Tricuspid annular plane systolic excursion and central venous pressure in mechanically ventilated critically ill patients

Zhang, Hongmin; Wang, Xiaoting; Chen, Xiukai; Zhang, Qing

doi:10.1186/s12947-018-0130-2

Cited by 8 publications

(7 citation statements)

References 44 publications

(41 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Despite also our meta‐regression evidenced that pre‐existing COPD affected the difference in TAPSE between COVID‐19 non‐survivors and survivors analysis, we additionally considered as moderating variables NIV and IMV. Indeed, as previously reported by different analyses, both the type and characteristics of respiratory support may influence the TAPSE estimation 29–31 . Therefore, the high heterogeneity observed in our analysis may be explained by the influence of pre‐existing COPD, the design of reviewed studies and associated inherited bias.…”

Section: Discussionsupporting

confidence: 52%

“…Indeed, as previously reported by different analyses, both the type and characteristics of respiratory support may influence the TAPSE estimation. [29][30][31] Therefore, the high heterogeneity observed in our analysis may be explained by the influence of pre-existing COPD, the design of reviewed studies and associated inherited bias.…”

Section: Discussionmentioning

confidence: 96%

“…Our results further emphasize the prognostic role of echocardiography in COVID-19 patients. 31 In this regard, several recent investigations have mainly focused their attention on the prognostic impact of speckle tracking analysis. 17,18,22,33 However, such type of evaluation required specialistic abilities as well as dedicated software.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Relationship between echocardiographic tricuspid annular plane systolic excursion and mortality in COVID‐19 patients: A Meta‐analysis

et al. 2021

View full text Add to dashboard Cite

Background:The evaluation of the tricuspid annular plane systolic excursion (TAPSE) is recommended to assess the right ventricular (RV) systolic function. We performed an updated meta-analysis of the association between TAPSE and short-term mortality in COVID-19 patients. Methods: MEDLINE and Scopus databases were searched to locate all the articles published up to May 1, 2021, reporting data on TAPSE among COVID-19 survivors and non-survivors. The difference of TAPSE between the two groups was expressed as mean difference (MD) with the corresponding 95% confidence interval (CI) using the Mantel-Haenszel random effects model. Both Q value and I 2 statistics were used to assess heterogeneity across studies. Sensitivity analysis, meta-regression, and evaluation of bias were performed. Results: Twelve studies, enrolling 1272 COVID-19 patients (778 males, mean age 69.3 years), met the inclusion criteria and were included in the final analysis. Nonsurvivors had a lower TAPSE compared to survivors (MD = −3.089 mm, 95% CI = −4.087 to −2.091, p < 0.0001, I 2 = 79.0%). Both the visual inspection of the funnel plot and the Egger's tests (t = 1.195, p = 0.259) revealed no evidence of publication bias. Sensitivity analysis confirmed yielded results. Meta-regression analysis evidenced that the difference in TAPSE between the two groups was only influenced by pre-existing chronic obstructive pulmonary disease (COPD, p = 0.02). Conclusion: COVID-19 non-survivors have a lower TAPSE when compared to survivors, especially in COPD subjects. Current data suggest that the TAPSE assessment may provide useful information regarding the short-term prognosis of COVID-19 patients during the infection.

show abstract

Section: Discussionsupporting

confidence: 52%

Section: Discussionmentioning

confidence: 96%

See 1 more Smart Citation

Relationship between echocardiographic tricuspid annular plane systolic excursion and mortality in COVID‐19 patients: A Meta‐analysis

et al. 2021

View full text Add to dashboard Cite

show abstract

“…Acute RV dilation with or without RV hypokinesis can be seen in pulmonary embolism and also helps predict severity [62]. The tricuspid annular plane systolic excursion (TAPSE) is used for estimating the right ventricular systolic function and is best demonstrated in A4C view [62,74]. The TAPSE is obtained by putting the M-mode cursor along the lateral part of the tricuspid valve ring.…”

Section: Focused Cardiac Ultrasoundmentioning

confidence: 99%

Integrative Volume Status Assessment

Kearney

Reisinger

Lohani

2022

pocus

View full text Add to dashboard Cite

Volume status assessment is a critical but challenging clinical skill and is especially important for the management of patients in the emergency department, intensive care unit, and dialysis unit where accurate intravascular assessment is necessary to guide appropriate fluid management. Assessment of volume status is subjective and can vary from provider to provider, posing clinical dilemmas. Traditional non-invasive methods of volume assessment include assessment of skin turgor, axillary sweat, peripheral edema, pulmonary crackles, orthostatic vital signs, and jugular venous distension. Invasive assessments of volume status include direct measurement of central venous pressure and pulmonary artery pressures. Each of these has their own limitations, challenges, and pitfalls and were often validated based on small cohorts with questionable comparators. In the past 30 years, the increased availability, progressive miniaturization, and falling price of ultrasound devices has made point of care ultrasound (POCUS) widely available. Emerging evidence base and increased uptake across multiple subspecialities has facilitated the adoption of this technology. POCUS is now widely available, relatively inexpensive, free of ionizing radiation, and can help providers make medical decisions with more precision. POCUS is not intended to replace the physical exam, but rather to complement clinical assessment, guiding providers to give thorough and accurate clinical care to their patients. We should be mindful of the nascent literature supporting the use of POCUS and other limitations as uptake increases among providers and be wary not to use POCUS to substitute clinical judgement, but integrate ultrasonographic findings carefully with history and clinical examination.

show abstract

“…There are some studies aimed at finding corelation between the central venous pressure and TAPSE [17] . However, so far, it has not been recommended to use TAPSE RV as a measurement of its preload or liquid sensitivity.…”

Section: Specificitymentioning

confidence: 99%

Value of Transthoracic Echocardiography in the Prediction of Post-spinal Anesthesia Hypotension

Gülaştı¹,

Gülaştı²,

Girgin³

et al. 2020

GKDA Derg

View full text Add to dashboard Cite

INTRODUCTION: Spinal Anesthesia (SA) can lead to hypotension due to sympathic denervation, which causes a reduction in venous return to the heart as a result of peripheral vasodilation and redistribution of intravascular blood. Transthoracic Echocardiography (TTE) is a noninvasive and easy-to-use method to visualize cardiac reserve and functions. We aimed to evaluate whether parameters attained via transthoracic echocardiography are predictive of development of post-SA hypotension. METHODS: Forty-two patients between the ages of 18 and 80, who would undergo inguinal hernia operation under SA, with ASA physical status I-II and had no clinically recognized cardiovascular disease, were included in the study. TTE was performed for each patient 30 minutes before the operation, and measurements were recorded along with the intraoperative hemodynamic parameters. RESULTS: There was a statistically significant difference between the medians of left ventricle end-diastolic diameter (LVEDD) (cm) according to the status of post-SA hypotension (p=0.003).Accordingly, median LVEDD of patients who did not develop hypotension was significantly larger compared with that of those who had hypotension. Similarly, a statistically significant difference emerged between the medians of right ventricular (RV) tricuspid annular plane systolic excursion (TAPSE) (cm) showing RV global function according to the status of post-SA hypotension (p=0.001). Accordingly, patients who did not have hypotension had a larger RV-TAPSE median compared with that of those who had hypotension. The difference between the medians of RV isovolumetric relaxation time (RV-IVRT), which is one of the indicators of RV diastolic functions was again statistically significant according to the status of post-SA hypotension (p=0.025). DISCUSSION AND CONCLUSION: TAPSE, RV-IVRT and LVEDD measured via preoperative TTE, can be significant parameters to predict the development of post-SA hypotension.

show abstract

Tricuspid annular plane systolic excursion and central venous pressure in mechanically ventilated critically ill patients

Cited by 8 publications

References 44 publications

Relationship between echocardiographic tricuspid annular plane systolic excursion and mortality in COVID‐19 patients: A Meta‐analysis

Relationship between echocardiographic tricuspid annular plane systolic excursion and mortality in COVID‐19 patients: A Meta‐analysis

Integrative Volume Status Assessment

Value of Transthoracic Echocardiography in the Prediction of Post-spinal Anesthesia Hypotension

Contact Info

Product

Resources

About