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Longitudinal systolic ventricular interaction in pediatric and young adult patients with TOF: a cardiac magnetic resonance and M-mode echocardiographic study.
Int J Cardiovasc Imaging. 2013 Dec; 29(8):1707-15.IJ

Abstract

Aim of this prospective study was to evaluate longitudinal systolic left ventricular (LV)-right ventricular (RV) interaction using M-mode compared to magnetic resonance imaging (MRI) data in 146 pediatric and adults with operated tetralogy of Fallot (TOF). We determined biventricular measures of longitudinal M-mode echocardiography [i.e., tricuspid annular plane systolic excursion (TAPSE); the mitral annular plane systolic excursion (MAPSE)] compared to longitudinal function parameters using MRI. M-mode data were compared to established normal z-score values. We found a good correlation between MAPSE and LVEF values (r = 0.788; p < 0.001). Correlations between MRI derived MAPSE and M-mode guided MAPSE (r = 0.879, p < 0.001), and between MRI derived TAPSE and M-mode guided TAPSE were significant (r = 0.780, p < 0.001). While the LVEF was normal in patients with a normal RVEF, the LVEF was decreased in patients with significantly reduced RVEF. Patients with a significantly dilated RV (RVEDVi > 150 ml/m(2)) showed a significantly reduced mean MAPSE of 1.30 ± 0.26 cm. LV longitudinal function decreases below -2 SD of normal MAPSE z-score values after a mean of 22 postoperative years. Our data confirm progressive adverse RV-LV interaction in the long-term follow-up of TOF. We show that simple M-mode measurement of the longitudinal LV function (i.e. MAPSE) is a sufficient surrogate for estimation of LVEF. Therefore determination of the MAPSE is a helpful additional tool for LV systolic function assessment late after TOF repair.

Authors+Show Affiliations

Division of Pediatric Cardiology, Department of Pediatrics, Medical University Graz, Auenbruggerplatz 34/2, 8036, Graz, Austria, koestenbergerm@gmx.at.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

23820958

Citation

Koestenberger, Martin, et al. "Longitudinal Systolic Ventricular Interaction in Pediatric and Young Adult Patients With TOF: a Cardiac Magnetic Resonance and M-mode Echocardiographic Study." The International Journal of Cardiovascular Imaging, vol. 29, no. 8, 2013, pp. 1707-15.
Koestenberger M, Ravekes W, Nagel B, et al. Longitudinal systolic ventricular interaction in pediatric and young adult patients with TOF: a cardiac magnetic resonance and M-mode echocardiographic study. Int J Cardiovasc Imaging. 2013;29(8):1707-15.
Koestenberger, M., Ravekes, W., Nagel, B., Avian, A., Heinzl, B., Fritsch, P., Sorantin, E., Cvirn, G., Rehak, T., & Gamillscheg, A. (2013). Longitudinal systolic ventricular interaction in pediatric and young adult patients with TOF: a cardiac magnetic resonance and M-mode echocardiographic study. The International Journal of Cardiovascular Imaging, 29(8), 1707-15. https://doi.org/10.1007/s10554-013-0261-3
Koestenberger M, et al. Longitudinal Systolic Ventricular Interaction in Pediatric and Young Adult Patients With TOF: a Cardiac Magnetic Resonance and M-mode Echocardiographic Study. Int J Cardiovasc Imaging. 2013;29(8):1707-15. PubMed PMID: 23820958.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Longitudinal systolic ventricular interaction in pediatric and young adult patients with TOF: a cardiac magnetic resonance and M-mode echocardiographic study. AU - Koestenberger,Martin, AU - Ravekes,William, AU - Nagel,Bert, AU - Avian,Alexander, AU - Heinzl,Bernd, AU - Fritsch,Peter, AU - Sorantin,Erich, AU - Cvirn,Gerhard, AU - Rehak,Thomas, AU - Gamillscheg,Andreas, Y1 - 2013/07/03/ PY - 2013/04/17/received PY - 2013/06/18/accepted PY - 2013/7/4/entrez PY - 2013/7/4/pubmed PY - 2014/7/17/medline SP - 1707 EP - 15 JF - The international journal of cardiovascular imaging JO - Int J Cardiovasc Imaging VL - 29 IS - 8 N2 - Aim of this prospective study was to evaluate longitudinal systolic left ventricular (LV)-right ventricular (RV) interaction using M-mode compared to magnetic resonance imaging (MRI) data in 146 pediatric and adults with operated tetralogy of Fallot (TOF). We determined biventricular measures of longitudinal M-mode echocardiography [i.e., tricuspid annular plane systolic excursion (TAPSE); the mitral annular plane systolic excursion (MAPSE)] compared to longitudinal function parameters using MRI. M-mode data were compared to established normal z-score values. We found a good correlation between MAPSE and LVEF values (r = 0.788; p < 0.001). Correlations between MRI derived MAPSE and M-mode guided MAPSE (r = 0.879, p < 0.001), and between MRI derived TAPSE and M-mode guided TAPSE were significant (r = 0.780, p < 0.001). While the LVEF was normal in patients with a normal RVEF, the LVEF was decreased in patients with significantly reduced RVEF. Patients with a significantly dilated RV (RVEDVi > 150 ml/m(2)) showed a significantly reduced mean MAPSE of 1.30 ± 0.26 cm. LV longitudinal function decreases below -2 SD of normal MAPSE z-score values after a mean of 22 postoperative years. Our data confirm progressive adverse RV-LV interaction in the long-term follow-up of TOF. We show that simple M-mode measurement of the longitudinal LV function (i.e. MAPSE) is a sufficient surrogate for estimation of LVEF. Therefore determination of the MAPSE is a helpful additional tool for LV systolic function assessment late after TOF repair. SN - 1875-8312 UR - https://www.unboundmedicine.com/medline/citation/23820958/Longitudinal_systolic_ventricular_interaction_in_pediatric_and_young_adult_patients_with_TOF:_a_cardiac_magnetic_resonance_and_M_mode_echocardiographic_study_ L2 - https://doi.org/10.1007/s10554-013-0261-3 DB - PRIME DP - Unbound Medicine ER -