Right ventricular speckle tracking assessment for differentiation of pressure- versus volume-overloaded right ventricle

Clinical Physiology and Functional Imaging
Anna Werther EvaldssonCarl Meurling

Abstract

Right ventricular (RV) dysfunction may be caused by either pressure or volume overload. RV function is conventionally assessed with echocardiography using tricuspid annular plane systolic excursion (TAPSE), RV fractional area change (RVFAC), tricuspid lateral annular systolic velocity (S') and RV index of myocardial performance (RIMP). The purpose of this study was to evaluate whether RV global longitudinal strain (RVGLS) and RV-free wall strain (RV-free) could add additional information to differentiate these two causes of RV overload. The study enrolled 89 patients with an echocardiographic trans-tricuspid gradient >30 mmHg. Forty-five patients with pulmonary arterial hypertension or chronic thromboembolic pulmonary hypertension (pressure overload) were compared with 44 patients with an atrial septum defect (volume overload). RV size was larger in the volume group (P<0·05). TAPSE and S' were lower in the pressure group (P<0·05, P<0·01). RVFAC was lower in the pressure group (P<0·001) as well as RVGLS (-12·1 ± 3·3% versus -20·2 ± 3·4%, P<0·001) and RV-free (-12·9 ± 3·3% versus -19·4 ± 3·4%, P<0·001). In this study, RVGLS and RV-free could more accurately discriminate RV pressure from volume overload than conventional measures....Continue Reading

References

Apr 1, 1985·Journal of the American College of Cardiology·T RyanW F Armstrong
Jul 31, 1998·The New England Journal of Medicine·E R LevinW K Samson
Mar 18, 2006·Heart·P A DavlourosM A Gatzoulis
Apr 4, 2006·Journal of the American College of Cardiology·Thomas H Marwick
Oct 13, 2006·Circulation·Gary Webb, Michael A Gatzoulis
Feb 15, 2008·Critical Care Medicine·Clifford R Greyson
Jan 22, 2009·European Journal of Echocardiography : the Journal of the Working Group on Echocardiography of the European Society of Cardiology·Smita R JategaonkarDieter Horstkotte
Jun 6, 2009·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Kurt C Roberts-ThomsonPrashanthan Sanders
Oct 10, 2009·European Journal of Echocardiography : the Journal of the Working Group on Echocardiography of the European Society of Cardiology·Luigi P BadanoSalvatore De Vita
Feb 4, 2010·European Journal of Echocardiography : the Journal of the Working Group on Echocardiography of the European Society of Cardiology·Ruxandra JurcutJens-Uwe Voigt
Mar 24, 2010·Acta Cardiologica·Sorin GiuscaJens-Uwe Voigt
Jul 22, 2010·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Alessandra MerisAngelo Auricchio
Jan 5, 2011·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Sergio MondilloUNKNOWN Echocardiography Study Group Of The Italian Society Of Cardiology (Rome, Italy)
Jul 22, 2011·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Yuko FukudaKen-Ichi Hirata
Jan 11, 2012·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Takahiro SatoMasaharu Nishimura
Sep 4, 2012·European Respiratory Review : an Official Journal of the European Respiratory Society·Luke S HowardJ Simon R Gibbs
Dec 12, 2012·Circulation Journal : Official Journal of the Japanese Circulation Society·Yoshiki MotojiKen-ichi Hirata
Apr 6, 2013·Korean journal of pediatrics·Young Kuk Cho, Jae Sook Ma
Dec 21, 2013·Journal of the American College of Cardiology·Anton Vonk-NoordegraafPaul M Hassoun
Dec 21, 2013·Journal of the American College of Cardiology·Gerald SimonneauRogiero Souza
Dec 21, 2013·Journal of the American College of Cardiology·Marius M HoeperDavid B Badesch
Apr 22, 2014·Archives of Cardiovascular Diseases·Pamela MoceriEmile Ferrari
Jan 7, 2015·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Roberto M LangJens-Uwe Voigt
Mar 10, 2015·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Yasufumi NagataYutaka Otsuji

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Citations

Mar 10, 2018·Expert Review of Cardiovascular Therapy·Michael Dandel, Roland Hetzer
Dec 19, 2019·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Adam S HimebauchLaura Mercer-Rosa
Nov 7, 2019·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Ryan W MorganAdam S Himebauch
Jun 4, 2020·BMC Cardiovascular Disorders·Anna Werther EvaldssonEllen Ostenfeld
Jan 5, 2019·Journal of Cardiovascular Imaging·Hye Sun Seo, Heon Lee
Nov 8, 2020·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Sadettin Selçuk Baysal, Mehmet Has
Apr 9, 2021·Clinical Physiology and Functional Imaging·Annika IngvarssonCarl Meurling
May 20, 2021·The International Journal of Cardiovascular Imaging·Daniel J BowenAnnemien E van den Bosch

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