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Relationship between right and left ventricular diastolic dysfunction assessed by 2-dimensional speckle-tracking echocardiography in adults with repaired tetralogy of Fallot.
Int J Cardiovasc Imaging. 2021 Feb; 37(2):569-576.IJ

Abstract

Several studies have reported a correlation between right ventricular (RV) and left ventricular (LV) systolic dysfunction in adults with repaired tetralogy of Fallot (TOF). However, data are lacking regarding the relationship between RV and LV diastolic dysfunction assessed by 2-dimensional speckle-tracking echocardiography. We studied 69 adults with repaired TOF (mean age 34 years, 61% male) who had been regularly followed up and had routinely undergone echocardiography. In addition to conventional echocardiography, global longitudinal strain (GLS) and early diastolic strain rate (SRe) of both ventricles were assessed using 2-dimensional speckle-tracking echocardiography. Results were compared with 30 age- and sex-matched controls. RV and LV GLS were decreased in TOF patients compared with controls (- 18.4 ± 3.3% vs. -23.5 ± 4.2%, p < 0.001 and - 16.0 ± 3.8% vs. -20.0 ± 3.0%, p < 0.001, respectively). RV and LV SRe were also decreased in TOF patients compared with controls (1.22 ± 0.34 sec- 1 vs. 1.47 ± 0.41 sec- 1, p = 0.003 and 1.29 ± 0.42 sec- 1 vs. 1.63 ± 0.42 sec- 1, p < 0.001, respectively). A correlation between RV and LV SRe was found in TOF patients (r = 0.43, p < 0.001) as well as between RV and LV GLS (r = 0.45, p < 0.001). Two-dimensional speckle-tracking echocardiography reveals subclinical RV and LV diastolic dysfunction in adults with repaired TOF. A correlation is observed between RV and LV diastolic dysfunction as well as between RV and LV systolic dysfunction.

Authors+Show Affiliations

Department of Cardiology, Tenri Hospital, Tenri, Japan. miyamako@tenriyorozu.jp. Congenital Heart Disease Center, Tenri Hospital, Tenri, Japan. miyamako@tenriyorozu.jp. Department of Cardiology, Congenital Heart Disease Center, Tenri Hospital, 200 Mishima-cho, 632-8552, Tenri, Japan. miyamako@tenriyorozu.jp.Department of Clinical Laboratory, Tenri Hospital, Tenri, Japan.Department of Clinical Laboratory, Tenri Hospital, Tenri, Japan.Department of Cardiology, Tenri Hospital, Tenri, Japan.Department of Cardiology, Tenri Hospital, Tenri, Japan.Department of Cardiovascular Surgery, Tenri Hospital, Tenri, Japan.Congenital Heart Disease Center, Tenri Hospital, Tenri, Japan.Department of Cardiology, Tenri Hospital, Tenri, Japan.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

33006716

Citation

Miyake, Makoto, et al. "Relationship Between Right and Left Ventricular Diastolic Dysfunction Assessed By 2-dimensional Speckle-tracking Echocardiography in Adults With Repaired Tetralogy of Fallot." The International Journal of Cardiovascular Imaging, vol. 37, no. 2, 2021, pp. 569-576.
Miyake M, Abe R, Matsutani H, et al. Relationship between right and left ventricular diastolic dysfunction assessed by 2-dimensional speckle-tracking echocardiography in adults with repaired tetralogy of Fallot. Int J Cardiovasc Imaging. 2021;37(2):569-576.
Miyake, M., Abe, R., Matsutani, H., Sakamoto, J., Kondo, H., Iwakura, A., Doi, H., & Tamura, T. (2021). Relationship between right and left ventricular diastolic dysfunction assessed by 2-dimensional speckle-tracking echocardiography in adults with repaired tetralogy of Fallot. The International Journal of Cardiovascular Imaging, 37(2), 569-576. https://doi.org/10.1007/s10554-020-02045-7
Miyake M, et al. Relationship Between Right and Left Ventricular Diastolic Dysfunction Assessed By 2-dimensional Speckle-tracking Echocardiography in Adults With Repaired Tetralogy of Fallot. Int J Cardiovasc Imaging. 2021;37(2):569-576. PubMed PMID: 33006716.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Relationship between right and left ventricular diastolic dysfunction assessed by 2-dimensional speckle-tracking echocardiography in adults with repaired tetralogy of Fallot. AU - Miyake,Makoto, AU - Abe,Rie, AU - Matsutani,Hayato, AU - Sakamoto,Jiro, AU - Kondo,Hirokazu, AU - Iwakura,Atsushi, AU - Doi,Hiraku, AU - Tamura,Toshihiro, Y1 - 2020/10/02/ PY - 2020/05/22/received PY - 2020/09/26/accepted PY - 2020/10/3/pubmed PY - 2021/6/8/medline PY - 2020/10/2/entrez KW - Congenital heart disease KW - Diastolic dysfunction KW - Early diastolic strain rate KW - Speckle-tracking echocardiography KW - Tetralogy of Fallot SP - 569 EP - 576 JF - The international journal of cardiovascular imaging JO - Int J Cardiovasc Imaging VL - 37 IS - 2 N2 - Several studies have reported a correlation between right ventricular (RV) and left ventricular (LV) systolic dysfunction in adults with repaired tetralogy of Fallot (TOF). However, data are lacking regarding the relationship between RV and LV diastolic dysfunction assessed by 2-dimensional speckle-tracking echocardiography. We studied 69 adults with repaired TOF (mean age 34 years, 61% male) who had been regularly followed up and had routinely undergone echocardiography. In addition to conventional echocardiography, global longitudinal strain (GLS) and early diastolic strain rate (SRe) of both ventricles were assessed using 2-dimensional speckle-tracking echocardiography. Results were compared with 30 age- and sex-matched controls. RV and LV GLS were decreased in TOF patients compared with controls (- 18.4 ± 3.3% vs. -23.5 ± 4.2%, p < 0.001 and - 16.0 ± 3.8% vs. -20.0 ± 3.0%, p < 0.001, respectively). RV and LV SRe were also decreased in TOF patients compared with controls (1.22 ± 0.34 sec- 1 vs. 1.47 ± 0.41 sec- 1, p = 0.003 and 1.29 ± 0.42 sec- 1 vs. 1.63 ± 0.42 sec- 1, p < 0.001, respectively). A correlation between RV and LV SRe was found in TOF patients (r = 0.43, p < 0.001) as well as between RV and LV GLS (r = 0.45, p < 0.001). Two-dimensional speckle-tracking echocardiography reveals subclinical RV and LV diastolic dysfunction in adults with repaired TOF. A correlation is observed between RV and LV diastolic dysfunction as well as between RV and LV systolic dysfunction. SN - 1875-8312 UR - https://www.unboundmedicine.com/medline/citation/33006716/Relationship_between_right_and_left_ventricular_diastolic_dysfunction_assessed_by_2_dimensional_speckle_tracking_echocardiography_in_adults_with_repaired_tetralogy_of_Fallot_ L2 - https://doi.org/10.1007/s10554-020-02045-7 DB - PRIME DP - Unbound Medicine ER -