Assessment of right ventricular function using two-dimensional echocardiography

Kaul, Sanjiv; Tei, Chuwa; Hopkins, James M.; Shah, Pravin M.

doi:10.1016/0002-8703(84)90095-4

Cited by 887 publications

(653 citation statements)

References 17 publications

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“…Tricuspid annular plane systolic excursion (TAPSE) is a measurement of M-mode echocardiography that reflects longitudinal contraction of the right ventricle [5]. Unlike left ventricle, myocardial fibers project longitudinally rather than 5 circumferentially in right ventricle, and TAPSE is used as a simple echocardiographic index of RV systolic function.…”

Section: Introductionmentioning

confidence: 99%

Simple prediction of right ventricular ejection fraction using tricuspid annular plane systolic excursion in pulmonary hypertension

Sato

Tsujino

Oyama‐Manabe

et al. 2013

Int J Cardiovasc Imaging

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Purpose: The present study examined whether tricuspid annular plane systolic excursion (TAPSE) can simply predict right ventricular ejection fraction (RVEF) in patients with pulmonary hypertension (PH). The TAPSE cut-off value to predict reduced RV EF was also evaluated. Methods and results:The association between TAPSE and cardiac magnetic resonance imaging (CMRI)-derived RVEF was examined in 53 PH patients. The accuracy of the prediction equation to calculate RVEF using TAPSE was also evaluated. In PH patients, TAPSE was strongly correlated with CMRI-derived RVEF in PH patients (r=0.86, p<0.0001). We then examined the accuracy of the two equations: the original regression equation (RVEF = 2.01 x TAPSE + 0.6) and the simplified prediction equation (RV EF = 2 x TAPSE). Bland-Altman plot showed that the mean difference ± limits of agreement was 0.0 ± 10.6 for the original equation and −0.6 ± 10.6 for the simplified equation. Intraclass correlation coefficient was 0.84 for the original and 0.82 for the simplified equation. Normal RV EF was considered to be ≥ 40% based on the data from 53 matched controls, and the best TAPSE cut-off value to determine reduced RV EF (< 40%) was calculated to be 19.7 mm (sensitivity 88.9%, specificity 84.6%). Conclusion:A simple equation of RV EF = 2 x TAPSE enables easy prediction of RV 3 EF using TAPSE, an easily measurable M-mode index of echocardiography. TAPSE of 19.7 mm predicts reduced RV EF in PH patients with clinically acceptable sensitivity and specificity.4

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Section: Introductionmentioning

confidence: 99%

Simple prediction of right ventricular ejection fraction using tricuspid annular plane systolic excursion in pulmonary hypertension

Sato

Tsujino

Oyama‐Manabe

et al. 2013

Int J Cardiovasc Imaging

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“…Therefore, there is some interest in finding simpler ways for assessing RV performance. Of these, tricuspid annular plane systolic excursion (TAPSE) is the most described alternative to RVEF in the literature [15]. This marker of RV longitudinal function is reproducible and easy to obtain, and has shown to be a predictor of adverse outcomes in heart failure, irrespective of NYHA status and LV function [16,17].…”

Section: Discussionmentioning

confidence: 99%

Right ventricular dysfunction is a predictor of non-response and clinical outcome following cardiac resynchronization therapy

Alpendurada

Guha

Sharma

et al. 2011

Journal of Cardiovascular Magnetic Resonance

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BackgroundCardiac resynchronization therapy (CRT) is an established treatment in advanced heart failure (HF). However, an important subset does not derive a significant benefit. Despite an established predictive role in HF, the significance of right ventricular (RV) dysfunction in predicting clinical benefit from CRT remains unclear. We investigated the role of RV function, assessed by cardiovascular magnetic resonance (CMR), in predicting response to and major adverse clinical events in HF patients undergoing CRT.MethodsSixty consecutive patients were evaluated with CMR prior to CRT implantation in a tertiary cardiac centre. The primary end-point was a composite of death from any cause or unplanned hospitalization for a major cardiovascular event. The secondary end-point was response to therapy, defined as improvement in left ventricular ejection fraction ≥ 5% on echocardiography at one year.ResultsEighteen patients (30%) met the primary end-point over a median follow-up period of 26 months, and 27 out of 56 patients (48%) were considered responders to CRT. On time-to-event analysis, only atrial fibrillation (HR 2.6, 95% CI 1.02-6.84, p = 0.047) and RV dysfunction, either by a reduced right ventricular ejection fraction-RVEF (HR 0.96, 95% CI 0.94-0.99, p = 0.006) or tricuspid annular plane systolic excursion-TAPSE (HR 0.88, 95% CI, 0.80-0.96, p = 0.006), were significant predictors of adverse events. On logistic regression analysis, preserved RVEF (OR 1.05, 95% CI 1.01-1.09, p = 0.01) and myocardial scar burden (OR 0.90, 95% CI 0.83-0.96, p = 0.004) were the sole independent predictors of response to CRT. Patients with marked RV dysfunction (RVEF < 30%) had a particularly low response rate (18.2%) to CRT.ConclusionsRight ventricular function is an important predictor of both response to CRT and long-term clinical outcome. Routine assessment of the right ventricle should be considered in the evaluation of patients for CRT.

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“…Ce déplacement de la valve tricuspide vers l'apex du VD pendant la systole est un bon reflet de la fonction systolique du VD. Une excellente corrélation (r = 0,92) entre le TAPSE et la FE isotopique du VD a été trouvée par S. Kaul et al [3] dans une série de 30 patients. Un TAPSE < 12 mm correspond à une dysfonction systolique du VD.…”

Section: Analyse De La Fonction Systolique Du Vd à L'aide Du Tapseunclassified

Analyse échocardio-graphique du ventricule droit

2009

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REVUESPendant de nombreuses années, l'analyse du VD a souvent été négligée dans l'évaluation écho cardiographique des patients. Pourtant, le VD joue un rôle important en physiologie et en physiopathologie cardio-pulmonaires. Le pronostic des patients est affecté en cas d'atteinte de la fonction du VD dans l'infarctus du myocarde (IDM), les cardiopathies congénitales, l'hypertension artérielle pulmonaire (HTAP) et chez les patients atteints d'insuffisance cardiaque aiguë ou chronique. Plusieurs techniques permettent d'analyser le VD. L'approche peut être non invasive et/ou invasive. L'approche invasive est ancienne et garde sa place surtout dans l'évaluation précise des patients atteints d'HTAP et dans le cadre d'un bilan pré-transplantation cardiaque (mesure des résistances vasculaires pulmonaires). L'approche non invasive comprend l'écho cardiographiedoppler, l'évaluation isotopique et l'imagerie par réso-nance magnétique cardiaque. L'approche échocardiogra-phique a longtemps été limitée à cause de la géométrie complexe du VD. En effet, le VD présente une géométrie

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Assessment of right ventricular function using two-dimensional echocardiography

Cited by 887 publications

References 17 publications

Simple prediction of right ventricular ejection fraction using tricuspid annular plane systolic excursion in pulmonary hypertension

Simple prediction of right ventricular ejection fraction using tricuspid annular plane systolic excursion in pulmonary hypertension

Right ventricular dysfunction is a predictor of non-response and clinical outcome following cardiac resynchronization therapy

Analyse échocardio-graphique du ventricule droit

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