Reference values and reproducibility of Doppler echocardiography in the assessment of the tricuspid valve and right ventricular diastolic function in normal subjects

Pye, Maurice; Pringle, Stuart D.; Cobbe, Stuart M.

doi:10.1016/0002-9149(91)90558-3

Cited by 63 publications

(41 citation statements)

References 15 publications

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“…In normal subjects, the age dependency of the tricuspid peak E velocity, E/A ratios and atrial filling fraction has been previously described in some reports [1, 2, 3, 4]but not in others [5, 6]. This study has shown that this age dependency is also present in subjects with a variety of RV pathologic findings.…”

Section: Discussionsupporting

confidence: 69%

“…This study failed to demonstrate any effect of TR on peak A, D and atrial reversal velocity or E wave deceleration time. Prior reports on the evaluation of RV diastolic function have excluded patients with significant TR [5, 6, 9, 10, 11, 12]. Excluding patients with TR seems impractical as many of the patients in whom assessment of RV diastolic function would be relevant commonly have some degree of TR (i.e.…”

Section: Discussionmentioning

confidence: 99%

“…Although RV diastolic performance has been assessed with radionuclide methods [13, 14], MRI [15, 16]and computed tomography [17, 18], Doppler echocardiography is most often used for the evaluation of RV diastolic function [5, 6, 11, 12, 19, 20]. Prior investigators have demonstrated RV diastolic dysfunction with Doppler in several pathologic states, including congenital heart disease [21], dilated cardiomyopathy [20, 22], after myocardial infarction [23], cardiac amyloid [24]and chronic pulmonary disease [11, 12].…”

Section: Discussionmentioning

confidence: 99%

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Effect of Age, Heart Rate and Tricuspid Regurgitation on the Doppler Echocardiographic Evaluation of Right Ventricular Diastolic Function

Spencer¹,

Weinert²,

Lang³

1999

Cardiology

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Pulsed-wave Doppler analysis of tricuspid inflow and hepatic venous flow allows the determination of multiple parameters of right-ventricular (RV) diastolic function. This study sought to evaluate the influence of heart rate, age and tricuspid regurgitation on Doppler parameters of RV diastolic performance. We studied 80 subjects (20 normal and 60 with RV pathology) with Doppler recordings of the tricuspid inflow and hepatic vein. All tricuspid Doppler parameters were dependent on heart rate, age or regurgitation severity as were the hepatic vein S wave, S/D ratio and systolic filling fraction. The atrial reversal velocity in the hepatic vein Doppler tracing was not affected by age, heart rate or regurgitation. In addition, the inspiratory increase in this parameter was significantly elevated in RV pathologic states. This study demonstrates that most Doppler echocardiographic parameters of RV diastolic performance are dependent on age, tricuspid regurgitation or heart rate.

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Section: Discussionsupporting

confidence: 69%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Effect of Age, Heart Rate and Tricuspid Regurgitation on the Doppler Echocardiographic Evaluation of Right Ventricular Diastolic Function

Spencer¹,

Weinert²,

Lang³

1999

Cardiology

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“…141 Com esta técnica, a medida das velocidades transtricuspídeas pode ser conseguida na maior parte dos pacientes, com uma baixa variabilidade inter e intraobservador. 146 O traçado obtido deve ter pelo menos 5 batimentos consecutivos em pausa expiratória. 147 .…”

Section: B Medidas Para Avaliação Da Disfunção Diastólicaunclassified

Guidelines for the Echocardiographic Assessment of the Right Heart in Adults: A Report from the American Society of Echocardiography

Rudski¹,

Lai²,

Afilalo³

et al. 2014

Arquivos Brasileiros De Cardiologia - Imagem Cardiovascular

216

369

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Divulgação do autor: Os autores desse artigo não relataram nenhum conflito de interesse atual ou potencial em relação a essa atividade. Os autores e revisores RVT, FASE; Farooq A. Chaudhry, MD, FASE; Robert T. Eberhardt, MD; Benjamin W. Eidem, MD, FASE; Gregory J.Ensing, MD, FASE; Tal Geva, MD, FASE; Kathryn E. Glas, MD, FASE; Sandra Hagen-Ansert, RDCS, RDMS,MS, FASE; Rebecca T. Hahn, MD, FASE; Jeannie Heirs, RDCS; Shunichi Homma, MD; Sanjiv Kaul, MD,FASE; Smadar Kort, MD, FASE; Peg Knoll, RDCS, FASE; Wyman Lai, MD, MPH, FASE; Roberto M. Lang,MD, FASE; Steven Lavine, MD; Steven J. Lester, MD, FASE; Renee Margossian, MD; Victor Mor-Avi,PhD, FASE; Sherif Nagueh, MD, FASE; Alan S. Pearlman, MD, FASE; Patricia A. Pellikka, MD, FASE; MiguelQuinones, MD, FASE; Brad Roberts, RCS, RDCS; Beverly Smulevitz, BS, RDCS, RVS; Kirk T. Spencer,MD, FASE; J. Geoffrey Stevenson, MD, FASE; Wadea Tarhuni, MD, FASE; James D. Thomas, MD; Neil J.Weissman, MD, FASE; Timothy Woods, MD; and William A. Zoghbi, MD, FASE. Os

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“…103 Tricuspid inflow measures can be achieved with high reproducibility. 104 The presence of moderate to severe TR can confound measurements of the tricuspid inflow velocities and are excluded from most studies. In PH patients with advanced disease and evident RVmediated impairment of LV filling, the late-diastolic LV filling pat- tern through the mitral valve will reverse, leading to E < A, and a short E deceleration time has been observed in adults.…”

Section: Rv and LV Diastolic Functionmentioning

confidence: 99%

Transthoracic Echocardiography in the Evaluation of Pediatric Pulmonary Hypertension and Ventricular Dysfunction

et al. 2016

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Transthoracic echocardiography (TTE) is the most accessible noninvasive diagnostic procedure for the initial assessment of pediatric pulmonary hypertension (PH). This review focuses on principles and use of TTE to determine morphologic and functional parameters that are also useful for follow-up investigations in pediatric PH patients. A basic echocardiographic study of a patient with PH commonly includes the hemodynamic calculation of the systolic pulmonary artery pressure (PAP), the mean and diastolic PAP, the pulmonary artery acceleration time, and the presence of a pericardial effusion. A more detailed TTE investigation of the right ventricle (RV) includes assessment of its size and function. RV function can be evaluated by RV longitudinal systolic performance (e.g., tricuspid annular plane systolic excursion), the tricuspid regurgitation velocity/right ventricular outflow tract velocity time integral ratio, the fractional area change, tissue Doppler imaging-derived parameters, strain measurements, the systolic-to-diastolic duration ratio, the myocardial performance (Tei) index, the RV/left ventricle (LV) diameter ratio, the LV eccentricity index, determination of an enlarged right atrium and RV size, and RV volume determination by 3-dimensional echocardiography. Here, we discuss the potential use and limitations of TTE techniques in children with PH and/or ventricular dysfunction. We suggest a protocol for TTE assessment of PH and myocardial function that helps to identify PH patients and their response to pharmacotherapy. The outlined protocol focuses on the detailed assessment of the hypertensive RV; RV-LV crosstalk must be analyzed separately in the evaluation of different pathologies that account for pediatric PH.

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Reference values and reproducibility of Doppler echocardiography in the assessment of the tricuspid valve and right ventricular diastolic function in normal subjects

Cited by 63 publications

References 15 publications

Effect of Age, Heart Rate and Tricuspid Regurgitation on the Doppler Echocardiographic Evaluation of Right Ventricular Diastolic Function

Effect of Age, Heart Rate and Tricuspid Regurgitation on the Doppler Echocardiographic Evaluation of Right Ventricular Diastolic Function

Guidelines for the Echocardiographic Assessment of the Right Heart in Adults: A Report from the American Society of Echocardiography

Transthoracic Echocardiography in the Evaluation of Pediatric Pulmonary Hypertension and Ventricular Dysfunction

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