Echocardiographic assessment of right ventricular function and right ventriculoarterial coupling in tricuspid regurgitation
Echocardiographic evaluation of the cardiopulmonary unit is difficult in case of tricuspid regurgitation (TR) and combined echocardiographic parameters could be useful. This study aimed to assess the variation of simple and combined echocardiographic parameters analysing the cardiopulmonary unit acc...
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| Veröffentlicht in: | The international journal of cardiovascular imaging 2024-11, Vol.40 (11), p.2247-2259 |
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| creator | Trousselle, Louise Eggenspieler, Florian Huttin, Olivier Pace, Nathalie Nazeyrollas, Pierre Faroux, Laurent Filippetti, Laura Fraix, Antoine Carquin, Bastien Metz, Damien Selton-Suty, Christine |
| description | Echocardiographic evaluation of the cardiopulmonary unit is difficult in case of tricuspid regurgitation (TR) and combined echocardiographic parameters could be useful. This study aimed to assess the variation of simple and combined echocardiographic parameters analysing the cardiopulmonary unit according to the severity of TR. TR was graded according to Hahn’s classification in 179 patients. Classical morphological, function and load parameters analysing right ventricle were assessed. Combined parameters of function and load; morphology and load; and morphology-load-function index were calculated. We used ROC curve analysis to analyze the diagnostic value of echocardiographic parameters to predict potential high or low surgical risk of mortality according to TRISCORE in 82 patients. Simple parameters were significatively different among groups with a nonlinear progression between the 5 levels of severity of TR. Combined parameters were also significatively different among groups. Among them, myomechanical index (MMI = RV-RA mean pressure gradient x RVFWS/indexed RAED area × 10
–2
) and morphology-load-function index (MLF = RVED length/area x TR TVI x RVFWS) had a linear progression between the 5 groups and had the best predictive value for TRISCORE high and low risk. Combined parameters are relevant to evaluate cardiopulmonary unit in patients with various degrees of TR, especially when combining morphology, function, and load parameters, and are potentially interesting in their prognostic assessment, as shown by the good predictive value for TRISCORE risk.
Graphical abstract |
| doi_str_mv | 10.1007/s10554-024-03215-7 |
| format | Article |
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–2
) and morphology-load-function index (MLF = RVED length/area x TR TVI x RVFWS) had a linear progression between the 5 groups and had the best predictive value for TRISCORE high and low risk. Combined parameters are relevant to evaluate cardiopulmonary unit in patients with various degrees of TR, especially when combining morphology, function, and load parameters, and are potentially interesting in their prognostic assessment, as shown by the good predictive value for TRISCORE risk.
Graphical abstract</description><identifier>ISSN: 1875-8312</identifier><identifier>ISSN: 1569-5794</identifier><identifier>EISSN: 1875-8312</identifier><identifier>EISSN: 1573-0743</identifier><identifier>DOI: 10.1007/s10554-024-03215-7</identifier><identifier>PMID: 39225749</identifier><language>eng</language><publisher>Dordrecht: Springer Netherlands</publisher><subject>Aged ; Aged, 80 and over ; Area Under Curve ; Atrial Function, Right ; Cardiac Imaging ; Cardiology ; Echocardiography, Doppler ; Evaluation ; Female ; Heart ; Humans ; Imaging ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Morphology ; Original Paper ; Parameters ; Predictive Value of Tests ; Prognosis ; Radiology ; Regurgitation ; Reproducibility of Results ; Retrospective Studies ; Risk Factors ; Severity of Illness Index ; Tricuspid Valve - diagnostic imaging ; Tricuspid Valve - physiopathology ; Tricuspid Valve Insufficiency - diagnostic imaging ; Tricuspid Valve Insufficiency - physiopathology ; Ventricular Dysfunction, Right - diagnostic imaging ; Ventricular Dysfunction, Right - etiology ; Ventricular Dysfunction, Right - physiopathology ; Ventricular Function, Right</subject><ispartof>The international journal of cardiovascular imaging, 2024-11, Vol.40 (11), p.2247-2259</ispartof><rights>The Author(s), under exclusive licence to Springer Nature B.V. 2024. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2024. The Author(s), under exclusive licence to Springer Nature B.V.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c256t-1e82ce985dee260dcf5bdb7b03a0e997ae55123b75c05b8833323c9b0fb781b03</cites><orcidid>0000-0003-4129-5784</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10554-024-03215-7$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10554-024-03215-7$$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/39225749$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Trousselle, Louise</creatorcontrib><creatorcontrib>Eggenspieler, Florian</creatorcontrib><creatorcontrib>Huttin, Olivier</creatorcontrib><creatorcontrib>Pace, Nathalie</creatorcontrib><creatorcontrib>Nazeyrollas, Pierre</creatorcontrib><creatorcontrib>Faroux, Laurent</creatorcontrib><creatorcontrib>Filippetti, Laura</creatorcontrib><creatorcontrib>Fraix, Antoine</creatorcontrib><creatorcontrib>Carquin, Bastien</creatorcontrib><creatorcontrib>Metz, Damien</creatorcontrib><creatorcontrib>Selton-Suty, Christine</creatorcontrib><title>Echocardiographic assessment of right ventricular function and right ventriculoarterial coupling in tricuspid regurgitation</title><title>The international journal of cardiovascular imaging</title><addtitle>Int J Cardiovasc Imaging</addtitle><addtitle>Int J Cardiovasc Imaging</addtitle><description>Echocardiographic evaluation of the cardiopulmonary unit is difficult in case of tricuspid regurgitation (TR) and combined echocardiographic parameters could be useful. This study aimed to assess the variation of simple and combined echocardiographic parameters analysing the cardiopulmonary unit according to the severity of TR. TR was graded according to Hahn’s classification in 179 patients. Classical morphological, function and load parameters analysing right ventricle were assessed. Combined parameters of function and load; morphology and load; and morphology-load-function index were calculated. We used ROC curve analysis to analyze the diagnostic value of echocardiographic parameters to predict potential high or low surgical risk of mortality according to TRISCORE in 82 patients. Simple parameters were significatively different among groups with a nonlinear progression between the 5 levels of severity of TR. Combined parameters were also significatively different among groups. Among them, myomechanical index (MMI = RV-RA mean pressure gradient x RVFWS/indexed RAED area × 10
–2
) and morphology-load-function index (MLF = RVED length/area x TR TVI x RVFWS) had a linear progression between the 5 groups and had the best predictive value for TRISCORE high and low risk. Combined parameters are relevant to evaluate cardiopulmonary unit in patients with various degrees of TR, especially when combining morphology, function, and load parameters, and are potentially interesting in their prognostic assessment, as shown by the good predictive value for TRISCORE risk.
Graphical abstract</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Area Under Curve</subject><subject>Atrial Function, Right</subject><subject>Cardiac Imaging</subject><subject>Cardiology</subject><subject>Echocardiography, Doppler</subject><subject>Evaluation</subject><subject>Female</subject><subject>Heart</subject><subject>Humans</subject><subject>Imaging</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Morphology</subject><subject>Original Paper</subject><subject>Parameters</subject><subject>Predictive Value of Tests</subject><subject>Prognosis</subject><subject>Radiology</subject><subject>Regurgitation</subject><subject>Reproducibility of Results</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Severity of Illness Index</subject><subject>Tricuspid Valve - diagnostic imaging</subject><subject>Tricuspid Valve - physiopathology</subject><subject>Tricuspid Valve Insufficiency - diagnostic imaging</subject><subject>Tricuspid Valve Insufficiency - physiopathology</subject><subject>Ventricular Dysfunction, Right - diagnostic imaging</subject><subject>Ventricular Dysfunction, Right - etiology</subject><subject>Ventricular Dysfunction, Right - physiopathology</subject><subject>Ventricular Function, Right</subject><issn>1875-8312</issn><issn>1569-5794</issn><issn>1875-8312</issn><issn>1573-0743</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kUtLxDAUhYMoPkb_gAsJuHFTzWMySZcivkBwo-uQpredDJ2kJq0g_nkzzvjAhYtwE853zw33IHRMyTklRF4kSoSYFoTlwxkVhdxC-1RJUShO2fav-x46SGlBCJW8LHfRHi8ZE3Ja7qP3azsP1sTahTaafu4sNilBSkvwAw4Njq6dD_g1v6KzY2cibkZvBxc8Nr7-KwcTB4jOdNiGse-cb7Hz-FNLvcs4tGNs3WBWBodopzFdgqNNnaDnm-unq7vi4fH2_uryobBMzIaCgmIWSiVqADYjtW1EVVeyItwQKEtpQAjKeCWFJaJSinPOuC0r0lRS0YxN0Nnat4_hZYQ06KVLFrrOeAhj0jxvk8mpmq3Q0z_oIozR599liinC-SwPmCC2pmwMKUVodB_d0sQ3TYleRaPX0egcjf6MRsvcdLKxHqsl1N8tX1lkgK-BlCXfQvyZ_Y_tB9ecnKU</recordid><startdate>20241101</startdate><enddate>20241101</enddate><creator>Trousselle, Louise</creator><creator>Eggenspieler, Florian</creator><creator>Huttin, Olivier</creator><creator>Pace, Nathalie</creator><creator>Nazeyrollas, Pierre</creator><creator>Faroux, Laurent</creator><creator>Filippetti, Laura</creator><creator>Fraix, Antoine</creator><creator>Carquin, Bastien</creator><creator>Metz, Damien</creator><creator>Selton-Suty, Christine</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>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>M7Z</scope><scope>P64</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-4129-5784</orcidid></search><sort><creationdate>20241101</creationdate><title>Echocardiographic assessment of right ventricular function and right ventriculoarterial coupling in tricuspid regurgitation</title><author>Trousselle, Louise ; Eggenspieler, Florian ; Huttin, Olivier ; Pace, Nathalie ; Nazeyrollas, Pierre ; Faroux, Laurent ; Filippetti, Laura ; Fraix, Antoine ; Carquin, Bastien ; Metz, Damien ; Selton-Suty, Christine</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c256t-1e82ce985dee260dcf5bdb7b03a0e997ae55123b75c05b8833323c9b0fb781b03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Area Under Curve</topic><topic>Atrial Function, Right</topic><topic>Cardiac Imaging</topic><topic>Cardiology</topic><topic>Echocardiography, Doppler</topic><topic>Evaluation</topic><topic>Female</topic><topic>Heart</topic><topic>Humans</topic><topic>Imaging</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Morphology</topic><topic>Original Paper</topic><topic>Parameters</topic><topic>Predictive Value of Tests</topic><topic>Prognosis</topic><topic>Radiology</topic><topic>Regurgitation</topic><topic>Reproducibility of Results</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Severity of Illness Index</topic><topic>Tricuspid Valve - diagnostic imaging</topic><topic>Tricuspid Valve - physiopathology</topic><topic>Tricuspid Valve Insufficiency - diagnostic imaging</topic><topic>Tricuspid Valve Insufficiency - physiopathology</topic><topic>Ventricular Dysfunction, Right - diagnostic imaging</topic><topic>Ventricular Dysfunction, Right - etiology</topic><topic>Ventricular Dysfunction, Right - physiopathology</topic><topic>Ventricular Function, Right</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Trousselle, Louise</creatorcontrib><creatorcontrib>Eggenspieler, Florian</creatorcontrib><creatorcontrib>Huttin, Olivier</creatorcontrib><creatorcontrib>Pace, Nathalie</creatorcontrib><creatorcontrib>Nazeyrollas, Pierre</creatorcontrib><creatorcontrib>Faroux, Laurent</creatorcontrib><creatorcontrib>Filippetti, Laura</creatorcontrib><creatorcontrib>Fraix, Antoine</creatorcontrib><creatorcontrib>Carquin, Bastien</creatorcontrib><creatorcontrib>Metz, Damien</creatorcontrib><creatorcontrib>Selton-Suty, Christine</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biochemistry Abstracts 1</collection><collection>Biotechnology and BioEngineering Abstracts</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>Trousselle, Louise</au><au>Eggenspieler, Florian</au><au>Huttin, Olivier</au><au>Pace, Nathalie</au><au>Nazeyrollas, Pierre</au><au>Faroux, Laurent</au><au>Filippetti, Laura</au><au>Fraix, Antoine</au><au>Carquin, Bastien</au><au>Metz, Damien</au><au>Selton-Suty, Christine</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Echocardiographic assessment of right ventricular function and right ventriculoarterial coupling in tricuspid regurgitation</atitle><jtitle>The international journal of cardiovascular imaging</jtitle><stitle>Int J Cardiovasc Imaging</stitle><addtitle>Int J Cardiovasc Imaging</addtitle><date>2024-11-01</date><risdate>2024</risdate><volume>40</volume><issue>11</issue><spage>2247</spage><epage>2259</epage><pages>2247-2259</pages><issn>1875-8312</issn><issn>1569-5794</issn><eissn>1875-8312</eissn><eissn>1573-0743</eissn><abstract>Echocardiographic evaluation of the cardiopulmonary unit is difficult in case of tricuspid regurgitation (TR) and combined echocardiographic parameters could be useful. This study aimed to assess the variation of simple and combined echocardiographic parameters analysing the cardiopulmonary unit according to the severity of TR. TR was graded according to Hahn’s classification in 179 patients. Classical morphological, function and load parameters analysing right ventricle were assessed. Combined parameters of function and load; morphology and load; and morphology-load-function index were calculated. We used ROC curve analysis to analyze the diagnostic value of echocardiographic parameters to predict potential high or low surgical risk of mortality according to TRISCORE in 82 patients. Simple parameters were significatively different among groups with a nonlinear progression between the 5 levels of severity of TR. Combined parameters were also significatively different among groups. Among them, myomechanical index (MMI = RV-RA mean pressure gradient x RVFWS/indexed RAED area × 10
–2
) and morphology-load-function index (MLF = RVED length/area x TR TVI x RVFWS) had a linear progression between the 5 groups and had the best predictive value for TRISCORE high and low risk. Combined parameters are relevant to evaluate cardiopulmonary unit in patients with various degrees of TR, especially when combining morphology, function, and load parameters, and are potentially interesting in their prognostic assessment, as shown by the good predictive value for TRISCORE risk.
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| subjects | Aged Aged, 80 and over Area Under Curve Atrial Function, Right Cardiac Imaging Cardiology Echocardiography, Doppler Evaluation Female Heart Humans Imaging Male Medicine Medicine & Public Health Middle Aged Morphology Original Paper Parameters Predictive Value of Tests Prognosis Radiology Regurgitation Reproducibility of Results Retrospective Studies Risk Factors Severity of Illness Index Tricuspid Valve - diagnostic imaging Tricuspid Valve - physiopathology Tricuspid Valve Insufficiency - diagnostic imaging Tricuspid Valve Insufficiency - physiopathology Ventricular Dysfunction, Right - diagnostic imaging Ventricular Dysfunction, Right - etiology Ventricular Dysfunction, Right - physiopathology Ventricular Function, Right |
| title | Echocardiographic assessment of right ventricular function and right ventriculoarterial coupling in tricuspid regurgitation |
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