Usefulness of Isovolumic Acceleration and Tissue Doppler Echocardiographic Parameters for Predicting Postoperative Functional Recovery After Heart Valve Surgery

Tigen, Kürşat; Karaahmet, Tansu; Zencirkiran, Hicaz; Çevik, Cihan; Gürel, Emre; Fotbolcu, Hakan; Dündar, Cihan; Şaşmazel, Ahmet; Başaran, Yelda

doi:10.1016/s1885-5857(10)70092-x

Cited by 5 publications

(12 citation statements)

References 27 publications

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“…Vogel et al [3] in 2002 demonstrated in pigs that RV IVA is a measurement of RV contractile function unaffected by preload and afterload changes in a physiological range, and Kjaergaard et al [4] in 2006 confirmed it in humans. Furthermore, RV IVA has been evaluated in several settings: to predict functional recovery after heart valve surgery [5] or clinical outcomes in patients affected by pulmonary hypertension [6], to early diagnose RV dysfunction in patients with chronic obstructive pulmonary disease (COPD) [7,8], to evaluate the effects of levosimendan in acute decompensated HF [9] and to demonstrate (as well as RV strain) a correlation between improvement in RV systolic function and LV reverse remodelling after cardiac resynchronization therapy (CRT) [10]. However, IVA has been very rarely reported by those who studied TDI prognostic role in HF patients.…”

Section: Introductionmentioning

confidence: 99%

Prognostic value of RV isovolumic acceleration and tissue strain in moderate HFrEF

Sciatti

Vizzardi

Bonadei

et al. 2015

Eur J Clin Investigation

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Section: Introductionmentioning

confidence: 99%

Prognostic value of RV isovolumic acceleration and tissue strain in moderate HFrEF

Sciatti

Vizzardi

Bonadei

et al. 2015

Eur J Clin Investigation

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“…Right ventricular dysfunction is a well‐recognized complication of cardiopulmonary bypass surgery (CPB) in adults and may be a predictor of overall functional outcome after open heart surgery . In 1983, Rabinovitch et al .…”

mentioning

confidence: 99%

“…confirmed RV systolic and diastolic dysfunction with catheter measurements. During the last 4 decades, delayed recovery of RV wall motion post‐CPB has been documented using a variety of techniques including radionuclide studies, M‐mode echocardiographic analysis of tricuspid ring excursion and tissue Doppler echocardiography (TDI) with measurement of isovolumic contraction acceleration (IVA) . Diminished RV IVA in the early postoperative period predicted New York Heart Association function class at 6 months follow‐up in one study .…”

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confidence: 99%

Right Ventricular Wall‐Motion Changes after Infant Open Heart Surgery—A Tissue Doppler Study

et al. 2013

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“…The mean (SD) cardiopulmonary bypass time was 109 (44) min, and the mean (SD) cross-clamp time was 95 (30) min. The median [IQR] duration of ICU stay was 23 [19][20][21][22][23][24][25][26][27][28][29][30] hr. The median [IQR] time to discharge was 7 [6][7][8][9] days.…”

Section: Resultsmentioning

confidence: 99%

“…6,20 In a study examining IVA in patients undergoing isolated valve surgery (mitral, aortic, or combined), the authors found that in the mitral surgical subgroup (as in the others) the IVA was depressed for up to one month during the postoperative period compared to preoperative values. 21 By six months, the IVA recovered to preoperative values along with functional recovery. We found similar preoperative IVA values and found a marked reduction in IVA on day 2.…”

Section: Postoperative Iva Recoverymentioning

confidence: 90%

Early recovery of tricuspid annular isovolumic acceleration after mitral valve surgery – an observational study

Orman

Connelly

Albinmousa

et al. 2016

Can J Anesth/J Can Anesth

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Purpose Patients undergoing mitral valve surgery are at risk for right ventricular (RV) dysfunction resulting from increased left atrial pressure and increased pulmonary artery impedance. Measures of longitudinal measures of RV function, such as displacement, are commonly performed but have been shown to be depressed after cardiac surgery despite good patient recovery. The aim of this observational study was to assess the early perioperative time course of longitudinal transthoracic echocardiographic (TTE) markers of RV function in a patient population undergoing mitral valve surgery. Methods Twenty patients undergoing mitral valve surgery were enrolled in this observational study. Right ventricular longitudinal measurements (tricuspid annular plane systolic excursion [TAPSE], strain, annular velocity [S 0 ], and isovolumic acceleration [IVA]) were performed using TTE and colour Doppler imaging preoperatively (day 1) and postoperatively (days 2 and 6). Comparisons were made between the preoperative and postoperative measurements. Results Adequate echocardiographic imaging was obtained for all 20 patients. The TAPSE, strain, and S 0 measures remained depressed for up to one week (i.e., day 6) after surgery compared to preoperative values. The IVA was depressed on the first postoperative day (P [ 0.001), but by day 6 it was no different from the preoperative value (P = 0.37). The median [interquartile range] time to discharge from hospital was 7 [6-9] days. Conclusion Persistent, significant depression of longitudinal markers of RV function despite functional improvement (discharge from hospital) make it difficult to assess recovery during the early perioperative period. Isovolumic acceleration, a load-independent measure of contractility, might be a more reliable measure of early recovery in RV function in this patient population. RésuméObjectif Les patients subissant une chirurgie de valve mitrale courent le risque de dysfonction du ventricule droit (VD) résultant d'une augmentation de la pression auriculaire gauche et de l'impédance artérielle pulmonaire. Des mesures des mesures longitudinales de la fonction du VD, telles que le déplacement, sont fréquentes, mais il a été démontré qu'elles étaient diminuées après une chirurgie cardiaque malgré une bonne récupération du patient. L'objectif de cette étude observationnelle était d'évaluer le décours temporel périopératoire précoce des marqueurs longitudinaux de l'échocardiographie transthoracique (ETT) de la fonction VD dans une population de patients subissant une chirurgie de valve mitrale.This study was approved by the St Michael's hospital IRB.

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Usefulness of Isovolumic Acceleration and Tissue Doppler Echocardiographic Parameters for Predicting Postoperative Functional Recovery After Heart Valve Surgery

Cited by 5 publications

References 27 publications

Prognostic value of RV isovolumic acceleration and tissue strain in moderate HFrEF

Prognostic value of RV isovolumic acceleration and tissue strain in moderate HFrEF

Right Ventricular Wall‐Motion Changes after Infant Open Heart Surgery—A Tissue Doppler Study

Early recovery of tricuspid annular isovolumic acceleration after mitral valve surgery – an observational study

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