Simple prediction of right ventricular ejection fraction using tricuspid annular plane systolic excursion in pulmonary hypertension
The present study examined whether tricuspid annular plane systolic excursion (TAPSE) can simply predict right ventricular ejection fraction (RVEF) in patients with pulmonary hypertension (PH). The TAPSE cut-off value to predict reduced RVEF was also evaluated. The association between TAPSE and card...
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Veröffentlicht in: | The International Journal of Cardiovascular Imaging 2013-12, Vol.29 (8), p.1799-1805 |
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creator | Sato, Takahiro Tsujino, Ichizo Oyama-Manabe, Noriko Ohira, Hiroshi Ito, Yoichi M. Sugimori, Hiroyuki Yamada, Asuka Takashina, Chisa Watanabe, Taku Nishimura, Masaharu |
description | The present study examined whether tricuspid annular plane systolic excursion (TAPSE) can simply predict right ventricular ejection fraction (RVEF) in patients with pulmonary hypertension (PH). The TAPSE cut-off value to predict reduced RVEF was also evaluated. The association between TAPSE and cardiac magnetic resonance imaging (CMRI)-derived RVEF was examined in 53 PH patients. The accuracy of the prediction equation to calculate RVEF using TAPSE was also evaluated. In PH patients, TAPSE was strongly correlated with CMRI-derived RVEF in PH patients (r = 0.86,
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p
< 0.0001). We then examined the accuracy of the two equations: the original regression equation (RVEF = 2.01 × TAPSE + 0.6) and the simplified prediction equation (RVEF = 2 × TAPSE). Bland–Altman plot showed that the mean difference ± limits of agreement was 0.0 ± 10.6 for the original equation and −0.6 ± 10.6 for the simplified equation. Intraclass correlation coefficient was 0.84 for the original and 0.82 for the simplified equation. Normal RVEF was considered to be ≥40 % based on the data from 53 matched controls, and the best TAPSE cut-off value to determine reduced RVEF (<40 %) was calculated to be 19.7 mm (sensitivity 88.9 %, specificity 84.6 %). A simple equation of RVEF = 2 × TAPSE enables easy prediction of RVEF using TAPSE, an easily measurable M-mode index of echocardiography. TAPSE of 19.7 mm predicts reduced RVEF in PH patients with clinically acceptable sensitivity and specificity.</description><identifier>ISSN: 1569-5794</identifier><identifier>EISSN: 1573-0743</identifier><identifier>EISSN: 1875-8312</identifier><identifier>DOI: 10.1007/s10554-013-0286-7</identifier><identifier>PMID: 24002782</identifier><identifier>CODEN: IJCIBI</identifier><language>eng</language><publisher>Dordrecht: Springer Netherlands</publisher><subject>Adult ; Cardiac Imaging ; Cardiology ; Female ; Humans ; Hypertension, Pulmonary - diagnostic imaging ; Hypertension, Pulmonary - physiopathology ; Imaging ; Magnetic Resonance Imaging ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Models, Biological ; Original Paper ; Predictive Value of Tests ; Prospective Studies ; Radiology ; Regression Analysis ; Reproducibility of Results ; Stroke Volume ; Systole ; Tricuspid Valve - diagnostic imaging ; Tricuspid Valve - physiopathology ; Ultrasonography ; Ventricular Dysfunction, Right - diagnostic imaging ; Ventricular Dysfunction, Right - physiopathology ; Ventricular Function, Right</subject><ispartof>The International Journal of Cardiovascular Imaging, 2013-12, Vol.29 (8), p.1799-1805</ispartof><rights>Springer Science+Business Media Dordrecht 2013</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c525t-8b12a1e30f5496327e4df18467f043af3fede83d3435d9c28b71e21678c27dc3</citedby><cites>FETCH-LOGICAL-c525t-8b12a1e30f5496327e4df18467f043af3fede83d3435d9c28b71e21678c27dc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10554-013-0286-7$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10554-013-0286-7$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24002782$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sato, Takahiro</creatorcontrib><creatorcontrib>Tsujino, Ichizo</creatorcontrib><creatorcontrib>Oyama-Manabe, Noriko</creatorcontrib><creatorcontrib>Ohira, Hiroshi</creatorcontrib><creatorcontrib>Ito, Yoichi M.</creatorcontrib><creatorcontrib>Sugimori, Hiroyuki</creatorcontrib><creatorcontrib>Yamada, Asuka</creatorcontrib><creatorcontrib>Takashina, Chisa</creatorcontrib><creatorcontrib>Watanabe, Taku</creatorcontrib><creatorcontrib>Nishimura, Masaharu</creatorcontrib><title>Simple prediction of right ventricular ejection fraction using tricuspid annular plane systolic excursion in pulmonary hypertension</title><title>The International Journal of Cardiovascular Imaging</title><addtitle>Int J Cardiovasc Imaging</addtitle><addtitle>Int J Cardiovasc Imaging</addtitle><description>The present study examined whether tricuspid annular plane systolic excursion (TAPSE) can simply predict right ventricular ejection fraction (RVEF) in patients with pulmonary hypertension (PH). The TAPSE cut-off value to predict reduced RVEF was also evaluated. The association between TAPSE and cardiac magnetic resonance imaging (CMRI)-derived RVEF was examined in 53 PH patients. The accuracy of the prediction equation to calculate RVEF using TAPSE was also evaluated. In PH patients, TAPSE was strongly correlated with CMRI-derived RVEF in PH patients (r = 0.86,
p
< 0.0001). We then examined the accuracy of the two equations: the original regression equation (RVEF = 2.01 × TAPSE + 0.6) and the simplified prediction equation (RVEF = 2 × TAPSE). Bland–Altman plot showed that the mean difference ± limits of agreement was 0.0 ± 10.6 for the original equation and −0.6 ± 10.6 for the simplified equation. Intraclass correlation coefficient was 0.84 for the original and 0.82 for the simplified equation. Normal RVEF was considered to be ≥40 % based on the data from 53 matched controls, and the best TAPSE cut-off value to determine reduced RVEF (<40 %) was calculated to be 19.7 mm (sensitivity 88.9 %, specificity 84.6 %). A simple equation of RVEF = 2 × TAPSE enables easy prediction of RVEF using TAPSE, an easily measurable M-mode index of echocardiography. TAPSE of 19.7 mm predicts reduced RVEF in PH patients with clinically acceptable sensitivity and specificity.</description><subject>Adult</subject><subject>Cardiac Imaging</subject><subject>Cardiology</subject><subject>Female</subject><subject>Humans</subject><subject>Hypertension, Pulmonary - diagnostic imaging</subject><subject>Hypertension, Pulmonary - physiopathology</subject><subject>Imaging</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Models, Biological</subject><subject>Original Paper</subject><subject>Predictive Value of Tests</subject><subject>Prospective Studies</subject><subject>Radiology</subject><subject>Regression Analysis</subject><subject>Reproducibility of Results</subject><subject>Stroke Volume</subject><subject>Systole</subject><subject>Tricuspid Valve - diagnostic imaging</subject><subject>Tricuspid Valve - physiopathology</subject><subject>Ultrasonography</subject><subject>Ventricular Dysfunction, Right - diagnostic imaging</subject><subject>Ventricular Dysfunction, Right - physiopathology</subject><subject>Ventricular Function, Right</subject><issn>1569-5794</issn><issn>1573-0743</issn><issn>1875-8312</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kUtLxDAUhYMovn-AGwm4cVPNs2mXIr5AcKH70ElvxgxtWpNWnLV_3NSqiOAqJ5zv3NxwEDqi5IwSos4jJVKKjFCeEVbkmdpAu1SqdFOCb046LzOpSrGD9mJcEUIYYXwb7TCRpCrYLnp_dG3fAO4D1M4MrvO4szi45fOAX8EPwZmxqQKGFcyuDdUsxuj8En8CsXc1rrz_JPum8oDjOg5d4wyGNzOGOAWcx_3YtJ2vwho_r3sIA_jJOUBbtmoiHH6d--jp-urp8ja7f7i5u7y4z4xkcsiKBWUVBU6sFGXOmQJRW1qIXFkieGW5hRoKXnPBZV0aViwUBUZzVRimasP30ek8tg_dywhx0K2LBppp326MmoqcciEFLRJ68gdddWPwablEybKUUimZKDpTJnQxBrC6D65Nv9OU6KkgPRekU0F6KkirlDn-mjwuWqh_Et-NJIDNQEyWX0L49fS_Uz8AiiWeNg</recordid><startdate>20131201</startdate><enddate>20131201</enddate><creator>Sato, Takahiro</creator><creator>Tsujino, Ichizo</creator><creator>Oyama-Manabe, Noriko</creator><creator>Ohira, Hiroshi</creator><creator>Ito, Yoichi M.</creator><creator>Sugimori, Hiroyuki</creator><creator>Yamada, Asuka</creator><creator>Takashina, Chisa</creator><creator>Watanabe, Taku</creator><creator>Nishimura, Masaharu</creator><general>Springer Netherlands</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M7Z</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>20131201</creationdate><title>Simple prediction of right ventricular ejection fraction using tricuspid annular plane systolic excursion in pulmonary hypertension</title><author>Sato, Takahiro ; Tsujino, Ichizo ; Oyama-Manabe, Noriko ; Ohira, Hiroshi ; Ito, Yoichi M. ; Sugimori, Hiroyuki ; Yamada, Asuka ; Takashina, Chisa ; Watanabe, Taku ; Nishimura, Masaharu</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c525t-8b12a1e30f5496327e4df18467f043af3fede83d3435d9c28b71e21678c27dc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adult</topic><topic>Cardiac Imaging</topic><topic>Cardiology</topic><topic>Female</topic><topic>Humans</topic><topic>Hypertension, Pulmonary - diagnostic imaging</topic><topic>Hypertension, Pulmonary - physiopathology</topic><topic>Imaging</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Models, Biological</topic><topic>Original Paper</topic><topic>Predictive Value of Tests</topic><topic>Prospective Studies</topic><topic>Radiology</topic><topic>Regression Analysis</topic><topic>Reproducibility of Results</topic><topic>Stroke Volume</topic><topic>Systole</topic><topic>Tricuspid Valve - diagnostic imaging</topic><topic>Tricuspid Valve - physiopathology</topic><topic>Ultrasonography</topic><topic>Ventricular Dysfunction, Right - diagnostic imaging</topic><topic>Ventricular Dysfunction, Right - physiopathology</topic><topic>Ventricular Function, Right</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sato, Takahiro</creatorcontrib><creatorcontrib>Tsujino, Ichizo</creatorcontrib><creatorcontrib>Oyama-Manabe, Noriko</creatorcontrib><creatorcontrib>Ohira, Hiroshi</creatorcontrib><creatorcontrib>Ito, Yoichi M.</creatorcontrib><creatorcontrib>Sugimori, Hiroyuki</creatorcontrib><creatorcontrib>Yamada, Asuka</creatorcontrib><creatorcontrib>Takashina, Chisa</creatorcontrib><creatorcontrib>Watanabe, Taku</creatorcontrib><creatorcontrib>Nishimura, Masaharu</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biochemistry Abstracts 1</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>The International Journal of Cardiovascular Imaging</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sato, Takahiro</au><au>Tsujino, Ichizo</au><au>Oyama-Manabe, Noriko</au><au>Ohira, Hiroshi</au><au>Ito, Yoichi M.</au><au>Sugimori, Hiroyuki</au><au>Yamada, Asuka</au><au>Takashina, Chisa</au><au>Watanabe, Taku</au><au>Nishimura, Masaharu</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Simple prediction of right ventricular ejection fraction using tricuspid annular plane systolic excursion in pulmonary hypertension</atitle><jtitle>The International Journal of Cardiovascular Imaging</jtitle><stitle>Int J Cardiovasc Imaging</stitle><addtitle>Int J Cardiovasc Imaging</addtitle><date>2013-12-01</date><risdate>2013</risdate><volume>29</volume><issue>8</issue><spage>1799</spage><epage>1805</epage><pages>1799-1805</pages><issn>1569-5794</issn><eissn>1573-0743</eissn><eissn>1875-8312</eissn><coden>IJCIBI</coden><abstract>The present study examined whether tricuspid annular plane systolic excursion (TAPSE) can simply predict right ventricular ejection fraction (RVEF) in patients with pulmonary hypertension (PH). The TAPSE cut-off value to predict reduced RVEF was also evaluated. The association between TAPSE and cardiac magnetic resonance imaging (CMRI)-derived RVEF was examined in 53 PH patients. The accuracy of the prediction equation to calculate RVEF using TAPSE was also evaluated. In PH patients, TAPSE was strongly correlated with CMRI-derived RVEF in PH patients (r = 0.86,
p
< 0.0001). We then examined the accuracy of the two equations: the original regression equation (RVEF = 2.01 × TAPSE + 0.6) and the simplified prediction equation (RVEF = 2 × TAPSE). Bland–Altman plot showed that the mean difference ± limits of agreement was 0.0 ± 10.6 for the original equation and −0.6 ± 10.6 for the simplified equation. Intraclass correlation coefficient was 0.84 for the original and 0.82 for the simplified equation. Normal RVEF was considered to be ≥40 % based on the data from 53 matched controls, and the best TAPSE cut-off value to determine reduced RVEF (<40 %) was calculated to be 19.7 mm (sensitivity 88.9 %, specificity 84.6 %). A simple equation of RVEF = 2 × TAPSE enables easy prediction of RVEF using TAPSE, an easily measurable M-mode index of echocardiography. TAPSE of 19.7 mm predicts reduced RVEF in PH patients with clinically acceptable sensitivity and specificity.</abstract><cop>Dordrecht</cop><pub>Springer Netherlands</pub><pmid>24002782</pmid><doi>10.1007/s10554-013-0286-7</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adult Cardiac Imaging Cardiology Female Humans Hypertension, Pulmonary - diagnostic imaging Hypertension, Pulmonary - physiopathology Imaging Magnetic Resonance Imaging Male Medicine Medicine & Public Health Middle Aged Models, Biological Original Paper Predictive Value of Tests Prospective Studies Radiology Regression Analysis Reproducibility of Results Stroke Volume Systole Tricuspid Valve - diagnostic imaging Tricuspid Valve - physiopathology Ultrasonography Ventricular Dysfunction, Right - diagnostic imaging Ventricular Dysfunction, Right - physiopathology Ventricular Function, Right |
title | Simple prediction of right ventricular ejection fraction using tricuspid annular plane systolic excursion in pulmonary hypertension |
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