Assessment of right ventricular systolic function: Comparison between cardiac magnetic resonance derived ejection fraction and pulsed-wave tissue Doppler imaging of the tricuspid annulus

Wahl, Andreas; Praz, Fabien; Schwerzmann, Markus; Bonél, Harald; Koestner, Simon C.; Hullin, Roger; Schmid, Jean‐Paul; Stüber, Thomas; Delacrétaz, Etienne; Hess, Otto M.; Meier, Bernhard; Seiler, Christian

doi:10.1016/j.ijcard.2010.04.089

Cited by 55 publications

(43 citation statements)

References 32 publications

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“…The conventional appreciation of RV inflow tract long-axis motion, commonly referred to as TAPSE, using M-mode or tissue Doppler velocities, as the sole representative of overall RV systolic function is an underestimation and an oversimplification,24 despite its close relationship to RV 3D volumes. The role of the outflow tract in determining peak ejection is a clear proof of its essential contribution to RV function 25.…”

Section: Discussionmentioning

confidence: 99%

Differential right ventricular regional function and the effect of pulmonary hypertension: three-dimensional echo study

Calcutteea

Chung

Lindqvist

et al. 2011

Heart

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Section: Discussionmentioning

confidence: 99%

Differential right ventricular regional function and the effect of pulmonary hypertension: three-dimensional echo study

Calcutteea

Chung

Lindqvist

et al. 2011

Heart

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“…15,26 A multimodal approach was used to evaluate RV function, which was graded as mild, moderate, or severe RV dysfunction. Lateral tricuspid annulus peak systolic velocity (RV s=) by TDI was used 20,27 in association with the relative RV-to-LV size, motion of the RV wall, and expert evaluation (J.K.O., M.M., T.Y.). Right ventricular s= less than 15 cm/s was considered diminished lateral RV systolic motion consistent with RV dysfunction.…”

Section: Echocardiographic Evaluation and Definitions Of Myocardial Dmentioning

confidence: 99%

Clinical Spectrum, Frequency, and Significance of Myocardial Dysfunction in Severe Sepsis and Septic Shock

Pulido

Afessa

Miyamoto

et al. 2012

Mayo Clinic Proceedings

255

208

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Objective: To determine the frequency and spectrum of myocardial dysfunction in patients with severe sepsis and septic shock using transthoracic echocardiography and to evaluate the impact of the myocardial dysfunction types on mortality. Patients and Methods: A prospective study of 106 patients with severe sepsis or septic shock was conducted from August 1, 2007, to January 31, 2009. All patients underwent transthoracic echocardiography within 24 hours of admission to the intensive care unit. Myocardial dysfunction was classified as left ventricular (LV) diastolic, LV systolic, and right ventricular (RV) dysfunction. Frequency of myocardial dysfunction was calculated, and demographic, hemodynamic, and physiologic variables and mortality were compared between the myocardial dysfunction types and patients without cardiac dysfunction. Results: The frequency of myocardial dysfunction in patients with severe sepsis or septic shock was 64% (nϭ68). Left ventricular diastolic dysfunction was present in 39 patients (37%), LV systolic dysfunction in 29 (27%), and RV dysfunction in 33 (31%). There was significant overlap. The 30-day and 1-year mortality rates were 36% and 57%, respectively. There was no difference in mortality between patients with normal myocardial function and those with left, right, or any ventricular dysfunction. Conclusion: Myocardial dysfunction is frequent in patients with severe sepsis or septic shock and has a wide spectrum including LV diastolic, LV systolic, and RV dysfunction types. Although evaluation for the presence and type of myocardial dysfunction is important for tailoring specific therapy, its presence in patients with severe sepsis and septic shock was not associated with increased 30-day or 1-year mortality. M yocardial dysfunction in sepsis is one of the most complex organ failures to characterize because of the dynamic adaptation of the cardiovascular system to the disease process, host response, and resuscitation. The pathophysiology of this entity is complex and multifactorial. Systemic, extracellular, and cellular mechanisms have been described, including maldistribution of coronary blood flow, cytokine-induced (tumor necrosis factor ␣, interleukin 1␤, interleukin 6) neutrophil activation and myocardial injury, complement (C5a)-triggered myocyte contractile failure, calcium handling dysregulation, and cytopathic hypoxia due to mitochondrial dysfunction.

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“…Recent Advances in echocardiography helped to identify the value of RV functions in risk stratifying heart failure patients 6 . The prevalence of RV dysfunction in patients with idiopathic dilated cardiomyopathy lies somewhere between 34 and 65% 7 .…”

Section: Introductionmentioning

confidence: 99%

Assessment of right ventricular function by echocardiography in patients with chronic heart failure

William

Kilany

2018

The Egyptian Heart Journal

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BackgroundThe main focus of most of the studies in heart failure (HF) is the assessment of the left ventricular functions, while the right ventricle was much less studied. Much of this neglect is due to the complexity of anatomy and physiology of the right ventricle which are considered challenges during assessment of RV.Objective[1] To review the alterations of right ventricular dimensions & function associated with chronic heart failure. [2] To predict the prevalence of right ventricular systolic dysfunction in patients with chronic heart failure, based on echocardiographic parameters.Methods100 chronic left sided heart failure patients with LVEF less than 40% were evaluated in Ain Shams University hospitals from April 2015 to March 2016. All patients were subjected to full history taking & clinical evaluation. ECG was done mainly to exclude presence of ischemic heart disease. Complete trans-thoracic echocardiography study was done for assessment of [B] Left ventricular dimensions, systolic and diastolic functions [B] Assessment of the right side of the heart: [1] Measurement of the right ventricular dimensions [basal – mid cavity and the longitudinal diameters]. [2] Right ventricular area and calculation of the fractional area change (FAC). [3] Tricuspid annular plane systolic excursion (TAPSE). [4] Tissue Doppler derived tricuspid lateral annular systolic velocity (S′ wave velocity). [5] Tissue Doppler derived Myocardial Performance Index (MPI) (Tei index). [6] Grading of tricuspid regurgitation severity, and assessment of right ventricular systolic pressure.ResultsRight ventricle was dilated at the basal level in 36% of the studied patients & at the mid cavity level in 23% of the patients. Longitudinal RV diameter was enlarged in 20% of the patients.Right ventricular systolic dysfunction was found in 36% of patients with DCM in the current study. Patients who had right ventricular systolic dysfunction had significantly higher incidence of elevated JVP, significantly lower EF and significantly higher grade of LV Diastolic dysfunction. They showed significantly larger RV dimensions at different levels, significantly worse degree of TR and significantly higher mean value of RVSP.ConclusionsThe occurrence of right ventricular systolic dysfunction in patients with DCM is common [Approaching 40% in this study] and is independent of age and sex, and is proportionate to the degree of LV dilatation, and EF impairment.

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Assessment of right ventricular systolic function: Comparison between cardiac magnetic resonance derived ejection fraction and pulsed-wave tissue Doppler imaging of the tricuspid annulus

Cited by 55 publications

References 32 publications

Differential right ventricular regional function and the effect of pulmonary hypertension: three-dimensional echo study

Differential right ventricular regional function and the effect of pulmonary hypertension: three-dimensional echo study

Clinical Spectrum, Frequency, and Significance of Myocardial Dysfunction in Severe Sepsis and Septic Shock

Assessment of right ventricular function by echocardiography in patients with chronic heart failure

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