Tricuspid annular plane systolic excursion in chronic thromboembolic pulmonary hypertension before and after pulmonary thromboendarterectomy

Wong, Darrin; Sampat, Unnati; Gibson, Michael; Auger, William R.; Madani, Michael M.; Daniels, Lori B.; Raisinghani, Ajit; DeMaria, Anthony N.; Blanchard, Daniel G.

doi:10.1111/echo.13364

Cited by 15 publications

(16 citation statements)

References 26 publications

(44 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Our previous study has confirmed this 8 . In addition, our experience and some studies have shown that RV myocardial motion in the basal segment did not improve early after pulmonary thromboendarterectomy in patients with chronic thromboembolic PH 9,10 . We hypothesize that regional RV myocardial motion, especially the motion in the mid segment, may reflect the RV systolic function more accurately than the global RV longitudinal strain.…”

Section: Introductionsupporting

confidence: 65%

Regional right ventricular longitudinal systolic strain for detection of severely impaired right ventricular performance in pulmonary hypertension

Zhai

Tao

et al. 2020

Echocardiography

View full text Add to dashboard Cite

Objectives Right ventricular (RV) function is identified as a key determinant of the outcome in patients with pulmonary hypertension (PH). Several studies have assessed the role of peak global longitudinal RV strain in PH patients; however, less emphasis was given to the RV regional longitudinal strain. The aim of this study was to evaluate the regional RV systolic strain in PH patients and investigate the relationship of these parameters with the severity of PH. Methods RV regional longitudinal peak systolic strain (LPSS) and strain rate (LPSSR) were measured using speckle tracking echocardiography on 100 patients with PH who underwent right heart catheterization, and 29 control subjects. Severe PH was identified by a decreased cardiac index (CI) (<2.0 L/min/m2). Results LPSS and LPSSR of the RV free wall were significantly lower in PH patients than control subjects, especially when comparing the basal and mid regions (P < .001). When comparing severe PH and nonsevere PH, basal and mid LPSS and LPSSR were significantly lower (P < .001). RV free wall mid LPSSR correlated with CI (r = −.703, P < .001). In the multiple logistic regression analysis, mid LPSSR was identified as an independent predictor of severe PH (odds ratio 1.82; 95% confidential interval 1.39–2.40; P < .001). In the receiver operating characteristics curve analysis, a cutoff value of mid LPSSR of −0.92 s−1 predicted severe PH, with a sensitivity and specificity of 75.0% and 93.7%, respectively (AUC = 0.889, P < .001). Conclusions RV free wall mid longitudinal peak systolic strain rate may be useful for the detection of severely impaired RV performance in PH.

show abstract

Section: Introductionsupporting

confidence: 65%

Regional right ventricular longitudinal systolic strain for detection of severely impaired right ventricular performance in pulmonary hypertension

Zhai

Tao

et al. 2020

Echocardiography

View full text Add to dashboard Cite

show abstract

“…Using transthoracic echocardiography, it is noted that although TAPSE correlates inversely pre-PTE, the correlation is lost completely post-PTE such that TAPSE cannot be used as an early marker for successful surgery. 6 When evaluating additional markers of longitudinal contraction, similar results were observed for S' and basal RV free wall strain correlating well with PVR preoperatively, but the association falls apart after bypass. 7,8 However, with a more global evaluation of RV function, the right-sided index of myocardial performance (RIMP, or right Tei index), is used the correlation holds both before and after successful pulmonary thromboendarterectomy.…”

supporting

confidence: 63%

TAPSE: A Red Herring After Cardiac Surgery

Maus

2018

Journal of Cardiothoracic and Vascular Anesthesia

View full text Add to dashboard Cite

“…In the assessment of cardiac function post pulmonary endarterectomy, TAPSE demonstrated significant worsening despite improvement in PVR. 25 In this setting, it was highlighted that the rocking motion of the heart contributed to TAPSE measurement, and this rocking motion was lost following pulmonary endarterectomy, hence the reduction in value. Another study looked at pseudo-normalized TAPSE in a group with RV dysfunction.…”

Section: Right Ventricular Function By Echocardiographymentioning

confidence: 99%

Non‐invasive imaging of global and regional cardiac function in pulmonary hypertension

2017

View full text Add to dashboard Cite

Pulmonary hypertension (PH) is a progressive illness characterized by elevated pulmonary artery pressure; however, the main cause of mortality in PH patients is right ventricular (RV) failure. Historically, improving the hemodynamics of pulmonary circulation was the focus of treatment; however, it is now evident that cardiac response to a given level of pulmonary hemodynamic overload is variable but plays an important role in the subsequent prognosis. Non-invasive tests of RV function to determine prognosis and response to treatment in patients with PH is essential. Although the right ventricle is the focus of attention, it is clear that cardiac interaction can cause left ventricular dysfunction, thus biventricular assessment is paramount. There is also focus on the atrial chambers in their contribution to cardiac function in PH. Furthermore, there is evidence of regional dysfunction of the two ventricles in PH, so it would be useful to understand both global and regional components of dysfunction. In order to understand global and regional cardiac function in PH, the most obvious non-invasive imaging techniques are echocardiography and cardiac magnetic resonance imaging (CMRI). Both techniques have their advantages and disadvantages. Echocardiography is widely available, relatively inexpensive, provides information regarding RV function, and can be used to estimate RV pressures. CMRI, although expensive and less accessible, is the gold standard of biventricular functional measurements. The advent of 3D echocardiography and techniques including strain analysis and stress echocardiography have improved the usefulness of echocardiography while new CMRI technology allows the measurement of strain and measuring cardiac function during stress including exercise. In this review, we have analyzed the advantages and disadvantages of the two techniques and discuss pre-existing and novel forms of analysis where echocardiography and CMRI can be used to examine atrial, ventricular, and interventricular function in patients with PH at rest and under stress.

show abstract

Tricuspid annular plane systolic excursion in chronic thromboembolic pulmonary hypertension before and after pulmonary thromboendarterectomy

Cited by 15 publications

References 26 publications

Regional right ventricular longitudinal systolic strain for detection of severely impaired right ventricular performance in pulmonary hypertension

Regional right ventricular longitudinal systolic strain for detection of severely impaired right ventricular performance in pulmonary hypertension

TAPSE: A Red Herring After Cardiac Surgery

Non‐invasive imaging of global and regional cardiac function in pulmonary hypertension

Contact Info

Product

Resources

About