Value of Speckle Tracking for the Assessment of Right Ventricular Function in Patients Operated on for Tetralogy of Fallot. Comparison with Magnetic Resonance Imaging

Bernard, Yvette; Morel, Mathilde; Descotes-Genon, Vincent; Jehl, J.; Méneveau, Nicolas; Schiele, François

doi:10.1111/echo.12386

Cited by 30 publications

(22 citation statements)

References 41 publications

(50 reference statements)

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“…Previous research has revealed a strong correlation between 2DE‐derived RV strain and CMR‐derived RV volumes and RVEF in patients with operated tetralogy of Fallot . It is claimed that 2DE strain of free RV wall is a good predictor of life quality in these patients .…”

Section: Right‐ventricular Mechanicsmentioning

confidence: 99%

Multimodality Evaluation of the Right Ventricle: An Updated Review

Tadić

2015

Clinical Cardiology

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The assessment of the volumes, function, and mechanics of the right ventricle (RV) is very challenging because of the anatomical complexity of the RV. Because RV structure, function, and deformation are very important predictors of cardiovascular morbidity and mortality in patients with heart failure, pulmonary hypertension, congenital heart disease, or arrhythmogenic RV cardiomyopathy, it is of great importance to use an appropriate imaging modality that will provide all necessary information. In everyday clinical practice, 2-dimensional echocardiography (2DE) represents a method of first choice in RV evaluation. However, cardiac magnetic resonance (CMR) remained the gold standard for RV assessment. The development of new imaging tools, such as 3-dimensional echocardiography (3DE), provided reliable data, comparable with CMR, and opened a completely new era in RV imaging. So far, 3DE has shown good results in determination of RV volumes and systolic function, and there are indications that it will also provide valuable data about 3-dimensional RV mechanics, similar to CMR. Two-dimensional echocardiography-derived strain is currently widely used for the assessment of RV deformation, which has been proven to be a more significant predictor of functional capacity and survival than CMR-derived RV ejection fraction. The purpose of this review is to summarize currently available data about RV structure, function, and mechanics obtained by different imaging modalities, primarily 2DE and 3DE, and their comparison with CMR and cardiac computed tomography.

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Section: Right‐ventricular Mechanicsmentioning

confidence: 99%

Multimodality Evaluation of the Right Ventricle: An Updated Review

Tadić

2015

Clinical Cardiology

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“…It was difficult to have healthy controls undergo CMR examination, because of the high cost, the requirement for sedation in young children, and low availability. 38 However, as RVEDA and RVFAC measured by 2D echocardiography show linear correlation with RV volume and EF measured by CMR, 40 RVEDA and RVFAC are considered useful tools for assessing RV function in the clinical setting. 41 Third, this was a cross-sectional study, so to analyze the true effect of aging on LV deformation, a longitudinal follow-up study is needed.…”

Section: Study Limitationsmentioning

confidence: 99%

Mechanisms of Left Ventricular Dysfunction Assessed by Layer-Specific Strain Analysis in Patients With Repaired Tetralogy of Fallot

Yamada

Takahashi

Kobayashi

et al. 2017

Circ J

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importance of LV-RV interaction in patients who have undergone TOF repair. 8 Geva et al showed that lower LVEF and older age at repair were the strongest independent factors associated with impaired clinical status in long-term survivors of rTOF. 13 Recently, Diller et al showed that LV longitudinal dysfunction, such as impairment in longitudinal global strain and decreased mitral annular plane systolic excursion, were associated with an increased risk of sudden cardiac death and/or life threatening ventricular arrhythmias in patients with rTOF. 12 Therefore, the assessment of LV function in patients with TOF is crucial because it is the strongest determinant of a poor clinical outcome in these patients. Despite the importance of LV dysfunction, the mechanisms and time course of the development of LV dysfunction remain poorly understood. 14 Its mechanisms and time course in patients with rTOF are important because it has the potential to become T etralogy of Fallot (TOF) is the most prevalent form of cyanotic congenital heart disease. 1 Significant advances in the early management of TOF have dramatically improved the survival of TOF patients, 2 with current 30-year survival rates reaching 89%. 3 However, late ventricular dysfunction related to residual hemodynamic and electrophysiological abnormalities remains a problem, contributing to increasing morbidity and mortality rates beginning in the third decade of life. 2,4-6 Previous investigators assessing ventricular function in patients with repaired TOF (rTOF) have primarily focused on right ventricular (RV) mechanics and their interaction with pulmonary regurgitation (PR). 7-9 Moreover, the importance of left ventricular (LV) dysfunction as a risk factor for long-term adverse outcomes is increasingly acknowledged. (rTOF) is an important risk factor for adverse outcomes. The aim of this study was to assess the details and time course of such LV dysfunction using layer-specific strain analysis by echocardiography.

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“…They also reported that RV GLS continued to deteriorate in serial assessments despite preserved RV EF suggesting that regional wall-motion evaluations may detect early findings of subtle RV dysfunction. A recent study by Bernard et al7 reported decent correlation (r=.46) between RV GLS and CMR RV EF in adolescents and adults with enlarged RVs and decreased RV EF operated on for TOF in infancy. We have demonstrated similar good correlation of RV GLS and CMR RV EF in pediatric patients with repaired TOF with and without…”

mentioning

confidence: 93%

“…Simple, reproducible, and reliable echocardiographic tools for analyzing RV systolic function are needed to ensure appropriate timing of CMR and PVR. In a recent study, RV speckle tracking echocardiography (STE) demonstrated good correlation with CMR RV EF in adolescents and adults post TOF repair with RV dilation and decreased systolic function …”

Section: Introductionmentioning

confidence: 99%

“…In a recent study, RV speckle tracking echocardiography (STE) demonstrated good correlation with CMR RV EF in adolescents and adults post TOF repair with RV dilation and decreased systolic function. 7 The aim of this study was to evaluate the efficacy of global longitudinal strain (GLS) in the assessment of RV systolic function in pediatric patients with repaired tetralogy of Fallot compared to RV EF by CMR.…”

Section: Introductionmentioning

confidence: 99%

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