Comparative Echocardiographic Analysis of Mitral and Tricuspid Annular Motion: Differences Explained with Proposed Anatomic‐Structural Correlates

López‐Candales, Angel; Rajagopalan, Navin; Gulyasy, Beth; Edelman, Kathy; Bazaz, Raveen

doi:10.1111/j.1540-8175.2006.00408.x

Cited by 46 publications

(111 citation statements)

References 27 publications

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“…[7][8][9] For this reason, TAPSE, a measure of longitudinal displacement, has become popular in the rapid and simple assessment of RV function. [10][11][12] Tricuspid annular systolic plane excursion is independent of age, sex, and body size 11 ; however, it remains dependent on LV function. 12,13 It is affected by tricuspid regurgitation and is reduced in the presence of atrial fibrillation.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of TAPSE as a measure of right ventricular output

Tousignant

Kim

Papa

et al. 2012

Can J Anesth/J Can Anesth

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Purpose This study was designed to show the relationship between tricuspid annular plane systolic excursion (TAPSE) and stroke volume (SV) by thermodilution using three different methods and also to assess whether TAPSE can track hemodynamic changes associated with volume loading and ephedrine administration. Methods This was an observational study in 61 elective patients with a pulmonary artery catheter who were undergoing coronary artery bypass graft surgery in a cardiac surgical centre. We measured TAPSE by three methods using transesophageal echocardiography: M mode, speckle tracking at the lateral wall, and tissue tracking at the inferior wall. There were two interventions: leg raising (volume recruitment) or administration of ephedrine 5 mg iv. Echo and hemodynamic measurements were performed before and after each intervention.Results Eleven patients were excluded due to poor imaging. There were 26 patients in the leg raising group and 24 patients in the ephedrine group. The correlation coefficient between stroke volume (SV) and TAPSE by M mode, speckle tracking, and tissue tracking was 0.48, 0.44, and 0.09, respectively. There was a significant increase in SV following each intervention; however, the changes in TAPSE by any method and velocity were not large enough to reach statistical significance. Conclusion Tricuspid annular plane systolic excursion by M mode and by speckle tracking correlates modestly with SV. There was no correlation between TAPSE and SV by tissue tracking at the inferior wall of the right ventricle. Tricuspid annular plane systolic excursion by M mode and by speckle tracking does not track changes in SV following either volume loading or ephedrine administration. RésuméObjectif Cette e´tude a e´te´conçue pour montrer le rapport entre le de´placement systolique du plan de l'anneau tricuspidien (TAPSE) avec le volume d'e´jection systolique (SV) par thermodilution en utilisant trois me´thodes diffe´rentes et aussi pour de´terminer si le TAPSE peut suivre les modifications he´modynamiques associe´es a`une charge volumique et a`une administration d'e´phe´drine. Méthodes Il s'agit d'une e´tude observationnelle mene´e chez 61 patients se´lectionne´s porteurs d'un cathe´ter de l'arte`re pulmonaire qui devaient subir un pontage coronarien dans un centre de chirurgie cardiaque. Nous avons mesure´le TAPSE par trois me´thodes diffe´rentes al 'aide d'une e´chocardiographie transoesophagienne: mode M;suivi de granularite´s (speckle tracking) sur la paroi late´rale; et suivi de tissu (tissue tracking) sur la paroi infe´rieure. Il y a eu deux interventions: jambes releve´es

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Section: Discussionmentioning

confidence: 99%

Evaluation of TAPSE as a measure of right ventricular output

Tousignant

Kim

Papa

et al. 2012

Can J Anesth/J Can Anesth

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“…Tricuspid annular descent or TAPSE has been shown to correlate with RV FAC, but is influenced by LV function. 4,5,7 Values above 20 mm have been associated with normal biventricular function. 5 The pre-ejection period has also been used to assess right-heart function using variables such as dP/dt.…”

Section: Discussionmentioning

confidence: 99%

“…6 The TAPSE in the normal group compared well with the values reported in the literature. 4,5,25 There were no data for comparison for the IVA, as it has not been extensively studied in the lateral wall of the RV using colour TDI. Nikitin et al examined RV basilar myocardial S velocities using colour TDI in normal patients in various age groups.…”

Section: Comparison Between Normal Volunteers and Cabg Patientsmentioning

confidence: 99%

“…The tricuspid annular plane systolic excursion (TAPSE) has compared favourably with RV fractional area of change (FAC). 4,5 TAPSE has also predicted mortality in patients with pulmonary hypertension, but it can be affected by left ventricular (LV) function. 5,6 Tricuspid annular or myocardial velocities (TAV) have also been used to assess RV function.…”

Section: Résumémentioning

confidence: 99%

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Induction of anesthesia does not alter tricuspid annular velocities: a tissue Doppler assessment

Tousignant

Bowry

Cruz

et al. 2009

Can J Anesth/J Can Anesth

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“…Patients with stenotic valvular lesions, valvular regurgitation that was at least moderate or worse, irregular heart rhythm such as atrial fibrillation, or the presence of a pacer or defibrillator wire in the RV were excluded. The protocol was reviewed and approved by the Institutional Review Board of the University of Pittsburgh Medical Center.RV fractional area change (RVFAC), tricuspid annular plane systolic excursion (TAPSE), and systolic eccentricity index (sEI) were measured in accordance with the recommendations of the American Society of Echocardiography [23][24][25][26][27]. Right atrial (RA) areas were measured by tracing the endocardium of the RA wall as seen from the 4 chamber apical window from the junction of the septal tricuspid leaflet to the junction of the anterior tricuspid leaflet.…”

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confidence: 99%