Echocardiogram Versus Cardiac Magnetic Resonance Imaging for Assessing Systolic Function of Subaortic Right Ventricle in Adults With Complete Transposition of Great Arteries and Previous Atrial Switch Operation
In adults with congenital heart disease and a systemic right ventricle, subaortic ventricular systolic dysfunction is common. Echocardiographic assessment of systolic right ventricular (RV) function in these patients is important but challenging. The aim of the present study was to assess the reliab...
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| Veröffentlicht in: | The American journal of cardiology 2013-03, Vol.111 (6), p.908-913 |
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| creator | Khattab, Kerstin, MD Schmidheiny, Pascal, MD Wustmann, Kerstin, MD Wahl, Andreas, MD Seiler, Christian, MD Schwerzmann, Markus, MD |
| description | In adults with congenital heart disease and a systemic right ventricle, subaortic ventricular systolic dysfunction is common. Echocardiographic assessment of systolic right ventricular (RV) function in these patients is important but challenging. The aim of the present study was to assess the reliability of conventional echocardiographic RV functional parameters to quantify the systolic performance of a subaortic right ventricle. We compared 56 contemporary echocardiograms and cardiac magnetic resonance studies in 37 adults, aged 26.9 ± 7.4 years, with complete transposition and a subaortic right ventricle. The fractional area change (FAC), lateral tricuspid annular plane systolic excursion, lateral RV systolic motion velocities by tissue Doppler, RV myocardial performance index, and the rate of systolic RV pressure increase (dp/dt) measured across the tricuspid regurgitant jet were assessed by echocardiography and correlated with the cardiac magnetic resonance-derived RV ejection fraction (EF). The mean RVEF was 48.0 ± 7.8%. FAC (r2 = 0.206, p = 0.001) and dp/dt (r2 = 0.173, p = 0.009) significantly correlated with RVEF, and the other nongeometric echocardiographic parameters failed to show a significant correlation with RVEF by linear regression analysis. FAC |
| doi_str_mv | 10.1016/j.amjcard.2012.11.044 |
| format | Article |
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Echocardiographic assessment of systolic right ventricular (RV) function in these patients is important but challenging. The aim of the present study was to assess the reliability of conventional echocardiographic RV functional parameters to quantify the systolic performance of a subaortic right ventricle. We compared 56 contemporary echocardiograms and cardiac magnetic resonance studies in 37 adults, aged 26.9 ± 7.4 years, with complete transposition and a subaortic right ventricle. The fractional area change (FAC), lateral tricuspid annular plane systolic excursion, lateral RV systolic motion velocities by tissue Doppler, RV myocardial performance index, and the rate of systolic RV pressure increase (dp/dt) measured across the tricuspid regurgitant jet were assessed by echocardiography and correlated with the cardiac magnetic resonance-derived RV ejection fraction (EF). The mean RVEF was 48.0 ± 7.8%. FAC (r2 = 0.206, p = 0.001) and dp/dt (r2 = 0.173, p = 0.009) significantly correlated with RVEF, and the other nongeometric echocardiographic parameters failed to show a significant correlation with RVEF by linear regression analysis. FAC <33% and dp/dt <1,000 mm Hg/s identified a RVEF of <50% with a sensitivity of 77% and 69% and a specificity of 58% and 87%, respectively. In conclusion, in patients with a systemic right ventricle, routine nongeometric echocardiographic parameters of RV function correlated weakly with cardiac magnetic resonance-derived EF. RV FAC and the measurement of the rate of systolic RV pressure increase (dp/dt) should be preferentially used to assess systemic systolic function in adult patients with a subaortic right ventricle.</description><identifier>ISSN: 0002-9149</identifier><identifier>EISSN: 1879-1913</identifier><identifier>DOI: 10.1016/j.amjcard.2012.11.044</identifier><identifier>PMID: 23276471</identifier><identifier>CODEN: AJCDAG</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Cardiac Surgical Procedures ; Cardiology ; Cardiovascular ; Cardiovascular disease ; Echocardiography, Doppler - methods ; Female ; Heart ; Heart Atria - surgery ; Heart attacks ; Humans ; Linear Models ; Magnetic Resonance Imaging - methods ; Male ; Middle Aged ; Regression Analysis ; Reproducibility of Results ; ROC Curve ; Sensitivity and Specificity ; Systole ; Transposition of Great Vessels - diagnostic imaging ; Transposition of Great Vessels - physiopathology ; Transposition of Great Vessels - surgery ; Veins & arteries ; Ventricular Dysfunction, Right - diagnostic imaging ; Ventricular Dysfunction, Right - physiopathology ; Ventricular Dysfunction, Right - surgery</subject><ispartof>The American journal of cardiology, 2013-03, Vol.111 (6), p.908-913</ispartof><rights>Elsevier Inc.</rights><rights>2013 Elsevier Inc.</rights><rights>Copyright © 2013 Elsevier Inc. All rights reserved.</rights><rights>Copyright Elsevier Limited Mar 1, 2013</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c448t-c7df02762d0feab8eaca47a97c023e36259cfb8f579f1b906b28df71cf11a4b43</citedby><cites>FETCH-LOGICAL-c448t-c7df02762d0feab8eaca47a97c023e36259cfb8f579f1b906b28df71cf11a4b43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0002914912024782$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23276471$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Khattab, Kerstin, MD</creatorcontrib><creatorcontrib>Schmidheiny, Pascal, MD</creatorcontrib><creatorcontrib>Wustmann, Kerstin, MD</creatorcontrib><creatorcontrib>Wahl, Andreas, MD</creatorcontrib><creatorcontrib>Seiler, Christian, MD</creatorcontrib><creatorcontrib>Schwerzmann, Markus, MD</creatorcontrib><title>Echocardiogram Versus Cardiac Magnetic Resonance Imaging for Assessing Systolic Function of Subaortic Right Ventricle in Adults With Complete Transposition of Great Arteries and Previous Atrial Switch Operation</title><title>The American journal of cardiology</title><addtitle>Am J Cardiol</addtitle><description>In adults with congenital heart disease and a systemic right ventricle, subaortic ventricular systolic dysfunction is common. Echocardiographic assessment of systolic right ventricular (RV) function in these patients is important but challenging. The aim of the present study was to assess the reliability of conventional echocardiographic RV functional parameters to quantify the systolic performance of a subaortic right ventricle. We compared 56 contemporary echocardiograms and cardiac magnetic resonance studies in 37 adults, aged 26.9 ± 7.4 years, with complete transposition and a subaortic right ventricle. The fractional area change (FAC), lateral tricuspid annular plane systolic excursion, lateral RV systolic motion velocities by tissue Doppler, RV myocardial performance index, and the rate of systolic RV pressure increase (dp/dt) measured across the tricuspid regurgitant jet were assessed by echocardiography and correlated with the cardiac magnetic resonance-derived RV ejection fraction (EF). The mean RVEF was 48.0 ± 7.8%. FAC (r2 = 0.206, p = 0.001) and dp/dt (r2 = 0.173, p = 0.009) significantly correlated with RVEF, and the other nongeometric echocardiographic parameters failed to show a significant correlation with RVEF by linear regression analysis. FAC <33% and dp/dt <1,000 mm Hg/s identified a RVEF of <50% with a sensitivity of 77% and 69% and a specificity of 58% and 87%, respectively. In conclusion, in patients with a systemic right ventricle, routine nongeometric echocardiographic parameters of RV function correlated weakly with cardiac magnetic resonance-derived EF. RV FAC and the measurement of the rate of systolic RV pressure increase (dp/dt) should be preferentially used to assess systemic systolic function in adult patients with a subaortic right ventricle.</description><subject>Adult</subject><subject>Cardiac Surgical Procedures</subject><subject>Cardiology</subject><subject>Cardiovascular</subject><subject>Cardiovascular disease</subject><subject>Echocardiography, Doppler - methods</subject><subject>Female</subject><subject>Heart</subject><subject>Heart Atria - surgery</subject><subject>Heart attacks</subject><subject>Humans</subject><subject>Linear Models</subject><subject>Magnetic Resonance Imaging - methods</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Regression Analysis</subject><subject>Reproducibility of Results</subject><subject>ROC Curve</subject><subject>Sensitivity and Specificity</subject><subject>Systole</subject><subject>Transposition of Great Vessels - diagnostic imaging</subject><subject>Transposition of Great Vessels - 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Academic</collection><jtitle>The American journal of cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Khattab, Kerstin, MD</au><au>Schmidheiny, Pascal, MD</au><au>Wustmann, Kerstin, MD</au><au>Wahl, Andreas, MD</au><au>Seiler, Christian, MD</au><au>Schwerzmann, Markus, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Echocardiogram Versus Cardiac Magnetic Resonance Imaging for Assessing Systolic Function of Subaortic Right Ventricle in Adults With Complete Transposition of Great Arteries and Previous Atrial Switch Operation</atitle><jtitle>The American journal of cardiology</jtitle><addtitle>Am J Cardiol</addtitle><date>2013-03-15</date><risdate>2013</risdate><volume>111</volume><issue>6</issue><spage>908</spage><epage>913</epage><pages>908-913</pages><issn>0002-9149</issn><eissn>1879-1913</eissn><coden>AJCDAG</coden><abstract>In adults with congenital heart disease and a systemic right ventricle, subaortic ventricular systolic dysfunction is common. Echocardiographic assessment of systolic right ventricular (RV) function in these patients is important but challenging. The aim of the present study was to assess the reliability of conventional echocardiographic RV functional parameters to quantify the systolic performance of a subaortic right ventricle. We compared 56 contemporary echocardiograms and cardiac magnetic resonance studies in 37 adults, aged 26.9 ± 7.4 years, with complete transposition and a subaortic right ventricle. The fractional area change (FAC), lateral tricuspid annular plane systolic excursion, lateral RV systolic motion velocities by tissue Doppler, RV myocardial performance index, and the rate of systolic RV pressure increase (dp/dt) measured across the tricuspid regurgitant jet were assessed by echocardiography and correlated with the cardiac magnetic resonance-derived RV ejection fraction (EF). The mean RVEF was 48.0 ± 7.8%. FAC (r2 = 0.206, p = 0.001) and dp/dt (r2 = 0.173, p = 0.009) significantly correlated with RVEF, and the other nongeometric echocardiographic parameters failed to show a significant correlation with RVEF by linear regression analysis. FAC <33% and dp/dt <1,000 mm Hg/s identified a RVEF of <50% with a sensitivity of 77% and 69% and a specificity of 58% and 87%, respectively. In conclusion, in patients with a systemic right ventricle, routine nongeometric echocardiographic parameters of RV function correlated weakly with cardiac magnetic resonance-derived EF. RV FAC and the measurement of the rate of systolic RV pressure increase (dp/dt) should be preferentially used to assess systemic systolic function in adult patients with a subaortic right ventricle.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>23276471</pmid><doi>10.1016/j.amjcard.2012.11.044</doi><tpages>6</tpages></addata></record> |
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| subjects | Adult Cardiac Surgical Procedures Cardiology Cardiovascular Cardiovascular disease Echocardiography, Doppler - methods Female Heart Heart Atria - surgery Heart attacks Humans Linear Models Magnetic Resonance Imaging - methods Male Middle Aged Regression Analysis Reproducibility of Results ROC Curve Sensitivity and Specificity Systole Transposition of Great Vessels - diagnostic imaging Transposition of Great Vessels - physiopathology Transposition of Great Vessels - surgery Veins & arteries Ventricular Dysfunction, Right - diagnostic imaging Ventricular Dysfunction, Right - physiopathology Ventricular Dysfunction, Right - surgery |
| title | Echocardiogram Versus Cardiac Magnetic Resonance Imaging for Assessing Systolic Function of Subaortic Right Ventricle in Adults With Complete Transposition of Great Arteries and Previous Atrial Switch Operation |
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