Normal Pediatric Values of the Subcostal Tricuspid Annular Plane Systolic Excursion (S-TAPSE) and Its Value in Pediatric Pulmonary Hypertension

Kurath‐Koller, Stefan; Avian, Alexander; Cantinotti, Massimiliano; Burmas, Ante; Grangl, Gernot; Schweintzger, Sabrina; Gamillscheg, Andreas; Koestenberger, Martin

doi:10.1016/j.cjca.2019.01.019

Cited by 24 publications

(22 citation statements)

References 31 publications

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“…In addition, TAPSE is measured by M-mode, a conventional ultrasound mode that can be available with no need for expensive equipment. A modified TAPSE measured, subcostal TAPSE (S-TAPSE), has been suggested as an useful alternative in patients with an inadequately visualized four chambers view and a good correlation with TAPSE has been described in children and neonates (45).…”

Section: Discussionmentioning

confidence: 99%

Myocardial Function Maturation in Very-Low-Birth-Weight Infants and Development of Bronchopulmonary Dysplasia

et al. 2020

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Background: Myocardial function in very-low-birth-weight infants (VLBWIs) develops during early postnatal life, but different patterns of temporal evolution that might be related to the development of bronchopulmonary dysplasia (BPD) are not completely understood. Methods: A prospective cohort study including VLBWIs admitted to our NICU from January 2015 to 2017 was conducted. Plasma N-terminal pro B type natriuretic peptide (NTproBNP) levels were measured, and echocardiograms were performed at 24 and 72 h of life and weekly thereafter until 36 weeks of postmenstrual age (PMA). We measured the tricuspid annular plane systolic excursion (TAPSE) by M-mode; the lateral tricuspid E', A', and S' waves; and the myocardial performance index (MPI) by tissue doppler imaging (TDI). The subjects were divided into non-BPD and BPD groups. Results: We included 101 VLBWIs. The TAPSE and E', A', and S' waves increased while MPI-TDI decreased over time. Birth gestational age (GA) and postnatal PMA impacted these parameters, which evolved differently in those who developed BPD compared to those in the non-BPD group. The NTproBNP levels at 14 days of life and different echocardiographic parameters were associated with the development of BPD in different multivariate models. Conclusion: TAPSE and TDI values depend on GA and PMA and follow a different temporal evolution that is related to the later development of BPD. Combined biochemical and echocardiographic biomarkers can help identify which VLBWIs are at higher risk of developing BDP.

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Section: Discussionmentioning

confidence: 99%

Myocardial Function Maturation in Very-Low-Birth-Weight Infants and Development of Bronchopulmonary Dysplasia

et al. 2020

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“…Subcostal area views may allow for estimation of LV and RV function. This can be achieved using eyeballing of LV contraction in the subcostal short axis view, RV dimension measurement, or S-TAPSE determination ( 12 , 13 ). However, except for RV dimension estimation and S-TAPSE, currently no normative values regarding left and right ventricular function parameters (e.g., ejection fraction, aortic, or pulmonary VTI) are available in the pediatric population.…”

Section: Global Cardiac Systolic Functionmentioning

confidence: 99%

“…Subcostal area views may provide a quick assessment of a pericardial effusion and support guidance to needle insertion during pericardiocentesis. Furthermore, impaired RV function may be quantified by determination of S-TAPSE and RV dimensions ( 12 , 13 ).…”

Section: Pericardial Effusion and Cardiac Tamponadementioning

confidence: 99%

Subcostal Echocardiographic Imaging in Neonatal and Pediatric Intensive Care

et al. 2021

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“…In critically ill patients following cardiac surgery, the assessment of TAPSE in the apical four-chamber view is often hampered by extensive wound dressings [92]. Reference values and z-scores for subcostal TAPSE (S-TAPSE) were recently provided for adult and pediatric patients who may assist in identifying patients with reduced RV function [92,93]. In a small cohort of children with PH-CHD, reduced S-TAPSE values indicated impaired systolic RV function [92].…”

Section: Systolic-to-diastolic Duration Ratiomentioning

confidence: 99%

“…Reference values and z-scores for subcostal TAPSE (S-TAPSE) were recently provided for adult and pediatric patients who may assist in identifying patients with reduced RV function [92,93]. In a small cohort of children with PH-CHD, reduced S-TAPSE values indicated impaired systolic RV function [92].…”

Section: Systolic-to-diastolic Duration Ratiomentioning

confidence: 99%

Echocardiography for the Assessment of Pulmonary Hypertension and Congenital Heart Disease in the Young

Meinel

Koestenberger

Sallmon³

et al. 2020

Diagnostics

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While invasive assessment of hemodynamics and testing of acute vasoreactivity in the catheterization laboratory is the gold standard for diagnosing pulmonary hypertension (PH) and pulmonary vascular disease (PVD) in children, transthoracic echocardiography (TTE) serves as the initial diagnostic tool. International guidelines suggest several key echocardiographic variables and indices for the screening studies when PH is suspected. However, due to the complex anatomy and special physiological considerations, these may not apply to patients with congenital heart disease (CHD). Misinterpretation of TTE variables can lead to delayed diagnosis and therapy, with fatal consequences, or–on the other hand-unnecessary invasive diagnostic procedures that have relevant risks, especially in the pediatric age group. We herein provide an overview of the echocardiographic workup of children and adolescents with PH with a special focus on children with CHD, such as ventricular/atrial septal defects, tetralogy of Fallot or univentricular physiology. In addition, we address the use of echocardiography as a tool to assess eligibility for exercise and sports, a major determinant of quality of life and outcome in patients with PH associated with CHD.

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Normal Pediatric Values of the Subcostal Tricuspid Annular Plane Systolic Excursion (S-TAPSE) and Its Value in Pediatric Pulmonary Hypertension

Cited by 24 publications

References 31 publications

Myocardial Function Maturation in Very-Low-Birth-Weight Infants and Development of Bronchopulmonary Dysplasia

Myocardial Function Maturation in Very-Low-Birth-Weight Infants and Development of Bronchopulmonary Dysplasia

Subcostal Echocardiographic Imaging in Neonatal and Pediatric Intensive Care

Echocardiography for the Assessment of Pulmonary Hypertension and Congenital Heart Disease in the Young

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