OBJECTIVE: Echocardiographic recording of the tricuspid annular plane systolic excursion (TAPSE) has been recommended for assessing right ventricular function in cardiac patients. The ability of TAPSE to reflect right ventricular function at baseline and to monitor acute changes in right ventricular function was tested in critically ill patients. DESIGN: Prospective study. SETTING: A 24-bed medical intensive care unit. PATIENTS: Eighty-six patients admitted for acute respiratory failure, circulatory failure, or coma. INTERVENTIONS: In 40 patients, the examination was repeated after volume expansion (n = 15), passive leg raising (n = 5), or dobutamine infusion (n = 20). MEASUREMENTS AND RESULTS: The right ventricular fractional area change, TAPSE, the left ventricular ejection fraction, and the ratio of right to left ventricular end-diastolic area were measured using Doppler echocardiography. In the overall population, TAPSE (19+/-5 mm) was positively related to left ventricular ejection fraction (r2 = 0.31, p < 0.001) and right ventricular fractional area change and was negatively related to age and to the ratio of right to left ventricular end-diastolic area. Multivariate analysis indicated that only left ventricular ejection fraction and age were independently related to TAPSE (multiple r2 = 0.36, p < 0.001). Following dynamic interventions, the changes in TAPSE were linearly related to changes in left ventricular ejection fraction (r2 = 0.65, p < 0.01) but notto changes in the right ventricular fractional area change. CONCLUSIONS: Unexpectedly, TAPSE was more strongly related to left ventricular ejection fraction than to indices of right ventricular function in critically ill patients. The potential interest of TAPSE as a dynamic marker of left ventricular systolic function deserves further study.
OBJECTIVE: Echocardiographic recording of the tricuspid annular plane systolic excursion (TAPSE) has been recommended for assessing right ventricular function in cardiac patients. The ability of TAPSE to reflect right ventricular function at baseline and to monitor acute changes in right ventricular function was tested in critically ill patients. DESIGN: Prospective study. SETTING: A 24-bed medical intensive care unit. PATIENTS: Eighty-six patients admitted for acute respiratory failure, circulatory failure, or coma. INTERVENTIONS: In 40 patients, the examination was repeated after volume expansion (n = 15), passive leg raising (n = 5), or dobutamine infusion (n = 20). MEASUREMENTS AND RESULTS: The right ventricular fractional area change, TAPSE, the left ventricular ejection fraction, and the ratio of right to left ventricular end-diastolic area were measured using Doppler echocardiography. In the overall population, TAPSE (19+/-5 mm) was positively related to left ventricular ejection fraction (r2 = 0.31, p < 0.001) and right ventricular fractional area change and was negatively related to age and to the ratio of right to left ventricular end-diastolic area. Multivariate analysis indicated that only left ventricular ejection fraction and age were independently related to TAPSE (multiple r2 = 0.36, p < 0.001). Following dynamic interventions, the changes in TAPSE were linearly related to changes in left ventricular ejection fraction (r2 = 0.65, p < 0.01) but notto changes in the right ventricular fractional area change. CONCLUSIONS: Unexpectedly, TAPSE was more strongly related to left ventricular ejection fraction than to indices of right ventricular function in critically ill patients. The potential interest of TAPSE as a dynamic marker of left ventricular systolic function deserves further study.
Authors: Darryl Miller; Michel G Farah; Anna Liner; Keith Fox; Mark Schluchter; Brian D Hoit Journal: J Am Soc Echocardiogr Date: 2004-05 Impact factor: 5.251
Authors: Paul R Forfia; Micah R Fisher; Stephen C Mathai; Traci Housten-Harris; Anna R Hemnes; Barry A Borlaug; Elzbieta Chamera; Mary C Corretti; Hunter C Champion; Theodore P Abraham; Reda E Girgis; Paul M Hassoun Journal: Am J Respir Crit Care Med Date: 2006-08-03 Impact factor: 21.405
Authors: A Vieillard-Baron; J M Schmitt; R Augarde; J L Fellahi; S Prin; B Page; A Beauchet; F Jardin Journal: Crit Care Med Date: 2001-08 Impact factor: 7.598
Authors: S Ghio; F Recusani; C Klersy; R Sebastiani; M L Laudisa; C Campana; A Gavazzi; L Tavazzi Journal: Am J Cardiol Date: 2000-04-01 Impact factor: 2.778
Authors: Xavier Monnet; Mario Rienzo; David Osman; Nadia Anguel; Christian Richard; Michael R Pinsky; Jean-Louis Teboul Journal: Crit Care Med Date: 2006-05 Impact factor: 7.598
Authors: Massimo Antonelli; Elie Azoulay; Marc Bonten; Jean Chastre; Giuseppe Citerio; Giorgio Conti; Daniel De Backer; François Lemaire; Herwig Gerlach; Johan Groeneveld; Goran Hedenstierna; Duncan Macrae; Jordi Mancebo; Salvatore M Maggiore; Alexandre Mebazaa; Philipp Metnitz; Jerme Pugin; Jan Wernerman; Haibo Zhang Journal: Intensive Care Med Date: 2008-01-31 Impact factor: 17.440
Authors: Martin Koestenberger; Mark K Friedberg; Eirik Nestaas; Ina Michel-Behnke; Georg Hansmann Journal: Pulm Circ Date: 2016-03 Impact factor: 3.017
Authors: Stephen J Huang; Marek Nalos; Louise Smith; Arvind Rajamani; Anthony S McLean Journal: Intensive Care Med Date: 2018-05-22 Impact factor: 17.440
Authors: Martin Koestenberger; Bert Nagel; William Ravekes; Allen D Everett; Hans Peter Stueger; Bernd Heinzl; Erich Sorantin; Gerhard Cvirn; Andreas Gamillscheg Journal: Clin Res Cardiol Date: 2010-09-12 Impact factor: 5.460
Authors: Vasilios E Papaioannou; Dimitrios A Stakos; Christos K Dragoumanis; Ioannis A Pneumatikos Journal: BMC Cardiovasc Disord Date: 2010-05-17 Impact factor: 2.298
Authors: Lill Bergenzaun; Petri Gudmundsson; Hans Öhlin; Joachim Düring; Anders Ersson; Lilian Ihrman; Ronnie Willenheimer; Michelle S Chew Journal: Crit Care Date: 2011-08-16 Impact factor: 9.097