Interrogation of the Tricuspid Annulus by Doppler Tissue Imaging in Patients with Chronic Pulmonary Hypertension: Implications for the Assessment of Right-Ventricular Systolic and Diastolic FunctionMoustapha A. · Lim M. · Saikia S. · Kaushik V. · Kang S.-H. · Barasch E.
Echocardiography Laboratory, Division of Cardiology, Department of Internal Medicine, University of Texas Medical School at Houston and Memorial Hermann Hospital, Houston, Tex., USA.
Background: Chronic pulmonary hypertension (CPHT) has a great impact on both right-ventricular (RV) systolic and diastolic properties and the assessment of those properties is not always feasible by traditional echocardiographic examination. Doppler tissue imaging (DTI) interrogation of the tricuspid annulus (TA) identifies the pattern of TA motion (TAM) and can help to assess RV function when other methods are not feasible. Aims: To determine RV systolic and diastolic function in patients with CPHT using DTI parameters of the TA. Methods: Eighty-seven patients with CPHT and 90 normal controls were studied. DTI parameters were measured including early diastolic, late diastolic and systolic velocities and time velocity integrals (TVI) of the TAM at both its lateral and medial aspect. Results: Early diastolic and systolic velocities, the ratio of early to late diastolic velocities and TVI of TAM at both lateral and medial aspects were significantly decreased in patients with CPHT compared to controls. No significant differences were seen in late diastolic velocities and TVI in both groups. Systolic velocity of the TAM at both its lateral and medial aspects significantly correlated with RV systolic function as measured by fractional RV area change. Conclusions: DTI of the TAM can be used to assess RV systolic and diastolic properties in patients with CPHT.
Eddy Barasch, MD
University of Texas Medical School at Houston, MSB 1.246
6431 Fannin, Houston, TX 77030 (USA)
Tel. +1 713 500 6588, Fax +1 713 500 6556
Presented in part at the 49th Annual Scientific Session of the American College of Cardiology, March 15, 2000, Anaheim, Calif., USA.
Received: Received: November 8, 2000
Accepted: January 22, 2001
Number of Print Pages : 4
Number of Figures : 0, Number of Tables : 3, Number of References : 15
Cardiology (International Journal of Cardiovascular Medicine, Surgery andPathology)
Founded 1937 as ‘Cardiologia’ by Bruno Kisch and WilhelmLöffler
Vol. 95, No. 2, Year 2001 (Cover Date: Released June 2001)
Journal Editor: Joseph S. Alpert, Tucson, Ariz.
ISSN: 0008–6312 (print), 1421–9751 (Online)
For additional information:http://www.karger.com/journals/crd