scholarly journals Comparison of tricuspid annular plane systolic excursion with fractional area change for the evaluation of right ventricular systolic function: a meta-analysis

Open Heart ◽  
2018 ◽  
Vol 5 (1) ◽  
pp. e000667 ◽  
Author(s):  
Justin Z Lee ◽  
See-Wei Low ◽  
Ahmed K Pasha ◽  
Carol L Howe ◽  
Kwan S Lee ◽  
...  
Keyword(s):  
Right Ventricular ◽  
Systolic Function ◽  
Meta Analysis ◽  
Ventricular Systolic Function ◽  
Area Change ◽  
Fractional Area Change ◽  
Fractional Area ◽  
Right Ventricular Systolic Function

Abstract 16722: Comparison of Tricuspid Annular Plane Systolic Excursion to Fractional Area Change for Evaluation of Right Ventricular Systolic Function: Systematic Review and Meta-analysis

Circulation ◽  
2015 ◽  
Vol 132 (suppl_3) ◽  
Author(s):  
Justin Z Lee ◽  
See-Wei Low ◽  
Seongseok Yun ◽  
Parinita Dherange ◽  
Ankit A Desai ◽  
...  
Keyword(s):  
Ejection Fraction ◽  
Right Ventricular ◽  
Systolic Function ◽  
Meta Analysis ◽  
Correlation Coefficients ◽  
Right Ventricular Ejection Fraction ◽  
Ventricular Ejection Fraction ◽  
Area Change ◽  
Fractional Area Change ◽  
Fractional Area

Introduction: Right ventricular (RV) systolic function is prognostically important, but its assessment by echocardiography remains challenging. Tricuspid annular plane systolic excursion (TAPSE) and fractional area change (FAC) have been evaluated as echocardiographic indices for RV ejection fraction (RVEF), but their correlation with the gold-standard cardiac magnetic resonance imaging (CMRI) remains unclear. The aim of this meta-analysis is to pool and compare data from all studies that evaluated reliability of TAPSE and FAC in comparison to CMRI-derived RVEF. Hypothesis: We assessed the hypothesis that FAC is superior to TAPSE as an echocardiographic index for measurement of RV systolic function. Methods: A systematic literature search of 4493 potentially relevant citations from PubMed, and EMBASE databases yielded 25 eligible studies. The means of TAPSE and FAC, CMRI-derived RVEF, and correlation coefficients were pooled from each study for analysis. Results: A total of 25 studies were included in the final analysis, with a total of 1,858 patients who underwent 2D-echocardiography and cardiac MRI. FAC, compared to TAPSE, exhibited numerically superior correlation to CMRI RVEF (R2 = 0.63, and R2 = 0.15 respectively). Subgroup analysis revealed that FAC’s correlation was also numerically superior in patients with reduced right ventricular ejection fraction of less than 45% (R2 = 0.4 and R2 = 0.17, respectively). In patients with pulmonary hypertension (PH), TAPSE and FAC had mean correlation coefficients of 0.57±0.1 and 0.60±0.13, and were not statistically different (p=0.85). Conclusions: FAC is superior to TAPSE as an echocardiographic index for measurement of RV systolic function, even in patients with reduced right ventricular ejection fraction, but not in patients with PH. The adaptation to increased afterload of PH likely culminates in distinct and asymmetric patterns of RV dysfunction, which are not well assessed by FAC or TAPSE.

Abstract 12606: Meta-analysis of the Normal Ranges of Right Ventricular Strains by Echocardiography in Healthy Adults

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Tom Kai Ming Wang ◽  
Richard A Grimm ◽  
Leonardo L Rodriguez ◽  
Patrick H Collier ◽  
Brian P Griffin ◽  
...  
Keyword(s):  
Right Ventricular ◽  
Healthy Subjects ◽  
Meta Analysis ◽  
Area Change ◽  
Strain Measurements ◽  
Fractional Area Change ◽  
Factors Associated ◽  
Fractional Area ◽  
Normal Ranges ◽  
Longitudinal Strains

Background: Right ventricular (RV) systolic strain has been increasingly shown to be prognostic in some cardiovascular diseases. Despite this, the reference range including the lower limit of normal (LLN) and factors associated with RV strain measurements are not well-established. This meta-analysis aimed to determine the means and LLNs of two- (2D) and three-dimensional (3D) right ventricular global (RVGLS), free wall (RVFWLS) and septal wall (RVSWLS) longitudinal strains in healthy individuals and factors affecting strain measurements. Methods: Pubmed, Embase and Cochrane databases were searched until 31 December 2019 for eligible studies reporting RVGLS, RVFWLS and/or RVSWLS in at least 30 healthy subjects. We pooled the means and LLNs of RV strains by two- (2D) and three- (3D) dimensional echocardiography, and performed meta-regression analyses. Results: From 591 articles screened, 37 eligible studies totaling 2970 subjects were analyzed. Pooled means and LLNs (95% confidence intervals) for 2D- strains were RVGLS -23.3% (-24.3%, -22.3%) and -16.2% (-17.2%, -15.1%) in 22 studies; RVFWLS -27.2% (-28.5%, -25.9%) and 18.5% (-20.0%, -17.1%) in 23 studies; RVSWLS -20.4% (-22.0%, -18.9%) and -11.5% (-13.6%, -9.6%) in 10 studies; and similar results for 3D- RV strains (Table). Right ventricular fractional area change and vendor software were associated with 2D-RVGLS and RVFWLS means and LLNs. Conclusion: We reported the pooled means and LLNs of RV systolic strains in healthy subjects, to define thresholds for abnormal, borderline and normal strains. Important factors associated with RV systolic strains include right ventricular fractional area change and vendor software.

scholarly journals Defining the reference range for right ventricular systolic strain by echocardiography in healthy subjects: A meta-analysis

PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0256547
Author(s):  
Tom Kai Ming Wang ◽  
Richard A. Grimm ◽  
L. Leonardo Rodriguez ◽  
Patrick Collier ◽  
Brian P. Griffin ◽  
...  
Keyword(s):  
Right Ventricular ◽  
Healthy Subjects ◽  
Reference Range ◽  
Meta Analysis ◽  
Systolic Strain ◽  
Area Change ◽  
Strain Measurements ◽  
Fractional Area Change ◽  
Factors Associated ◽  
Fractional Area

Background Right ventricular (RV) systolic strain has recently demonstrated prognostic value in various cardiovascular diseases. Despite this, the reference range including the lower limit of normal (LLN) and factors associated with RV strain measurements are not well-established. This meta-analysis aimed to determine the mean and LLN of two- (2D) and three-dimensional (3D) right ventricular global (RVGLS), free wall (RVFWLS) and interventricular septal wall (IVSLS) longitudinal strains in healthy individuals and factors that affect strain measurements. Methods In this meta-analysis, Pubmed, Embase and Cochrane databases were searched until 31 July 2020 for eligible studies reporting RVGLS, RVFWLS and/or IVSLS in at least 30 healthy subjects. We pooled the means and LLNs of RV strains by two- (2D) and three- (3D) dimensional echocardiography, and performed meta-regression analyses. Results From 788 articles screened, 45 eligible studies totaling 4439 healthy subjects were eligible for analysis. Pooled means and LLNs with 95% confidence intervals for 2D- RV strains were RVGLS -23.4% (-24.2%, -22.6%) and -16.4% (-17.3%, -15.5%) in 27 studies; RVFWLS -26.9% (-28.0%, -25.9%) and -18.0% (-19.2%, -16.9%) in 32 studies; and IVSLS –20.4% (-22.0%, -18.9%) and -11.5% (-13.6%, -9.6%) in 10 studies, and similar results for 3D- RV strains. Right ventricular fractional area change and vendor software were associated with 2D-RVGLS and RVFWLS means and LLNs. Conclusion We reported the pooled means and LLNs of RV systolic strains in healthy subjects, to define thresholds for abnormal, borderline and normal strains. Important factors associated with RV systolic strains include right ventricular fractional area change and vendor software.

scholarly journals Right Ventricular Systolic Function in Organic Mitral Regurgitation

Circulation ◽  
2013 ◽  
Vol 127 (15) ◽  
pp. 1597-1608 ◽  
Author(s):  
Thierry Le Tourneau ◽  
Guillaume Deswarte ◽  
Nicolas Lamblin ◽  
Claude Foucher-Hossein ◽  
Georges Fayad ◽  
...  
Keyword(s):  
Mitral Regurgitation ◽  
Right Ventricular ◽  
Systolic Function ◽  
Ventricular Systolic Function ◽  
Right Ventricular Systolic Function

Clinical utility of right ventricular fractional area change in preterm infants

2016 ◽  
Vol 92 ◽  
pp. 19-23 ◽  
Author(s):  
Adam T. James ◽  
John David Corcoran ◽  
Orla Franklin ◽  
Afif Faisal EL-Khuffash
Keyword(s):  
Right Ventricular ◽  
Preterm Infants ◽  
Clinical Utility ◽  
Area Change ◽  
Fractional Area Change ◽  
Fractional Area
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