Subcostal TAPSE measured by anatomical M-mode: prospective reliability clinical study in critically ill patients

Škulec, Roman; Parizek, Tomas; Štádlerová, Barbora; Bílská, Marcela; Černý, Vladimír

doi:10.23736/s0375-9393.21.15464-1

Cited by 4 publications

(3 citation statements)

References 20 publications

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“…Škulec et al investigated the feasibility and effectiveness of measuring taPse through the subcostal view (staPse), which proved to be a reliable parameter of right ventricular systolic function and impairment in those patients. 37 securing an intravenous infusion route is essential for critically ill patients. in some cases, however, this task can be challenging even if ultrasound has dramatically facilitated the placement of intravascular catheters.…”

Section: Sars-cov-2 Pandemicmentioning

confidence: 99%

A year in review in Minerva Anestesiologica 2019. Critical care

et al. 2020

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Section: Sars-cov-2 Pandemicmentioning

confidence: 99%

A year in review in Minerva Anestesiologica 2019. Critical care

et al. 2020

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“…The TAPSE is the extrusion of the tricuspid annular plane during systole. [12] The Tei index is a reliable parameter for evaluating heart function. [13] A Tei index greater than 0.54 is a sign of right-sided heart dysfunction; a Tei index greater than 0.67 strongly indicates an unfavorable prognosis.…”

Section: Discussionmentioning

confidence: 99%

Influence of positive end-expiratory pressure upregulation on the right ventricle in critical patients with acute respiratory distress syndrome: an observational cohort study

Liu

Song

Wang

et al. 2023

Emerg Crit Care Med

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Background: This study aimed to investigate the influence of positive end-expiratory pressure (PEEP) on the right ventricle (RV) of mechanical ventilation-assisted patients through echocardiography.Methods: Seventy-six patients assisted with mechanical ventilation were enrolled in this study. Positive end-expiratory pressure was upregulated by 4 cm H 2 O to treat acute respiratory distress syndrome, wherein echocardiography was performed before and after this process. Hemodynamic data were also recorded. All variables were compared before and after PEEP upregulation. The effect of PEEP was also evaluated in patients with and without decreased static lung compliance (SLC).Results: Positive end-expiratory pressure upregulation significantly affected the RV function. Remarkable differences were observed in the following: Tei index (P = 0.027), pulmonary artery pressure (P = 0.039), tricuspid annular plane systolic excursion (P = 0.014), early wave/atrial wave (P = 0.002), diaphragm excursion (P < 0.001), inferior vena cava collapsing index (P < 0.001), and SLC (P < 0.001). There were no significant changes in heart rate, respiratory rate, central venous pressure, mean arterial pressure, and base excess (P > 0.05). Furthermore, the cardiac output of the RV was not significantly affected. In patients with decreased SLC (n = 41), there were more significant changes in diaphragm excursion (P < 0.001), inferior vena cava collapse index (P = 0.025), pulmonary artery pressure (P < 0.001), and tricuspid annular plane systolic excursion (P = 0.007) than in those without decreased SLC (n = 35). Conclusion:Positive end-expiratory pressure upregulation significantly affected the RV function of critically ill patients with acute respiratory distress syndrome, especially in those with decreased SLC.

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“…The estimation of tricuspid annular movement in the subcostal view is getting more attention. "Subcostal TAPSE" has been assessed with anatomical M-mode and B-mode in adult and pediatric populations and proved to be a feasible and accurate alternative to conventional TAPSE with adequate efficacy in the identification of RV dysfunction [18][19][20]. Nevertheless, it has never been investigated in PE diagnostics and prognosis.…”

Section: Discussionmentioning

confidence: 99%

Subcostal echocardiographic assessment of tricuspid annular kick (SEATAK): A novel independent predictor of 30-day mortality in patients with acute pulmonary embolism

Wiliński¹,

Skwarek²,

Borek³

et al. 2022

Kardiol Pol

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Background:The most commonly used parameter of right ventricular (RV) systolic function -tricuspid annular plane systolic excursion (TAPSE) -is unavailable for some patients. Subcostal echocardiographic assessment of tricuspid annular kick (SEATAK) has been proposed as its alternative. Aim:The study aimed to assess the feasibility of SEATAK use in patients with acute pulmonary embolism (PE) and its value in prognosis after PE. Methods:The observational study included 164 consecutive patients (45.7% men; average age, 70 years) with a high clinical probability of PE referred for computed tomography pulmonary angiography.Results: SEATAK was unavailable due to inadequate quality of echocardiogram in 2.8% of patients, whereas TAPSE could not be calculated in 4.9%, both parameters were not estimated only in 0.6%. SEATAK and TAPSE values did not differ between groups of patients with PE (n = 82) and without (n = 82). In the whole study, SEATAK correlated positively with TAPSE (r = 0.71; 95% confidence interval [CI], 0.62-0.78; P <0.001), fractional area change of the RV, left ventricular ejection fraction, and peak systolic tricuspid annular velocity assessed with tissue Doppler imaging. There were only 3 echocardiographic predictors of 30-day all-cause mortality in patients with with PE (n = 10): SEATAK, pulmonary acceleration time, and the 60/60 sign. SEATAK predicted 30-day all-cause mortality with AUC (area under the curve) 0.726 (95% CI, 0.594-0.858; P = 0.01) and 30-day PE-related mortality (n = 4) with AUC, 0.772 (95% CI, 0.506-0.998; P = 0.03).Conclusions: SEATAK is a promising practicable echocardiographic parameter reflecting RV systolic function and might be an accurate alternative to TAPSE. Moreover, SEATAK could be an independent predictor of all-cause and PE-related 30-day mortality in patients with acute PE.

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Subcostal TAPSE measured by anatomical M-mode: prospective reliability clinical study in critically ill patients

Cited by 4 publications

References 20 publications

A year in review in Minerva Anestesiologica 2019. Critical care

A year in review in Minerva Anestesiologica 2019. Critical care

Influence of positive end-expiratory pressure upregulation on the right ventricle in critical patients with acute respiratory distress syndrome: an observational cohort study

Subcostal echocardiographic assessment of tricuspid annular kick (SEATAK): A novel independent predictor of 30-day mortality in patients with acute pulmonary embolism

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