken which found seventeen articles that compared invasively measured RAP with RV-E/e’ estimated RAP. Results commonly concerned pulmonary hypertension or advanced heart failure/transplantation populations. Reported receiver operator characteristic analyses showed reasonable diagnostic ability of RV-E/e’ for estimating RAP in patients with coronary artery disease and RV systolic dysfunction. The diagnostic ability of RV-E/e’ was generally poor in studies of paediatrics, heart failure and mitral stenosis, whilst results were equivocal in other diseases. Bland-Altman analyses showed good accuracy but poor precision of RV-E/e’ for estimating RAP, but were limited by only being reported in seven out of seventeen articles. This suggests that RV-E/e’ may be useful at a population level but not at an individual level for clinical decision making. Very little evidence was found about how atrial fibrillation may affect the estimation of RAP from RV-E/e’, nor about the independent prognostic ability of RV-E/e’ . Recommended areas for future research concerning RV-E/e’ include; non-sinus rhythm, valvular heart disease, short and long term prognostic ability, and validation over a wide range of RAP.

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Assessment of right atrial pressure with two-dimensional, Doppler and speckle tracking echocardiography in patients with acute right ventricular myocardial infarction.

Cited by 2 publications

References 9 publications

Echocardiographic evaluation of the right atrial size and function: Relevance for clinical practice

Echocardiographic evaluation of the right atrial size and function: Relevance for clinical practice

Echocardiographic RV-E/e′ for predicting right atrial pressure: a review

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