Regional differences in color tissue Doppler-derived measures of longitudinal right ventricular function using transesophageal and transthoracic echocardiography.
J Cardiothorac Vasc Anesth
; 22(3): 400-5, 2008 Jun.
Article
em En
| MEDLINE
| ID: mdl-18503928
ABSTRACT
OBJECTIVE:
This study was designed to compare the right ventricular (RV) Doppler tissue imaging parameters of tricuspid annular isovolumic acceleration (IVA), systolic velocity (S), and basilar myocardial strain and strain rate (SR) by using both transesophageal echocardiography (TEE) (inferior wall) and transthoracic echocardiography (TTE) (free wall) in a cardiac surgical population under general anesthesia.DESIGN:
Prospective observational study.SETTING:
University hospital.PARTICIPANTS:
Twenty-four elective patients undergoing coronary artery bypass surgery.INTERVENTIONS:
None. MEASUREMENTS AND MAINRESULTS:
Under general anesthesia, simultaneous Doppler tissue-imaging measurements of tricuspid annular velocities and basilar myocardial deformation were performed by using both TEE and TTE approaches. Interclass correlation coefficients were used to compare the measurements using both methods. When TEE and TTE methods were compared, there was good correlation for the IVA (r = 0.70) but no correlation for S-wave velocities, strain, and SR. The S-wave velocities were lower using the TEE approach. The basilar strain and SR were higher using the TEE approach.CONCLUSIONS:
In cardiac surgical patients under anesthesia, the IVA appears to be the most consistent variable in the evaluation of RV function measured by either the TTE (lateral wall) or TEE (inferior wall). Technical difficulties may preclude the use of the deformation parameters in the assessment of RV function.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Função Ventricular Direita
/
Ecocardiografia Transesofagiana
/
Ecocardiografia Doppler em Cores
Tipo de estudo:
Observational_studies
Limite:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
J Cardiothorac Vasc Anesth
Assunto da revista:
ANESTESIOLOGIA
/
CARDIOLOGIA
Ano de publicação:
2008
Tipo de documento:
Article
País de afiliação:
Canadá