Volume 36, Issue 1 pp. 110-118

ORIGINAL INVESTIGATION

Value of tissue-tracking tricuspid annular plane by speckle-tracking echocardiography for the assessment of right ventricular systolic dysfunction

Naoki Maniwa MD,

Naoki Maniwa MD

orcid.org/0000-0001-5066-8146

Department of Cardiovascular Medicine, Wakayama Medical University, Wakayama, Japan

Search for more papers by this author

Takeshi Hozumi MD,

Corresponding Author

Takeshi Hozumi MD

[email protected]

Department of Cardiovascular Medicine, Wakayama Medical University, Wakayama, Japan

Correspondence

Takeshi Hozumi, Department of Cardiovascular Medicine, Wakayama Medical University, Wakayama city, Japan.

Email: [email protected]

Search for more papers by this author

Kazushi Takemoto PhD,

Kazushi Takemoto PhD

Department of Cardiovascular Medicine, Wakayama Medical University, Wakayama, Japan

Search for more papers by this author

Teruaki Wada MD,

Teruaki Wada MD

Department of Cardiovascular Medicine, Wakayama Medical University, Wakayama, Japan

Search for more papers by this author

Manabu Kashiwagi MD,

Manabu Kashiwagi MD

Department of Cardiovascular Medicine, Wakayama Medical University, Wakayama, Japan

Search for more papers by this author

Kunihiro Shimamura MD,

Kunihiro Shimamura MD

Department of Cardiovascular Medicine, Wakayama Medical University, Wakayama, Japan

Search for more papers by this author

Yasutsugu Shiono MD,

Yasutsugu Shiono MD

Department of Cardiovascular Medicine, Wakayama Medical University, Wakayama, Japan

Search for more papers by this author

Akio Kuroi MD,

Akio Kuroi MD

Department of Cardiovascular Medicine, Wakayama Medical University, Wakayama, Japan

Search for more papers by this author

Yoshiki Matsuo MD,

Yoshiki Matsuo MD

Department of Cardiovascular Medicine, Wakayama Medical University, Wakayama, Japan

Search for more papers by this author

Yasushi Ino MD,

Yasushi Ino MD

Department of Cardiovascular Medicine, Wakayama Medical University, Wakayama, Japan

Search for more papers by this author

Hironori Kitabata MD,

Hironori Kitabata MD

Department of Cardiovascular Medicine, Wakayama Medical University, Wakayama, Japan

Search for more papers by this author

Takashi Kubo MD,

Takashi Kubo MD

Department of Cardiovascular Medicine, Wakayama Medical University, Wakayama, Japan

Search for more papers by this author

Atsushi Tanaka MD,

Atsushi Tanaka MD

Department of Cardiovascular Medicine, Wakayama Medical University, Wakayama, Japan

Search for more papers by this author

Takashi Akasaka MD,

Takashi Akasaka MD

Department of Cardiovascular Medicine, Wakayama Medical University, Wakayama, Japan

Search for more papers by this author

Naoki Maniwa MD,

Naoki Maniwa MD

orcid.org/0000-0001-5066-8146

Department of Cardiovascular Medicine, Wakayama Medical University, Wakayama, Japan

Search for more papers by this author

Takeshi Hozumi MD,

Corresponding Author

Takeshi Hozumi MD

[email protected]

Department of Cardiovascular Medicine, Wakayama Medical University, Wakayama, Japan

Correspondence

Takeshi Hozumi, Department of Cardiovascular Medicine, Wakayama Medical University, Wakayama city, Japan.

Email: [email protected]

Search for more papers by this author

Kazushi Takemoto PhD,

Kazushi Takemoto PhD

Department of Cardiovascular Medicine, Wakayama Medical University, Wakayama, Japan

Search for more papers by this author

Teruaki Wada MD,

Teruaki Wada MD

Department of Cardiovascular Medicine, Wakayama Medical University, Wakayama, Japan

Search for more papers by this author

Manabu Kashiwagi MD,

Manabu Kashiwagi MD

Department of Cardiovascular Medicine, Wakayama Medical University, Wakayama, Japan

Search for more papers by this author

Kunihiro Shimamura MD,

Kunihiro Shimamura MD

Department of Cardiovascular Medicine, Wakayama Medical University, Wakayama, Japan

Search for more papers by this author

Yasutsugu Shiono MD,

Yasutsugu Shiono MD

Department of Cardiovascular Medicine, Wakayama Medical University, Wakayama, Japan

Search for more papers by this author

Akio Kuroi MD,

Akio Kuroi MD

Department of Cardiovascular Medicine, Wakayama Medical University, Wakayama, Japan

Search for more papers by this author

Yoshiki Matsuo MD,

Yoshiki Matsuo MD

Department of Cardiovascular Medicine, Wakayama Medical University, Wakayama, Japan

Search for more papers by this author

Yasushi Ino MD,

Yasushi Ino MD

Department of Cardiovascular Medicine, Wakayama Medical University, Wakayama, Japan

Search for more papers by this author

Hironori Kitabata MD,

Hironori Kitabata MD

Department of Cardiovascular Medicine, Wakayama Medical University, Wakayama, Japan

Search for more papers by this author

Takashi Kubo MD,

Takashi Kubo MD

Department of Cardiovascular Medicine, Wakayama Medical University, Wakayama, Japan

Search for more papers by this author

Atsushi Tanaka MD,

Atsushi Tanaka MD

Department of Cardiovascular Medicine, Wakayama Medical University, Wakayama, Japan

Search for more papers by this author

Takashi Akasaka MD,

Takashi Akasaka MD

Department of Cardiovascular Medicine, Wakayama Medical University, Wakayama, Japan

Search for more papers by this author

First published: 05 December 2018

https://doi.org/10.1111/echo.14206

Citations: 8

Share a link

Email
Wechat
Bluesky

Abstract

Background

Assessment of right ventricular (RV) function remains challenging because of its complex geometry. Application of speckle-tracking echocardiography (STE) to the tricuspid annulus provides rapid and automated assessment of the midpoint of the tricuspid annular plane displacement (TAD). The aim of this study was to investigate the value of tissue-tracking TAD for the assessment of RV systolic dysfunction.

Methods

We retrospectively studied 61 patients in whom RV ejection fraction (EF) measured by 3-dimensional echocardiography was performed. STE-derived displacement of the midpoint between the septal and lateral tricuspid annulus and its percentage of RV length at end-diastole (MTAD) were automatically assessed. We performed comparative analyses between the RVEF ≥45% group and the RVEF <45% group in each parameter for the assessment of RV systolic function.

Results

MTAD was successfully assessed in 56 (91.2%). According to receiver operating characteristics analysis, RVEF <45% was best detected by MTAD <14.7% with area under curve (AUC) 0.97, sensitivity 93%, specificity 95%, followed by RV free wall longitudinal strain (AUC 0.86), RV fractional area change (AUC 0.84), tricuspid annular plane systolic excursion (AUC 0.79), and systolic peak velocity of tricuspid annulus (AUC 0.70), although there was no significant difference between MTAD and RV free wall strain (P = 0.14).

Conclusion

The present study showed that MTAD was simple index and useful for the assessment of RV systolic dysfunction.

REFERENCES

1de Groote P, Millaire A, Foucher-Hossein C, et al. Right ventricular ejection fraction is an independent predictor of survival in patients with moderate heart failure. J Am Coll Cardiol. 1998; 32(4): 948–954.
10.1016/S0735-1097(98)00337-4
PubMed Web of Science® Google Scholar
2Ghio S, Gavazzi A, Campana C, et al. Independent and additive prognostic value of right ventricular systolic function and pulmonary artery pressure in patients with chronic heart failure. J Am Coll Cardiol. 2001; 37(1): 183–188.
10.1016/S0735-1097(00)01102-5
CAS PubMed Web of Science® Google Scholar
3Sun JP, James KB, Yang XS, et al. Comparison of mortality rates and progression of left ventricular dysfunction in patients with idiopathic dilated cardiomyopathy and dilated versus nondilated right ventricular cavities. Am J Cardiol. 1997; 80(12): 1583–1587.
10.1016/S0002-9149(97)00780-7
CAS PubMed Web of Science® Google Scholar
4Forfia PR, Fisher MR, Mathai SC, et al. Tricuspid annular displacement predicts survival in pulmonary hypertension. Am J Respir Crit Care Med. 2006; 174(9): 1034–1041.
10.1164/rccm.200604-547OC
PubMed Web of Science® Google Scholar
5Warnes CA. Adult congenital heart disease importance of the right ventricle. J Am Coll Cardiol. 2009; 54(21): 1903–1910.
10.1016/j.jacc.2009.06.048
PubMed Web of Science® Google Scholar
6Grothues F, Moon JC, Bellenger NG, Smith GS, Klein HU, Pennell DJ. Interstudy reproducibility of right ventricular volumes, function, and mass with cardiovascular magnetic resonance. Am Heart J. 2004; 147(2): 218–223.
10.1016/j.ahj.2003.10.005
PubMed Web of Science® Google Scholar
7Sugeng L, Mor-Avi V, Weinert L, et al. Multimodality comparison of quantitative volumetric analysis of the right ventricle. JACC Cardiovasc Imaging. 2010; 3(1): 10–18.
10.1016/j.jcmg.2009.09.017
PubMed Web of Science® Google Scholar
8Clarke CJ, Gurka MJ, Norton PT, Kramer CM, Hoyer AW. Assessment of the accuracy and reproducibility of RV volume measurements by CMR in congenital heart disease. JACC Cardiovasc Imaging. 2012; 5(1): 28–37.
10.1016/j.jcmg.2011.05.007
PubMed Web of Science® Google Scholar
9Haddad F, Hunt SA, Rosenthal DN, Murphy DJ. Right ventricular function in cardiovascular disease, part I: anatomy, physiology, aging, and functional assessment of the right ventricle. Circulation. 2008; 117(11): 1436–1448.
10.1161/CIRCULATIONAHA.107.653576
PubMed Web of Science® Google Scholar
10Niemann PS, Pinho L, Balbach T, et al. Anatomically oriented right ventricular volume measurements with dynamic three-dimensional echocardiography validated by 3-Tesla magnetic resonance imaging. J Am Coll Cardiol. 2007; 50(17): 1668–1676.
10.1016/j.jacc.2007.07.031
PubMed Web of Science® Google Scholar
11Leibundgut G, Rohner A, Grize L, et al. Dynamic assessment of right ventricular volumes and function by real-time three-dimensional echocardiography: a comparison study with magnetic resonance imaging in 100 adult patients. J Am Soc Echocardiogr. 2010; 23(2): 116–126.
10.1016/j.echo.2009.11.016
PubMed Web of Science® Google Scholar
12Shimada YJ, Shiota M, Siegel RJ, Shiota T. Accuracy of right ventricular volumes and function determined by three-dimensional echocardiography in comparison with magnetic resonance imaging: a meta-analysis study. J Am Soc Echocardiogr. 2010; 23(9): 943–953.
10.1016/j.echo.2010.06.029
PubMed Web of Science® Google Scholar
13Medvedofsky D, Addetia K, Patel AR, et al. novel approach to three-dimensional echocardiographic quantification of right ventricular volumes and function from focused views. J Am Soc Echocardiogr. 2015; 28(10): 1222–1231.
10.1016/j.echo.2015.06.013
PubMed Web of Science® Google Scholar
14Muraru D, Spadotto V, Cecchetto A, et al. New speckle-tracking algorithm for right ventricular volume analysis from three-dimensional echocardiographic data sets: validation with cardiac magnetic resonance and comparison with the previous analysis tool. Eur Heart J Cardiovasc Imaging. 2016; 17(11): 1279–1289.
10.1093/ehjci/jev309
PubMed Web of Science® Google Scholar
15Nagata Y, Wu VC, Kado Y, et al. Prognostic value of right ventricular ejection fraction assessed by transthoracic 3D echocardiography. Circ Cardiovasc Imaging. 2017; 10(2): e005384.
10.1161/CIRCIMAGING.116.005384
PubMed Web of Science® Google Scholar
16Rudski LG, Lai WW, Afilalo J, et al. Guidelines for the echocardiographic assessment of the right heart in adults: a report from the American Society of Echocardiography endorsed by the European Association of Echocardiography, a registered branch of the European Society of Cardiology, and the Canadian Society of Echocardiography. J Am Soc Echocardiogr. 2010; 23(7): 685–713; quiz 786-688.
10.1016/j.echo.2010.05.010
PubMed Web of Science® Google Scholar
17Lang RM, Badano LP, Mor-Avi V, et al. Recommendations for cardiac chamber quantification by echocardiography in adults: an update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. J Am Soc Echocardiogr. 2015; 28(1): 1–39.e14.
10.1016/j.echo.2014.10.003
PubMed Web of Science® Google Scholar
18Kaul S, Tei C, Hopkins JM, Shah PM. Assessment of right ventricular function using two-dimensional echocardiography. Am Heart J. 1984; 107(3): 526–531.
10.1016/0002-8703(84)90095-4
CAS PubMed Web of Science® Google Scholar
19Miller D, Farah MG, Liner A, Fox K, Schluchter M, Hoit BD. The relation between quantitative right ventricular ejection fraction and indices of tricuspid annular motion and myocardial performance. J Am Soc Echocardiogr. 2004; 17(5): 443–447.
10.1016/j.echo.2004.01.010
PubMed Web of Science® Google Scholar
20Meluzin J, Spinarova L, Bakala J, et al. Pulsed Doppler tissue imaging of the velocity of tricuspid annular systolic motion; a new, rapid, and non-invasive method of evaluating right ventricular systolic function. Eur Heart J. 2001; 22(4): 340–348.
10.1053/euhj.2000.2296
CAS PubMed Web of Science® Google Scholar
21Wang J, Prakasa K, Bomma C, et al. Comparison of novel echocardiographic parameters of right ventricular function with ejection fraction by cardiac magnetic resonance. J Am Soc Echocardiogr. 2007; 20(9): 1058–1064.
10.1016/j.echo.2007.01.038
PubMed Web of Science® Google Scholar
22Pavlicek M, Wahl A, Rutz T, et al. Right ventricular systolic function assessment: rank of echocardiographic methods vs. cardiac magnetic resonance imaging. Eur J Echocardiogr. 2011; 12(11): 871–880.
10.1093/ejechocard/jer138
PubMed Web of Science® Google Scholar
23Focardi M, Cameli M, Carbone SF, et al. Traditional and innovative echocardiographic parameters for the analysis of right ventricular performance in comparison with cardiac magnetic resonance. Eur Heart J Cardiovasc Imaging. 2015; 16(1): 47–52.
10.1093/ehjci/jeu156
PubMed Web of Science® Google Scholar
24Anavekar NS, Gerson D, Skali H, Kwong RY, Yucel EK, Solomon SD. Two-dimensional assessment of right ventricular function: an echocardiographic-MRI correlative study. Echocardiography. 2007; 24(5): 452–456.
10.1111/j.1540-8175.2007.00424.x
PubMed Web of Science® Google Scholar
25Giusca S, Dambrauskaite V, Scheurwegs C, et al. Deformation imaging describes right ventricular function better than longitudinal displacement of the tricuspid ring. Heart. 2010; 96(4): 281–288.
10.1136/hrt.2009.171728
CAS PubMed Web of Science® Google Scholar
26Tsang W, Ahmad H, Patel AR, et al. Rapid estimation of left ventricular function using echocardiographic speckle-tracking of mitral annular displacement. J Am Soc Echocardiogr. 2010; 23(5): 511–515.
10.1016/j.echo.2010.03.003
PubMed Web of Science® Google Scholar
27Buss SJ, Mereles D, Emami M, et al. Rapid assessment of longitudinal systolic left ventricular function using speckle tracking of the mitral annulus. Clin Res Cardiol. 2012; 101(4): 273–280.
10.1007/s00392-011-0389-x
PubMed Web of Science® Google Scholar
28Suzuki K, Akashi YJ, Mizukoshi K, et al. Relationship between left ventricular ejection fraction and mitral annular displacement derived by speckle tracking echocardiography in patients with different heart diseases. J Cardiol. 2012; 60(1): 55–60.
10.1016/j.jjcc.2012.01.014
CAS PubMed Web of Science® Google Scholar
29Chan AO, Jim MH, Lam KF, et al. Prevalence of colorectal neoplasm among patients with newly diagnosed coronary artery disease. JAMA. 2007; 298(12): 1412–1419.
10.1001/jama.298.12.1412
CAS PubMed Web of Science® Google Scholar
30Ho SY, Nihoyannopoulos P. Anatomy, echocardiography, and normal right ventricular dimensions. Heart. 2006; 92(Suppl 1): i2–i13.
10.1136/hrt.2005.077875
PubMed Web of Science® Google Scholar
31Galie N, Humbert M, Vachiery JL, et al. 2015 ESC/ERS guidelines for the diagnosis and treatment of pulmonary hypertension: the Joint Task Force for the Diagnosis and Treatment of Pulmonary Hypertension of the European Society of Cardiology (ESC) and the European Respiratory Society (ERS): endorsed by: association for European Paediatric and Congenital Cardiology (AEPC), International Society for Heart and Lung Transplantation (ISHLT). Eur Heart J. 2016; 37(1): 67–119.
10.1093/eurheartj/ehv317
PubMed Web of Science® Google Scholar
32Motoji Y, Tanaka H, Fukuda Y, et al. Association of apical longitudinal rotation with right ventricular performance in patients with pulmonary hypertension: insights into overestimation of tricuspid annular plane systolic excursion. Echocardiography. 2016; 33(2): 207–215.
10.1111/echo.13036
PubMed Web of Science® Google Scholar
33Tamborini G, Pepi M, Galli CA, et al. Feasibility and accuracy of a routine echocardiographic assessment of right ventricular function. Int J Cardiol. 2007; 115(1): 86–89.
10.1016/j.ijcard.2006.01.017
PubMed Web of Science® Google Scholar
34Di Franco A, Kim J, Rodriguez-Diego S, et al. Multiplanar strain quantification for assessment of right ventricular dysfunction and non-ischemic fibrosis among patients with ischemic mitral regurgitation. PLoS ONE. 2017; 12(9): e0185657.
10.1371/journal.pone.0185657
PubMed Web of Science® Google Scholar
35Verhaert D, Mullens W, Borowski A, et al. Right ventricular response to intensive medical therapy in advanced decompensated heart failure. Circ Heart Fail. 2010; 3(3): 340–346.
10.1161/CIRCHEARTFAILURE.109.900134
PubMed Web of Science® Google Scholar
36Haeck ML, Scherptong RW, Marsan NA, et al. Prognostic value of right ventricular longitudinal peak systolic strain in patients with pulmonary hypertension. Circ Cardiovasc Imaging. 2012; 5(5): 628–636.
10.1161/CIRCIMAGING.111.971465
PubMed Web of Science® Google Scholar
37Moreira HT, Volpe GJ, Marin-Neto JA, et al. Right ventricular systolic dysfunction in chagas disease defined by speckle-tracking echocardiography: a comparative study with cardiac magnetic resonance imaging. J Am Soc Echocardiogr. 2017; 30(5): 493–502.
10.1016/j.echo.2017.01.010
PubMed Web of Science® Google Scholar
38Feneley MP, Gavaghan TP, Baron DW, Branson JA, Roy PR, Morgan JJ. Contribution of left ventricular contraction to the generation of right ventricular systolic pressure in the human heart. Circulation. 1985; 71(3): 473–480.
10.1161/01.CIR.71.3.473
CAS PubMed Web of Science® Google Scholar
39Santamore WP, Dell'Italia LJ. Ventricular interdependence: significant left ventricular contributions to right ventricular systolic function. Prog Cardiovasc Dis. 1998; 40(4): 289–308.
10.1016/S0033-0620(98)80049-2
CAS PubMed Web of Science® Google Scholar
40Hoffman D, Sisto D, Frater RW, Nikolic SD. Left-to-right ventricular interaction with a noncontracting right ventricle. J Thorac Cardiovasc Surg. 1994; 107(6): 1496–1502.
10.1016/S0022-5223(12)70150-2
CAS PubMed Web of Science® Google Scholar

Citing Literature

Volume36, Issue1

January 2019

Pages 110-118

Value of tissue-tracking tricuspid annular plane by speckle-tracking echocardiography for the assessment of right ventricular systolic dysfunction

Abstract

Background

Methods

Results

Conclusion

REFERENCES

Citing Literature

References

Information

About Wiley Online Library

Help & Support

Opportunities

Connect with Wiley

Value of tissue-tracking tricuspid annular plane by speckle-tracking echocardiography for the assessment of right ventricular systolic dysfunction

Abstract

Background

Methods

Results

Conclusion

REFERENCES

Citing Literature

References

Related

Information