Value of Tissue Doppler Echocardiography in Children with Pulmonary Hypertension

Lammers, Astrid E.; Haworth, Sheila G.; Riley, Gillian; Maslin, Katie; Diller, Gerhard‐Paul; Marek, Jan

doi:10.1016/j.echo.2012.01.017

Cited by 51 publications

(48 citation statements)

References 35 publications

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“…There is a negative correlation between TAPSE score and PAP. It was observed that the score decreases in patients with high PAP [11]. In our study, MPAP values decreased in post-operation follow ups and this has been parallel to clinical recovery.…”

Section: Discussionsupporting

confidence: 51%

Should TAPSE Score be in the Forefront Following the Tricuspid Valve Replacement?

Simsek¹

2015

Ann Clin Anal Med

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ÖzetAmaç: Triküspid kapak hastalıkları sıklıkla romatizmal hastalıklardan etkilenmekte ve yetmezlik ile karşımıza çıkmaktadır. Çalışmamızda, Triküspid kapak replasmanı yapılan hastaların takiplerinde Tricuspid Annular Plane Systolic Excursion (TAPSE) skorunun yeri ve önemini araştırmak istedik. Gereç ve Yön-tem: 2011Yön-tem: -2013 yılları arasında Triküspid kapak replasmanı yapılan hastalar retrospektif olarak değerlendirildi. Çalışma grubumuzu reoperasyonlar ve ilk kez ameliyat olan hastalar oluşturuyordu. Hastaların hepsi operasyon sonrası farklı zamanlarda kontrollere çağrıldı. TAPSE skoru, New York Heart Association (NYHA) fonksiyonel sınıflaması, Mean Pulmonary Artery Pressure (MPAP), ejeksiyon fraksiyonu, ekokardiyografik diğer ölçüm parametreleri bakıla-rak klinik durum ile korelasyonları değerlendirildi. Bulgular: Operasyon sonrası takiplerde NYHA fonksiyonel kapasitesi ( operasyon öncesi 3,31±0,63, 1,83±0,83), TAPSE skoru (operasyon öncesi 17,38±3,15 mm; 12,53±4,8mm) ve MPAP (operasyon öncesi 35,53±14,72 mmHg; 30.3±11.2 mmHg) değerle-rine bakıldı. NYHA ve MPAP değerlerinde kliniğe paralel belirgin bir iyileşme saptanırken, TAPSE skorunda klinik ve diğer parametrelerin tersine gerileme olduğu görüldü. Tartışma: TAPSE skoru, operasyon öncesi mortalite ve morbiditeyi belirlemede önemli olmasına rağmen Triküspid kapak replasmanı yapı-lan hastaların takiplerinde çok etkili olmadığını gördük. Triküspid kapak replasmanı yapılan hastaların takiplerinde klinik durum ve diğer parametrelerin daha ön plana çıkması, skorun ise daha geri planda değerlendirilmesi gerektiğini düşünüyoruz. Anahtar KelimelerTriküspit Anüler Plan Sistolik Sapması; Sağ Ventriküler Fonksiyon; Triküspit Yetmezliği; Ekokardiyografi Abstract Aim: Tricuspid valve diseases are generally affected from rheumatismal diseases and it emerges by regurgitation. In our study, we aimed to search both the situation and importance of Tricuspid Annular Plane Systolic Excursion (TAPSE) score during the follow-up of patients who had undergone tricuspid valve replacement. Material and Method: Between the years of 2011-2013, the patients who were done tricuspid valve replacement have been evaluated retrospectively. Our group was made up of re-operated patients and the ones that were operated for the first time. TAPSE score, clinical classification of New York Heart Association (NYHA), Mean Pulmonary Artery Pressure (MPAP), ejection fractions, echocardiographic measure parameters were checked and their correlations with clinical conditions, were evaluated. Results: During the follow-up of these patients post operatively, functional capacity (before the operation 3.31±0.63; 1.83±0.83), TAPSE score (pre-operation 17.38±3.15mm; 12.53±4.8mm), MPAP (pre-operation 35,53±14,72 mmHg; 30.3±11.2 mmHg) values were evaluated. In the values of NYHA and MPAP, marked clinical improvement was detected in parallel with clinical situation; the decline in score of TAPSE was observed contrary to clinical and the other parameters. Discussion: Although the TAPSE score is important i...

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Section: Discussionsupporting

confidence: 51%

Should TAPSE Score be in the Forefront Following the Tricuspid Valve Replacement?

Simsek¹

2015

Ann Clin Anal Med

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“…RV TDI variables were found to correlate well with invasive pulmonary haemodynamics in patients with paediatric PH-CHD and were suggested to be useful variables in the follow-up of children with IPAH 35. TDI investigations of patients with paediatric PH revealed lower S′ and early diastolic (E) velocities at the tricuspid, septal and LV lateral wall compared with controls 36. In patients with paediatric PH, abnormalities in systolic and diastolic ventricular function were also identified and shown to be more prominent with older age 37.…”

Section: Methodsmentioning

confidence: 88%

Transthoracic echocardiography for the evaluation of children and adolescents with suspected or confirmed pulmonary hypertension. Expert consensus statement on the diagnosis and treatment of paediatric pulmonary hypertension. The European Paediatric Pulmonary Vascular Disease Network, endorsed by ISHLT and DGPK

Koestenberger

Apitz

Abdul‐Khaliq

et al. 2016

Heart

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“…2,3 Other echocardiographic indices of RV systolic performance, such as tricuspid annular plane systolic excursion (TAPSE) 4 and the myocardial performance index (MPI), 5 have shown promise as predictors of outcome in adults with PAH. 6,7 Prior studies have shown that children with PAH have significantly lower TAPSE 8 and higher (more abnormal) MPI. 9 RV stroke work (RVSW), which incorporates stroke volume and systolic pressure, may be more representative of both static and dynamic workload and therefore may be a determinant of RV failure and clinical outcomes.…”

mentioning

confidence: 97%

Echocardiographic Estimation of Right Ventricular Stroke Work in Children with Pulmonary Arterial Hypertension: Comparison with Invasive Measurements

Maria

Burkett

Younoszai

et al. 2015

Journal of the American Society of Echocardiography

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Value of Tissue Doppler Echocardiography in Children with Pulmonary Hypertension

Cited by 51 publications

References 35 publications

Should TAPSE Score be in the Forefront Following the Tricuspid Valve Replacement?

Should TAPSE Score be in the Forefront Following the Tricuspid Valve Replacement?

Echocardiographic Estimation of Right Ventricular Stroke Work in Children with Pulmonary Arterial Hypertension: Comparison with Invasive Measurements

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