RV Fractional Area Change and TAPSE as Predictors of Severe Right Ventricular Dysfunction in Pulmonary Hypertension: A CMR Study

Hoette, Susana; Creuzé, Nicolas; Günther, Sven; Montani, David; Savale, Laurent; Jaïs, Xavier; Parent, Florence; Sitbon, Olivier; Rochitte, Carlos Eduardo; Simonneau, Gérald; Humbert, Marc; Souza, Rogério; Chemla, Denis

doi:10.1007/s00408-018-0089-7

Cited by 54 publications

(40 citation statements)

References 28 publications

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“…Our results are in concordance with previous studies on FWS echo and FAC echo/CMR [11,17] presenting a strong correlation with RVEF CMR with a modest correlation for TAPSE/AVPD lat and a weak correlation for S' echo compared to RVEF CMR [11,17]. As expected, the parameters measuring of area and volume change are closely related.…”

Section: Comparison With Rvef Cmrsupporting

confidence: 93%

“…As expected, the parameters measuring of area and volume change are closely related. In alignment with our study others have demonstrated a moderate correlation of RVEF CMR to AVPD lat [17] and FWS CMR [31,37]. The poor correlation between longitudinal measurements of RV function and RVEF CMR could be explained that RVEF is more related to fractional transverse movements than to longitudinal movements in patients with pulmonary hypertension [38].…”

Section: Comparison With Rvef Cmrsupporting

confidence: 90%

“…AVPD lat is a relatively new and sparsely evaluated method, and not referenced in consensus documents for CMR [22]. We found AVPD lat to be decreased in patients with pulmonary hypertension in alignment with a prior study [15,17], however, the prognostic value of altered AVPD lat in pulmonary hypertension remains to be investigated. In our study, the highest bias was demonstrated for TAPSE/AVPD lat with lower absolute values by CMR compared to echocardiography.…”

Section: Comparison Between Corresponding Echocardiographic and Cmr Msupporting

confidence: 74%

“…Cardiac magnetic resonance imaging (CMR) is considered "gold standard" for assessing RV volumes as well as ejection fraction (RVEF CMR ) [12,13] and is advantageous as it overcomes the echocardiographic limitations [5,14]. New CMR measures of RV function equivalent to echocardiography-derived measurements have emerged beyond RVEF CMR such as; RV atrio-ventricular plane displacement in the lateral wall (AVPD lat ) [4,15], maximum emptying velocity derived from the AVPD curve (S' CMR ) [16], RV fractional area change (FAC CMR ) [17] and RV free wall strain (FWS CMR ) [18]. FWS CMR has been shown to have an added value to RVEF CMR in patients with pulmonary hypertension [19].…”

Section: Introductionmentioning

confidence: 99%

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Right ventricular function parameters in pulmonary hypertension: echocardiography vs. cardiac magnetic resonance

Evaldsson

Lindholm

Jumatate

et al. 2020

BMC Cardiovasc Disord

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Background: Right ventricular (RV) function is a major determinant of outcome in patients with pulmonary hypertension. Cardiac magnetic resonance (CMR) is gold standard to assess RV ejection fraction (RVEF CMR), however this is a crude measure. New CMR measures of RV function beyond RVEF CMR have emerged, such as RV lateral atrioventricular plane displacement (AVPD lat), maximum emptying velocity (S' CMR), RV fractional area change (FAC CMR) and feature tracking of the RV free wall (FWS CMR). However, it is not fully elucidated if these CMR measures are in parity with the equivalent echocardiography-derived measurements: tricuspid annular plane systolic excursion (TAPSE), S'-wave velocity (S' echo), RV fractional area change (FAC echo) and RV free wall strain (FWS echo). The aim of this study was to compare regional RV function parameters derived from CMR to their echocardiographic equivalents in patients with pulmonary hypertension and to RVEF CMR. Methods: Fifty-five patients (37 women, 62 ± 15 years) evaluated for pulmonary hypertension underwent CMR and echocardiography. AVPD lat , S' CMR , FAC CMR and FWS CMR from cine 4-chamber views were compared to corresponding echocardiographic measures and to RVEF CMR delineated in cine short-axis stack. Results: A strong correlation was demonstrated for FAC whereas the remaining measurements showed moderate correlation. The absolute bias for S' was 2.4 ± 3.0 cm/s (relative bias 24.1 ± 28.3%), TAPSE/AVPD lat 5.5 ± 4.6 mm (33.2 ± 25.2%), FWS 4.4 ± 5.8% (20.2 ± 37.5%) and for FAC 5.1 ± 8.4% (18.5 ± 32.5%). In correlation to RVEF CMR, FAC CMR and FWS echo correlated strongly, FAC echo , AVPD lat , FWS CMR and TAPSE moderately, whereas S' had only a weak correlation.

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Section: Comparison With Rvef Cmrsupporting

confidence: 93%

Section: Comparison With Rvef Cmrsupporting

confidence: 90%

Section: Comparison Between Corresponding Echocardiographic and Cmr Msupporting

confidence: 74%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Right ventricular function parameters in pulmonary hypertension: echocardiography vs. cardiac magnetic resonance

Evaldsson

Lindholm

Jumatate

et al. 2020

BMC Cardiovasc Disord

View full text Add to dashboard Cite

show abstract

“…This results in a greater contribution of transverse contraction to global RV function as measured by changes in septal-to free-wall distance. 8,14,29,[32][33][34][35][36] In these cases, measures of longitudinal function will not reflect global RV function. Strain analysis supports these conclusions.…”

mentioning

confidence: 99%

Right Ventricular Assessment: Are Regional Longitudinal Measurements of Value?

Hayward

Asher

Gebhardt

et al. 2020

Journal of Cardiothoracic and Vascular Anesthesia

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Vigilance monitor from Edwards Lifesciences) to measure RVEF, right ventricular diastolic volume, pulmonary artery pressures (PAP), stroke volume, and cardiac index. The authors compared changes in longitudinal function (TAPSE, S 0) with changes in global RV function (MPI, RVEF). Notably, mean PAP were, on average, within normal ranges with likely normal pulmonary vascular resistances the mean PAP (20-23mmHg) and diastolic PAP (14-16mmHg) were within normal ranges, likely yielding normal pulmonary DOI of original article: http://dx.doi

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A novel method for the evaluation of right ventricular dysfunction in acute pulmonary embolism: Myocardial work indices

Keskin,

Karagoz,

Hakgor

et al. 2024

J of Clinical Ultrasound

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PurposeThe presence of right ventricular dysfunction indicates a higher risk status in patients with pulmonary embolism (PE). The RV strain evaluated by speckle‐tracking echocardiography seems to be more reliable method in the evaluation of RV dysfunction as compared to standard echocardiographic measures. In this study, we aimed to determine the value of myocardial‐work indices in evaluating serial changes of RV function in acute PE.MethodsOur study comprised 83 consecutive acute PE patients who admitted to our tertiary cardiovascular hospital. Echocardiography was performed within the first 24‐hours of hospitalization, and RV and LV myocardial‐work parameters were obtained along with standard echocardiographic parameters. The change in the RV/LVr detected on tomography was selected as the primary outcome measure, and its' predictors were analyzed with classical linear regression and a generalized additive model (GAM).ResultsAmong the LV‐RV strain and myocardial work parameters, the RV global longitudinal strain (GLS) has borderline statistical significance in predicting the RV/LVr change whereas the RV global work efficiency (RV‐GWE) strongly predicted RV/LVr change (p: 0.049 and <0.001, respectively).ConclusionIn this study, classical linear regression and GAM analyses showed that RV‐GWE seems to offer a better prediction of RV/LVr change in patients with acute PE.

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RV Fractional Area Change and TAPSE as Predictors of Severe Right Ventricular Dysfunction in Pulmonary Hypertension: A CMR Study

Cited by 54 publications

References 28 publications

Right ventricular function parameters in pulmonary hypertension: echocardiography vs. cardiac magnetic resonance

Right ventricular function parameters in pulmonary hypertension: echocardiography vs. cardiac magnetic resonance

Right Ventricular Assessment: Are Regional Longitudinal Measurements of Value?

A novel method for the evaluation of right ventricular dysfunction in acute pulmonary embolism: Myocardial work indices

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