Two-dimensional Echocardiographic Assessment of the Right Ventricle in Patients with Chronic Obstructive Lung Disease

Danchin, Nicolás; Cornette, A.; Henriquez, A.; Godenir, Jean P.; Ethévenot, G; Polu, J. M.; Sadoul, P

doi:10.1378/chest.92.2.229

Cited by 54 publications

(29 citation statements)

References 11 publications

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“…Furthermore, while the left ventricular cavity approximates to an ellipsoid model in healthy subjects, the RV is considerably more complex. The fact that the chamber poorly approximates to any convenient geometric model means that volume calculated with these models only crudely represents true volume [3][4][5]. Also, myocardial fibre architecture of the left and right ventricles is fundamentally different.…”

Section: Discussionmentioning

confidence: 99%

“…All invasive and noninvasive techniques evaluating RV performance have important limitations due to the complex geometry of the right ventricle [3][4][5][6][7][8][9][10][11][12][13][14][15]. The introduction of Doppler measurement of myocardial wall velocities (tissue Doppler imaging; TDI) and the recently developed strain rate imaging (SRI) technique have made a more adequate assessment of global and regional systolic and diastolic RV function possible [16][17][18][19][20][21][22][23].…”

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confidence: 99%

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Assessment of right ventricular function by strain rate imaging in chronic obstructive pulmonary disease

Vitarelli

Conde

Cimino

et al. 2006

European Respiratory Journal

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The purpose of the current study was to compare right ventricular (RV) myocardial wall velocities (tissue Doppler imaging) and strain rate imaging (SRI) parameters with conventional echocardiographic indices evaluating RV function in chronic obstructive pulmonary disease (COPD) patients.In total, 39 patients with COPD and 22 healthy subjects were included in the current study. Seventeen patients had pulmonary artery pressure ,35 mmHg (group I) and 22 patients had pulmonary artery pressure .35 mmHg (group II). Tissue Doppler imaging, strain and strain rate (SR) values were obtained from RV free wall (FW) and interventricular septum. Respiratory function tests were performed (forced expiratory volume in one second/vital capacity (FEV1/VC) and carbon monoxide diffusion lung capacity per unit of alveolar volume (DL,CO/VA)).Strain/SR values were reduced in all segments of group II patients compared with group I patients and controls with lowest values at basal FW site. A significant relationship was shown between peak systolic SR at basal FW site and radionuclide RV ejection fraction. A significant relationship was shown between peak systolic SR at basal FW site and DL,CO/VA and FEV1/VC.In conclusion, in chronic obstructive pulmonary disease patients, strain rate imaging parameters can determine right ventricular dysfunction that is complementary to conventional echocardiographic indices and is correlated with pulmonary hypertension and respiratory function tests.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Assessment of right ventricular function by strain rate imaging in chronic obstructive pulmonary disease

Vitarelli

Conde

Cimino

et al. 2006

European Respiratory Journal

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“…Such methods took advantage of the detectable consequences of right ventricular pressure overload on right ventricular morphology and function. For example, echocardiographic measurement of right ventricular enddiastolic dimension indexed for body surface area was reported to correlate with P pa in patients with chronic PH, but this correlation was not sufficiently robust to allow for Ppa estimation in individual patients [2][3][4]. Moreover, right ventricular dilation could be caused by its primary failure or increased preload.…”

Section: Diagnostic Value Of Echocardiography and Its Role In Screenimentioning

confidence: 99%

The role of echocardiography in the diagnosis and management of patients with pulmonary hypertension

Habib¹,

Torbicki²

2010

European Respiratory Review

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Pulmonary hypertension (PH) is defined as an increased mean pulmonary artery pressure (Ppa) .25 mmHg at rest as assessed by right heart catheterisation (RHC). However, this technique is invasive and noninvasive alternatives are desirable for early diagnosis of PH. Although estimation of systolic pulmonary arterial pressure is easily obtained using Doppler echocardiography, cases of under-and over-estimations are not rare and direct measurement of Ppa is not possible using this method. Therefore, echocardiography should be considered as a tool for assessment of the likelihood rather than the definite presence or absence of PH. Transthoracic echocardiography may be useful for noninvasive screening of patients at risk of PH. On the basis of an echocardiographic assessment, patients showing signs suggestive of PH can be referred for a confirmatory RHC. A number of variables measured during echocardiography reflect the morphological and functional consequences of PH and have prognostic value. The presence of pericardial effusion, reduced tricuspid annular plane excursion and right atrial enlargement are associated with a poorer prognosis. Echocardiography is also an important procedure for monitoring the response of patients to therapy, and is recommended 3-4 months after initiation of, or a change in, therapy. Echocardiographic assessment as part of a goal-oriented approach to therapy is essential for the effective management of PH patients.

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“…Doppler method of formula estimation of PA pressure using the velocity of tricuspid regurgitation in pulmonary diseases is considered the most convenient one (3). 11,3±2,9 (7,(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)8) 13,5±5,1 (6,(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)1) 9,6±3,61 (4,(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)3) 28,9±3,6 (22-33) Table 5. Echocardiographic results in COPD patients according to cardiac and respiratory status * -p < 0,001; -p < 0,01; -p < 0,02; ∆ -p < 0,05; NS -not significant Controlled AF does not change statistically these parameters in comparison with PH patients.…”

Section: Discussionmentioning

confidence: 99%

“…In the present study, inclusion criteria were history of bronchitis, emphysema on x-ray, physical findings of crackles and wheezing, acidbase status and spirometry (4). Exclusion criteria were hypertension, myocardial infarction, angina pectoris, acquired and congenital cardiac defects.…”

Section: Methodsmentioning

confidence: 99%

Subxiphoid echocardiographic evaluation of right heart function in patients with chronic obstructive pulmonary disease

Kanazirev

Georgieva

2013

SSM

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Two-dimensional Echocardiographic Assessment of the Right Ventricle in Patients with Chronic Obstructive Lung Disease

Cited by 54 publications

References 11 publications

Assessment of right ventricular function by strain rate imaging in chronic obstructive pulmonary disease

Assessment of right ventricular function by strain rate imaging in chronic obstructive pulmonary disease

The role of echocardiography in the diagnosis and management of patients with pulmonary hypertension

Subxiphoid echocardiographic evaluation of right heart function in patients with chronic obstructive pulmonary disease

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