Early Diagnosis of Right Ventricular Systolic Dysfunction by Tissue Doppler‐Derived Isovolumic Myocardial Acceleration in Patients with Chronic Obstructive Pulmonary Disease

Tayyareci, Yelda; Tayyareci, Gülşah; Tastan, Cagla Pinar; Bayazit, Pelin; Nisanci, F.

doi:10.1111/j.1540-8175.2009.00925.x

Cited by 30 publications

(26 citation statements)

References 40 publications

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“…They did not observe a significant difference in RV echocardiographic indices between adult RA patients and controls [2]. Due to problems with the conventional echocardiographic measurements, TDI-derived ejectionphase myocardial velocities have gained in importance in evaluation of RV function [25]. In the present study, we have shown that the so-called ''forgotten chamber,'' the right ventricle, was also affected in children with JIA.…”

Section: Discussionsupporting

confidence: 48%

The Forgotten Chamber: Right-Ventricular Functions in Juvenile Idiopathic Arthritis

et al. 2012

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Cardiac involvement, such as pericarditis, myocarditis, and endocarditis, is seen in juvenile idiopathic arthritis. Although there have been some reports about right-ventricular systolic and diastolic functions of adults with rheumatoid arthritis and left-ventricular systolic and diastolic functions of children with JIA, there have been no studies about RV functions of children with JIA. The aim of this study was to determine RV functions in children with JIA. We performed conventional echocardiography and tissue Doppler imaging measurements of the right ventricle of patients with JIA. All patients were in sinus rhythm at the time of examination without overt LV heart failure and with normal LV ejection fraction. Fifty-five children with the diagnosis of JIA and 33 healthy control subjects were included in the study. Peak systolic, early, and late diastolic tricuspid annular velocities were significantly decreased in JIA patients compared with healthy controls (p < 0.05). Isovolumic accelaration (IVA), as a measure of myocardial acceleration during isovolumic contraction of the right ventricle, was also significantly lower in JIA patients than in healthy controls (p < 0.05). RV systolic and diastolic functions, in addition to the previously shown LV functions, are affected in JIA patients. IVA decreases in JIA patients and may be used as an alternative, noninvasive parameter for the assessment of RV systolic function in children with JIA.

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Section: Discussionsupporting

confidence: 48%

The Forgotten Chamber: Right-Ventricular Functions in Juvenile Idiopathic Arthritis

et al. 2012

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“…In other words, COPD mainly affects the structure and functions of the RV. The evaluation of RV functions in COPD patients is crucial because of the relationship between RV dysfunction and increased mortality [15,23]. Although both RV functions and BODE index predict increased mortality in COPD patients, the relationship between them has not been studied up to now (except for the individual components of BODE index).…”

Section: Discussionmentioning

confidence: 99%

“…In clinical practice, 2D echocardiography is the most frequently used noninvasive method for this evaluation. It is accompanied by important limitations, however, including the complex geometry of the RV, the predominantly longitudinal orientation of its myofibrils and poor echogenicity in COPD patients [15,23]. 2D-STE is a new technique whichpermits the differentiation of active motion from passive motion, independent of the Doppler angle of incidence, tethering effect and load dependency.…”

Section: Discussionmentioning

confidence: 99%

The BODE Index, a Multidimensional Grading System, Reflects Impairment of Right Ventricle Functions in Patients with Chronic Obstructive Pulmonary Disease: A Speckle-Tracking Study

Gökdeniz

Kalaycıoğlu²,

Boyacı³

et al. 2014

Respiration

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Background: Chronic obstructive pulmonary disease (COPD) is not only characterized by chronic airflow limitation, but is also a systemic disease. There is no information about alterations in right ventricle (RV) functions precipitated by systemic manifestations of COPD. Objectives: We aimed to evaluate the relationship between the BODE (body mass index, airflow obstruction, dyspnea, and exercise capacity) index that evaluates systemic manifestations of COPD and RV functions by means of 2-dimensional speckle-tracking echocardiography (2D-STE) in COPD patients. Methods: The study involved 135 COPD patients and 37 control subjects. All patients underwent 2D-STE, pulmonary function tests and 6-min walk tests, and were divided into quartiles according to their calculated BODE index score. Results: COPD patients had impaired RV and left-ventricle diastolic functions compared to controls. There was a decreasing trend from quartile 1 (Q₁) to Q₄ in RV functional parameters, i.e. RV free wall strain (RVFW-S, p < 0.001), tricuspid annular plane systolic excursion (p < 0.001), systolic myocardial velocity (p < 0.001), RV fractional area change (p < 0.001), RV myocardial performance index (p < 0.001) and pulmonary artery systolic pressure (p < 0.001). The transmitral Doppler E wave/lateral mitral annular tissue Doppler E wave ratio was similar in the 4 BODE index quartiles (p = 0.159). Multivariate analysis was performed to find independent predictors of decreased RVFW-S (≤19.06), and the BODE index (in quartiles; OR 4.61 and 95% CI 1.85-11.63) was found to be an independent predictor. In a partial correlation analysis adjusted for forced expiratory volume in 1s % predicted, RVFW-S was correlated with the 6-min walk distance (r = 0.498). Conclusion: The BODE index, which can be easily evaluated in office settings, may provide information about reduced RV functions as well as guiding treatment and helping to predict prognosisin COPD patients.

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“…Tayyareci et al (6) pointed out the importance of IVA in the early diagnosis of right ventricular systolic function defect in cases with mitral stenosis. Moreover, it has been found that IVA showed the deterioration in right ventricular functions much earlier than the other parameters (14,15). Also, in healthy subjects, IVA is unchanged following significant increases in preload and is regarded as a potential measure of contractility.…”

Section: Discussionmentioning

confidence: 99%

Assessment of right ventricular function by isovolumic contraction acceleration before and after percutaneous closure of atrial septal defects: A preliminary study

Akyüz¹,

Korkmaz²,

Turhan³

et al. 2014

Anadolu Kardiyol Derg

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Objective: The main purpose of present study was to investigate the impact of percutaneous closure of atrial septal defect (ASD) on right ventricular (RV) systolic function assessed by tricuspid annular isovolumic myocardial acceleration (IVA) that is independent of preload and afterload changes. Methods: A prospective cohort study was designed involving twenty five patients with secundum type ASD whom were successfully closed percutaneously between 2009 and 2011. Standard transthoracic echocardiography and tissue Doppler imaging were performed in all patients 12 to 24 hours before and one month after closure. Paired t test was performed to determine the statistical significance of variables before and after closure. Results: Significant decreases were observed in RV end-diastolic diameter, RV/left ventricular (LV) end-diastolic diameter ratio, right ventricular systolic myocardial velocity (Sm), right ventricular early myocardial velocity (Em) and right ventricular late myocardial velocity (Am) in the control echocardiography in the first month when compared with pre-procedure values. While significant increase was observed after procedure in right ventricular IVA (3.4±1.3 m/sec 2 vs. 4.2±1.8 m/sec 2 , p=0.001), no significant change was observed in right ventricular global performance index, in right ventricular Em/Am ratio and left ventricular ejection fraction. Conclusion: Percutaneous closure of ASD resulted in recovery of right ventricular function as early as 1 month after closure.

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Early Diagnosis of Right Ventricular Systolic Dysfunction by Tissue Doppler‐Derived Isovolumic Myocardial Acceleration in Patients with Chronic Obstructive Pulmonary Disease

Abstract: TDI-derived RV IVA is a novel, noninvasive echocardiographic index which may be used in the assessment of subclinical RV dysfunction in patients with COPD.

Cited by 30 publications

References 40 publications

The Forgotten Chamber: Right-Ventricular Functions in Juvenile Idiopathic Arthritis

The Forgotten Chamber: Right-Ventricular Functions in Juvenile Idiopathic Arthritis

The BODE Index, a Multidimensional Grading System, Reflects Impairment of Right Ventricle Functions in Patients with Chronic Obstructive Pulmonary Disease: A Speckle-Tracking Study

Assessment of right ventricular function by isovolumic contraction acceleration before and after percutaneous closure of atrial septal defects: A preliminary study

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