The impact of ageing on right ventricular longitudinal function in healthy subjects: a pulsed tissue Doppler study
Aims To evaluate the influence of age on pulsed Tissue Doppler-derived measurements of right ventricular (RV) tricuspid annulus in a population of healthy subjects and to propose reference values according to age decades. Methods and results Two hundred and ninety-eight healthy subjects (M/F = 186/1...
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| Veröffentlicht in: | European journal of echocardiography 2009-06, Vol.10 (4), p.491-498 |
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| creator | Innelli, Pasquale Esposito, Roberta Olibet, Marinella Nistri, Stefano Galderisi, Maurizio |
| description | Aims
To evaluate the influence of age on pulsed Tissue Doppler-derived measurements of right ventricular (RV) tricuspid annulus in a population of healthy subjects and to propose reference values according to age decades.
Methods and results
Two hundred and ninety-eight healthy subjects (M/F = 186/112) underwent Doppler echocardiography and pulsed Tissue Doppler of tricuspid annulus in apical four-chamber view. Tricuspid annular plane systolic excursion (TAPSE), Doppler indexes of RV outflow tract and of tricuspid inflow, right atrial dimension and inferior vena cava size, and collapsibility were measured. Pulsed Tissue Doppler lateral corner of the tricuspid annulus was also recorded and annular systolic (Sa), early diastolic (Ea), and atrial (Aa) peak velocities and Ea/Aa ratio determined. The ratio of tricuspid E peak velocity and Ea (E/Ea ratio) was calculated as an index of right atrial pressure. The population was divided in seven age decades: 10-19, 20-29, 30-39, 40-49, 50-59, 60-69, and >70 years. TAPSE, Sa, Ea, and Ea/Aa ratio were progressively reduced and both Aa and E/Ea ratio increased with the increasing age groups (all P < 0.0001). E/Ea ratio was 4.1 ± 0.9 in the age decade 11-20 years and 5.4 ± 1.5 in subjects >70 years (P < 0.0001). By multi-linear regression analyses, after adjusting for heart rate and body mass index, age was the main independent predictor of average Sa, Ea, and Aa velocities and of E/Ea ratio.
Conclusions
Ageing shows an independent impact on pulsed Tissue Doppler-derived indexes of RV myocardial function in healthy subjects. Our data provide reference values of pulsed Tissue Doppler of the right ventricle for age decades. |
| doi_str_mv | 10.1093/ejechocard/jen313 |
| format | Article |
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To evaluate the influence of age on pulsed Tissue Doppler-derived measurements of right ventricular (RV) tricuspid annulus in a population of healthy subjects and to propose reference values according to age decades.
Methods and results
Two hundred and ninety-eight healthy subjects (M/F = 186/112) underwent Doppler echocardiography and pulsed Tissue Doppler of tricuspid annulus in apical four-chamber view. Tricuspid annular plane systolic excursion (TAPSE), Doppler indexes of RV outflow tract and of tricuspid inflow, right atrial dimension and inferior vena cava size, and collapsibility were measured. Pulsed Tissue Doppler lateral corner of the tricuspid annulus was also recorded and annular systolic (Sa), early diastolic (Ea), and atrial (Aa) peak velocities and Ea/Aa ratio determined. The ratio of tricuspid E peak velocity and Ea (E/Ea ratio) was calculated as an index of right atrial pressure. The population was divided in seven age decades: 10-19, 20-29, 30-39, 40-49, 50-59, 60-69, and >70 years. TAPSE, Sa, Ea, and Ea/Aa ratio were progressively reduced and both Aa and E/Ea ratio increased with the increasing age groups (all P < 0.0001). E/Ea ratio was 4.1 ± 0.9 in the age decade 11-20 years and 5.4 ± 1.5 in subjects >70 years (P < 0.0001). By multi-linear regression analyses, after adjusting for heart rate and body mass index, age was the main independent predictor of average Sa, Ea, and Aa velocities and of E/Ea ratio.
Conclusions
Ageing shows an independent impact on pulsed Tissue Doppler-derived indexes of RV myocardial function in healthy subjects. Our data provide reference values of pulsed Tissue Doppler of the right ventricle for age decades.</description><identifier>ISSN: 1525-2167</identifier><identifier>EISSN: 1532-2114</identifier><identifier>DOI: 10.1093/ejechocard/jen313</identifier><identifier>PMID: 19073708</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Adolescent ; Adult ; Age Factors ; Aged ; Aged, 80 and over ; Aging - physiology ; Analysis of Variance ; Blood Pressure ; Chi-Square Distribution ; Child ; Female ; Heart Ventricles - diagnostic imaging ; Humans ; Linear Models ; Male ; Middle Aged ; Prospective Studies ; Reference Values ; Tricuspid Valve - diagnostic imaging ; Tricuspid Valve - physiology ; Ultrasonography, Doppler, Pulsed ; Ventricular Function, Right - physiology ; Young Adult</subject><ispartof>European journal of echocardiography, 2009-06, Vol.10 (4), p.491-498</ispartof><rights>Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2008. For permissions please email: journals.permissions@oxfordjournals.org 2009</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c379t-ff3fcfe65d68aab7754cec6b596fe3228df80dbe0f82acdce5096f6f00204c7c3</citedby><cites>FETCH-LOGICAL-c379t-ff3fcfe65d68aab7754cec6b596fe3228df80dbe0f82acdce5096f6f00204c7c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,1583,27915,27916</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19073708$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Innelli, Pasquale</creatorcontrib><creatorcontrib>Esposito, Roberta</creatorcontrib><creatorcontrib>Olibet, Marinella</creatorcontrib><creatorcontrib>Nistri, Stefano</creatorcontrib><creatorcontrib>Galderisi, Maurizio</creatorcontrib><title>The impact of ageing on right ventricular longitudinal function in healthy subjects: a pulsed tissue Doppler study</title><title>European journal of echocardiography</title><addtitle>Eur J Echocardiogr</addtitle><description>Aims
To evaluate the influence of age on pulsed Tissue Doppler-derived measurements of right ventricular (RV) tricuspid annulus in a population of healthy subjects and to propose reference values according to age decades.
Methods and results
Two hundred and ninety-eight healthy subjects (M/F = 186/112) underwent Doppler echocardiography and pulsed Tissue Doppler of tricuspid annulus in apical four-chamber view. Tricuspid annular plane systolic excursion (TAPSE), Doppler indexes of RV outflow tract and of tricuspid inflow, right atrial dimension and inferior vena cava size, and collapsibility were measured. Pulsed Tissue Doppler lateral corner of the tricuspid annulus was also recorded and annular systolic (Sa), early diastolic (Ea), and atrial (Aa) peak velocities and Ea/Aa ratio determined. The ratio of tricuspid E peak velocity and Ea (E/Ea ratio) was calculated as an index of right atrial pressure. The population was divided in seven age decades: 10-19, 20-29, 30-39, 40-49, 50-59, 60-69, and >70 years. TAPSE, Sa, Ea, and Ea/Aa ratio were progressively reduced and both Aa and E/Ea ratio increased with the increasing age groups (all P < 0.0001). E/Ea ratio was 4.1 ± 0.9 in the age decade 11-20 years and 5.4 ± 1.5 in subjects >70 years (P < 0.0001). By multi-linear regression analyses, after adjusting for heart rate and body mass index, age was the main independent predictor of average Sa, Ea, and Aa velocities and of E/Ea ratio.
Conclusions
Ageing shows an independent impact on pulsed Tissue Doppler-derived indexes of RV myocardial function in healthy subjects. Our data provide reference values of pulsed Tissue Doppler of the right ventricle for age decades.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aging - physiology</subject><subject>Analysis of Variance</subject><subject>Blood Pressure</subject><subject>Chi-Square Distribution</subject><subject>Child</subject><subject>Female</subject><subject>Heart Ventricles - diagnostic imaging</subject><subject>Humans</subject><subject>Linear Models</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Prospective Studies</subject><subject>Reference Values</subject><subject>Tricuspid Valve - diagnostic imaging</subject><subject>Tricuspid Valve - physiology</subject><subject>Ultrasonography, Doppler, Pulsed</subject><subject>Ventricular Function, Right - physiology</subject><subject>Young Adult</subject><issn>1525-2167</issn><issn>1532-2114</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkEtLAzEUhYMotlZ_gBvJypVjk8k83Ul9QsFNXQ-ZzE0nZZqMeQj996a00K2rXDjfOYQPoVtKHimp2Rw2IHojuO3mG9CMsjM0pTlLk5TS7Hx_p3m8i3KCrpzbEEJjml2iCa1JyUpSTZFd9YDVduTCYyMxX4PSa2w0tmrde_wL2lslwsAtHoxeKx86pfmAZdDCq8gpjXvgg-932IU2fsi7J8zxGAYHHfbKuQD4xYzjABa7WN9dowvJY3pzfGfo--11tfhIll_vn4vnZSJYWftESiaFhCLviorztizzTIAo2rwuJLA0rTpZka4FIquUi05ATmJSSEJSkolSsBm6P-yO1vwEcL7ZKidgGLgGE1xTlCxaTKsI0gMorHHOgmxGq7bc7hpKmr3o5iS6OYiOnbvjeGi30J0aR7MReDgAJoz_2PsDB4eQBg</recordid><startdate>200906</startdate><enddate>200906</enddate><creator>Innelli, Pasquale</creator><creator>Esposito, Roberta</creator><creator>Olibet, Marinella</creator><creator>Nistri, Stefano</creator><creator>Galderisi, Maurizio</creator><general>Oxford University Press</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>7X8</scope></search><sort><creationdate>200906</creationdate><title>The impact of ageing on right ventricular longitudinal function in healthy subjects: a pulsed tissue Doppler study</title><author>Innelli, Pasquale ; Esposito, Roberta ; Olibet, Marinella ; Nistri, Stefano ; Galderisi, Maurizio</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c379t-ff3fcfe65d68aab7754cec6b596fe3228df80dbe0f82acdce5096f6f00204c7c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aging - physiology</topic><topic>Analysis of Variance</topic><topic>Blood Pressure</topic><topic>Chi-Square Distribution</topic><topic>Child</topic><topic>Female</topic><topic>Heart Ventricles - diagnostic imaging</topic><topic>Humans</topic><topic>Linear Models</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Prospective Studies</topic><topic>Reference Values</topic><topic>Tricuspid Valve - diagnostic imaging</topic><topic>Tricuspid Valve - physiology</topic><topic>Ultrasonography, Doppler, Pulsed</topic><topic>Ventricular Function, Right - physiology</topic><topic>Young Adult</topic><toplevel>online_resources</toplevel><creatorcontrib>Innelli, Pasquale</creatorcontrib><creatorcontrib>Esposito, Roberta</creatorcontrib><creatorcontrib>Olibet, Marinella</creatorcontrib><creatorcontrib>Nistri, Stefano</creatorcontrib><creatorcontrib>Galderisi, Maurizio</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of echocardiography</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Innelli, Pasquale</au><au>Esposito, Roberta</au><au>Olibet, Marinella</au><au>Nistri, Stefano</au><au>Galderisi, Maurizio</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The impact of ageing on right ventricular longitudinal function in healthy subjects: a pulsed tissue Doppler study</atitle><jtitle>European journal of echocardiography</jtitle><addtitle>Eur J Echocardiogr</addtitle><date>2009-06</date><risdate>2009</risdate><volume>10</volume><issue>4</issue><spage>491</spage><epage>498</epage><pages>491-498</pages><issn>1525-2167</issn><eissn>1532-2114</eissn><abstract>Aims
To evaluate the influence of age on pulsed Tissue Doppler-derived measurements of right ventricular (RV) tricuspid annulus in a population of healthy subjects and to propose reference values according to age decades.
Methods and results
Two hundred and ninety-eight healthy subjects (M/F = 186/112) underwent Doppler echocardiography and pulsed Tissue Doppler of tricuspid annulus in apical four-chamber view. Tricuspid annular plane systolic excursion (TAPSE), Doppler indexes of RV outflow tract and of tricuspid inflow, right atrial dimension and inferior vena cava size, and collapsibility were measured. Pulsed Tissue Doppler lateral corner of the tricuspid annulus was also recorded and annular systolic (Sa), early diastolic (Ea), and atrial (Aa) peak velocities and Ea/Aa ratio determined. The ratio of tricuspid E peak velocity and Ea (E/Ea ratio) was calculated as an index of right atrial pressure. The population was divided in seven age decades: 10-19, 20-29, 30-39, 40-49, 50-59, 60-69, and >70 years. TAPSE, Sa, Ea, and Ea/Aa ratio were progressively reduced and both Aa and E/Ea ratio increased with the increasing age groups (all P < 0.0001). E/Ea ratio was 4.1 ± 0.9 in the age decade 11-20 years and 5.4 ± 1.5 in subjects >70 years (P < 0.0001). By multi-linear regression analyses, after adjusting for heart rate and body mass index, age was the main independent predictor of average Sa, Ea, and Aa velocities and of E/Ea ratio.
Conclusions
Ageing shows an independent impact on pulsed Tissue Doppler-derived indexes of RV myocardial function in healthy subjects. Our data provide reference values of pulsed Tissue Doppler of the right ventricle for age decades.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>19073708</pmid><doi>10.1093/ejechocard/jen313</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Oxford University Press Journals All Titles (1996-Current); Alma/SFX Local Collection |
| subjects | Adolescent Adult Age Factors Aged Aged, 80 and over Aging - physiology Analysis of Variance Blood Pressure Chi-Square Distribution Child Female Heart Ventricles - diagnostic imaging Humans Linear Models Male Middle Aged Prospective Studies Reference Values Tricuspid Valve - diagnostic imaging Tricuspid Valve - physiology Ultrasonography, Doppler, Pulsed Ventricular Function, Right - physiology Young Adult |
| title | The impact of ageing on right ventricular longitudinal function in healthy subjects: a pulsed tissue Doppler study |
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