European Heart Journal

European Heart Journal 2001 22(4):340-348; doi:10.1053/euhj.2000.2296
Copyright © 2001 by the European Society of Cardiology.

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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

J Meluzín^a,f1, L pinarová^a, J Bakala^b, J Toman^a, J Krejí^a, P Hude^a, T Kára^a and M Souek^a

^a 1st Internal Department, St. Anna Hospital, Brno, Czech Republic
^b Department of Nuclear Medicine, Zlín, Czech Republic

revised May 11, 2000; accepted May 11, 2000

Abstract

Aims Rapid, accurate, and widely available non-invasive evaluation of right ventricular function still presents a problem. The purpose of the study was to determine whether the parameters derived from Doppler tissue imaging of tricuspid annular motion could be used as indexes of right ventricular function in patients with heart failure.

Methods Standard and pulsed Doppler tissue echocardiography were obtained in 44 patients with heart failure (mean left ventricular ejection fraction 24±7%) and in 30 age- and sex-matched healthy volunteers. The tricuspid annular systolic and diastolic velocities were acquired in apical four-chamber views at the junction of the right ventricular free wall and the anterior leaflet of the tricuspid valve using Doppler tissue imaging. Within 2h of Doppler tissue imaging, the first-pass radionuclide ventriculogram, determining right ventricular ejection fraction and equilibrium gated radionuclide ventriculography single photon emission computed tomography, were performed in all patients.

Results In patients with heart failure, the peak systolic annular velocity was significantly lower and the time from the onset of the electrocardiographic QRS complex to the peak of systolic annular velocity was significantly greater than the corresponding values in healthy subjects (10·3±2·6cm.s^–1vs 15·5±2·6cm.s^–1, P<0·001, and 198±34ms vs 171±29ms, P<0·01, respectively). There was a good correlation between systolic annular velocity and right ventricular ejection fraction (r=0·648, P<0·001). A systolic annular velocity <11·5cm.s^–1predicted right ventricular dysfunction (ejection fraction <45%) with a sensitivity of 90% and a specificity of 85%.

Conclusion We conclude that the evaluation of peak systolic tricuspid annular velocity using Doppler tissue imaging provides a simple, rapid, and non-invasive tool for assessing right ventricular systolic function in patients with heart failure.

Key Words: Doppler tissue imaging, right ventricle, myocardial function, tricuspid annulus

^f1 Correspondence: J. Meluzín, MD, 1st Internal Department, St. Anna Hospital, Pekaská 53, Brno, 656 91, Czech Republic.

References

1. Di Salvo TG, Mathier M, Semigran MJ, Dec GW. Preserved right ventricular ejection fraction predicts exercise capacity and survival in advanced heart failure. J Am Coll Cardiol. 1995;25:1143–1153[Abstract]
2. Grose R, Strain J, Yipintosoi T. Right ventricular function in valvular heart disease: Relation to pulmonary artery pressure. J Am Coll Cardiol. 1983;2:225–232[Abstract]
3. Wilson NJ, Neutze JM, Rutland MD, Ramage MC. Transthoracic echocardiography for right ventricular function late after the Mustard operation. Am Heart J. 1996;131:360–367[CrossRef][Web of Science][Medline]
4. Kaul S, Tei Ch, Hopkins JM, Shah PM. Assessment of right ventricular function using two-dimensional echocardiography. Am Heart J. 1984;107:526–531[CrossRef][Web of Science][Medline]
5. Helbing WA, Bosch HG, Maliepaard Ch. Comparison of echocardiographic methods with magnetic resonance imaging for assessment of right ventricular function in children. Am J Cardiol. 1995;76:589–594[CrossRef][Web of Science][Medline]
6. Tokgözoglu SL, Caner B, Kabakci G, Kes S. Measurement of right ventricular ejection fraction by contrast echocardiography. Int J Cardiol. 1997;59:71–74[CrossRef][Web of Science][Medline]
7. Sohn DW, Chai IH, Lee DJ. Assessment of mitral annulus velocity by Doppler tissue imaging in the evaluation of left ventricular diastolic function. J Am Coll Cardiol. 1997;30:474–480[Abstract]
8. Ohte N, Narita H, Hashimoto T, Hayano J, Akita S, Kurokawa K. Differentiation of abnormal relaxation pattern with aging from abnormal relaxation pattern with coronary artery disease in transmitral flow with the use of tissue Doppler imaging of the mitral annulus. J Am Soc Echocardiogr. 1999;12:629–635[CrossRef][Web of Science][Medline]
9. Sohn DW, Kim YJ, Kim Hch, Chun HG, Park YB, Choi YS. Evaluation of left ventricular diastolic function when mitral E and A waves are completely fused: Role of assessing mitral annulus velocity. J Am Soc Echocardiogr. 1999;12:203–208[CrossRef][Web of Science][Medline]
10. Isaaz K, Thompson A, Ethevenot G, Cloez JL, Brembilla B, Pernot C. Doppler echocardiographic measurement of low velocity motion of the left ventricular posterior wall. Am J Cardiol. 1989;64:66–75[CrossRef][Web of Science][Medline]
11. Miyatake K, Yamagishi M, Tanaka N. New method for evaluating left ventricular wall motion by color-coded tissue Doppler imaging: In vitro and in vivo studies. J Am Coll Cardiol. 1995;25:717–724[Abstract]
12. Schiller NB, Shah PM, Crawford M. Recommendations for quantitation of the left ventricle by two-dimensional echocardiography. J Am Soc Echocardiogr. 1989;2:358–367[Medline]
13. Teichholz LE, Kreulen T, Herman MV, Gorlin R. Problems in echocardiographic volume determinations: Echocardiographic-angiographic correlations in the presence or absence of asynergy. Am J Cardiol. 1976;37:7–11[CrossRef][Web of Science][Medline]
14. CSS: STATISTICA, 1992
15. Johnson RA, Wichern DW. Applied multivariate statistical analysis. London: Prentice-Hall International; 1992. p. 493–552
16. Oki T, Tabata T, Yamada H. Clinical application of pulsed Doppler tissue imaging for assessing abnormal left ventricular relaxation. Am J Cardiol. 1997;79:921–928[CrossRef][Web of Science][Medline]
17. Derumeaux G, Ovize M, Loufoua J. Doppler tissue imaging quantitates regional wall motion during myocardial ischemia and reperfusion. Circulation. 1998;97:1970–1977[Abstract/Free Full Text]
18. Oki T, Iuchi A, Tabata T. Left ventricular systolic wall motion velocities along the long and short axes measured by pulsed tissue Doppler imaging in patients with atrial fibrillation. J Am Soc Echocardiogr. 1999;12:121–128[CrossRef][Web of Science][Medline]
19. Severino S, Caso P, Galderisi M. Use of pulsed Doppler tissue imaging to assess regional left ventricular diastolic dysfunction in hypertrophic cardiomyopathy. Am J Cardiol. 1998;82:1394–1398[CrossRef][Web of Science][Medline]
20. Yamada E, Garcia M, Thomas JD, Marwick TH. Myocardial Doppler velocity imaging—a quantitative technique for interpretation of dobutamine echocardiography. Am J Cardiol. 1998;82:806–809[CrossRef][Web of Science][Medline]
21. Sohn DW, Song JM, Zo JH. Mitral annulus velocity in the evaluation of left ventricular diastolic function in atrial fibrillation. J Am Soc Echocardiogr. 1999;12:927–931[CrossRef][Web of Science][Medline]
22. Onose Y, Oki T, Mishiro Y. Influence of aging on systolic left ventricular wall motion velocities along the long and short axes in clinically normal patients determined by pulsed tissue Doppler imaging. J Am Soc Echocardiogr. 1999;12:921–926[CrossRef][Web of Science][Medline]
23. Mishiro Y, Oki T, Yamada H, Wakatsuki T, Ito S. Evaluation of left ventricular contraction abnormalities in patients with dilated cardiomyopathy with the use of pulsed tissue Doppler imaging. J Am Soc Echocardiogr. 1999;13:913–920
24. Galiuto L, Ignone G, DeMaria AN. Contraction and relaxation velocities of the normal left ventricle using pulsed-wave Doppler echocardiography. Am J Cardiol. 1998;81:609–614[CrossRef][Web of Science][Medline]
25. García-Fernández MA, Azevedo J, Moreno M. Regional diastolic function in ischaemic heart disease using pulsed wave Doppler tissue imaging. Eur Heart J. 1999;20:496–505[Abstract/Free Full Text]
26. Rushmer RF, Crystal DK, Wagner C. The functional anatomy of ventricular contraction. Circulation Research. 1953;1:162–170[Abstract/Free Full Text]
27. Pai RG, Bodenheimer MM, Pai SM, Koss JH, Adamick RD. Usefulness of systolic excursion of the mitral anulus as an index of left ventricular systolic function. Am J Cardiol. 1991;67:222–224[CrossRef][Web of Science][Medline]
28. Willenheimer R, Israelsson B, Cline C, Rydberg E, Broms K, Erhardt L. Left atrioventricular plane displacement is related to both systolic and diastolic left ventricular performance in patients with chronic heart failure. Eur Heart J. 1999;20:612–618[Abstract/Free Full Text]
29. Alam M, Höglund Ch. Serial echocardiographic studies following thrombolytic treatment in myocardial infarction with special reference to the atrioventricular valve plane displacement. Clin Cardiol. 1992;15:30–36[Web of Science][Medline]
30. Alam M, Samad BA. Detection of exercise-induced reversible right ventricular wall motion abnormalities using echocardiographic determined tricuspid annular motion. Am J Cardiol. 1999;83:103–105[CrossRef][Web of Science][Medline]
31. Willenheimer R, Cline C, Erhardt L, Israelsson B. Left ventricular atrioventricular plane displacement: an echocardiographic technique for rapid assessment of prognosis in heart failure. Heart. 1997;78:230–236[Abstract/Free Full Text]
32. Karatasakis GT, Karagounis LA, Kalyvas PA. Prognostic significance of echocardiographically estimated right ventricular shortening in advanced heart failure. Am J Cardiol. 1998;82:329–334[CrossRef][Web of Science][Medline]
33. Fukuda K, Oki T, Tabata T, Iuchi A, Ito S. Regional left ventricular wall motion abnormalities in myocardial infarction and mitral annular descent velocities studied with pulsed tissue Doppler imaging. J Am Soc Echocardiogr. 1998;11:841–848[CrossRef][Web of Science][Medline]
34. Alam M, Wardell J, Andersson E, Samad B, Nordlander R. Characteristics of mitral and tricuspid annular velocities determined by pulsed wave Doppler tissue imaging in healthy subjects. J Am Soc Echocardiogr. 1999;12:618–628[CrossRef][Web of Science][Medline]
35. Vinereanu D, Khokhar A, Fraser AG. Reproducibility of pulsed wave tissue Doppler echocardiography. J Am Soc Echocardiogr. 1999;12:492–499[CrossRef][Web of Science][Medline]
36. Gulati VK, Katz WE, Follansbee WP, Gorcsan J III. Mitral annular descent velocity by tissue Doppler echocardiography as an index of global left ventricular function. Am J Cardiol. 1996;77:979–984[CrossRef][Web of Science][Medline]
37. Nagueh SF, Middleton KJ, Kopelen HA, Zoghbi WA, Quinones MA. Doppler tissue imaging: A noninvasive technique for evaluation of left ventricular relaxation and estimation of filling pressures. J Am Coll Cardiol. 1997;30:1527–1533[Abstract]
38. Garcia MJ, Rodriguez L, Ares M, Griffin BP, Thomas JD, Klein AL. Differentiation of constrictive pericarditis from restrictive cardiomyopathy: Assessment of left ventricular diastolic velocities in longitudinal axis by Doppler tissue imaging. J Am Coll Cardiol. 1996;27:108–114[Abstract]
39. Farias CA, Rodriguez L, Garcia MJ, Sun JP, Klein AL, Thomas JD. Assessment of diastolic function by tissue Doppler echocardiography: Comparison with standard transmitral and pulmonary venous flow. J Am Soc Echocardiogr. 1999;12:609–617[CrossRef][Web of Science][Medline]
40. Klein AL, Hatle LK, Burstow DJ. Doppler characterization of left ventricular diastolic function in cardiac amyloidosis. J Am Coll Cardiol. 1989;13:1017–1026[Abstract]
41. Appleton ChP, Hatle LK, Popp RL. Relation of transmitral flow velocity patterns to left ventricular diastolic function: New insight from a combined hemodynamic and Doppler echocardiographic study. J Am Coll Cardiol. 1988;12:426–440[Abstract]
42. Völler H, Spielberg Ch, Schröder K. Exercise Doppler echocardiography: Do diastolic flow patterns identify patients with myocardial ischemia? Eur Heart J. 1990;11:73
43. Meluzín J, Toman J, Souek M. Variability of changes in Doppler transmitral filling pattern during stress echocardiography in patients with stable angina pectoris. Int J Cardiol. 1994;45:209–217[CrossRef][Web of Science][Medline]
44. Nagel E, Stuber M, Hess OM. Importance of the right ventricle in valvular heart disease. Eur Heart J. 1996;17:829–836[Abstract/Free Full Text]
45. Nienaber CA, Spielmann RP, Wasmus G, Montz R, Mathey DG, Bleifeld W. Right ventricular ejection fraction from equilibrium krypton-81m blood pool scans: a noninvasive predictor of pulmonary arterial hypertension. Eur Heart J. 1987;8:297–307[Abstract/Free Full Text]
46. Jones ChJH, Raposo L, Gibson DG. Functional importance of the long axis dynamics of the human left ventricle. Br Heart J. 1990;63:215–220[Abstract/Free Full Text]
47. McDonald IG. The shape and movements of the human left ventricle during systole. Am J Cardiol. 1970;26:221–230[CrossRef][Web of Science][Medline]

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				O M Ueti, E E Camargo, A de A Ueti, E C de Lima-Filho, and E A Nogueira Assessment of right ventricular function with Doppler echocardiographic indices derived from tricuspid annular motion: comparison with radionuclide angiography Heart, September 1, 2002; 88(3): 244 - 248. [Abstract] [Full Text] [PDF]

				R. Hoffmann and P. Hanrath Tricuspid annular velocity measurement. Simple and accurate solution for a delicate problem? Eur. Heart J., February 2, 2001; 22(4): 280 - 282. [PDF]

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