TAPSE/systolic pulmonary artery pressure in patients with repaired TOF: Does it correlate with cardiac magnetic resonance indices?
نویسندگان
چکیده
Abstract Funding Acknowledgements Type of funding sources: None. Background and Purpose Potential benefits optimal timing pulmonary valve replacement (PVR) in patients with repaired tetralogy Fallot (rTOF) are still questionable because high morbidity due to the need for reinterventions. Cardiac magnetic resonance (CMR) is a valuable tool detection irreversible right ventricular (RV) remodelling. We sought evaluate relation between CMR derived volumes peak tricuspid annular systolic excursion (TAPSE)/invasively measured artery pressure (sPAP) ratio who underwent heart catheterization. Methods One hundred forty-eight rTOF were evaluated; 26 either had outflow tract obstruction or corrective surgery conduit. Patients severe regurgitation quantify RV EF before PVR as part follow-up protocol including those previous recurrent regurgitation. Echocardiographic indices function according EACVI 2015 recommendations chamber quantification. In subset catheterization, pressure, sPAP recorded TAPSE/invasively was calculated. compared TAPSE/sPAP. Results Forty-six matching studies echo, catheterization analyzed. Mean age 28.0 ± 7.3 years. velocity (S’), TAPSE, fractional area change 11.4 2.9 cm/sec, 16.8 cm, 31.7 4.2 %, respectively. end-diastolic volume index, end-systolic index 154.6 38.5 ml/m2, 97.4 26.5 ml/m2and 40.0 7.6 There negative correlation TAPSE/sPAP (r= −0.44, p = 0.049) −0.50, 0.024) but not EF. Conclusion patient significant regurgitation, more strongly correlated opposed index. Our findings support use preferentially decision making PVR.
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ژورنال
عنوان ژورنال: European Journal of Echocardiography
سال: 2023
ISSN: ['2047-2412', '2047-2404']
DOI: https://doi.org/10.1093/ehjci/jead119.350