Agreement Between Transesophageal Echocardiographic Tricuspid Annular Plane Systolic Excursion Measurement Methods in Cardiac Surgery Patients.
Publication/Presentation Date
3-1-2019
Abstract
OBJECTIVE: To assess the agreement between 2-dimensional tricuspid annular plane systolic excursion (2D-TAPSE), 2D-TAPSE-apex, and 2D speckle tracking echocardiography (STE-TAPSE) in a cross-section of routine cardiac surgery patients.
DESIGN: Retrospective, observational study.
SETTING: Tertiary, academic referral hospital.
PARTICIPANTS: Patients undergoing elective cardiac surgery with intraoperative transesophageal echocardiography (TEE) imaging.
INTERVENTIONS: TEE imaging was reviewed and evaluated for the following three different measurements of transthoracic echocardiography-TAPSE surrogates: 2D-TAPSE, 2D-TAPSE-apex, and STE-TAPSE. Statistical analyses, including 2-sample t tests, linear regression, and agreement using the Bland-Altman methods, were performed.
MEASUREMENTS AND MAIN RESULTS: Modest correlation was demonstrated between STE-TAPSE and 2D-TAPSE (R
CONCLUSIONS: Correlation and minimal bias were found between the several proposed TEE surrogates of transthoracic echocardiography-TAPSE; however, there was poor agreement. Therefore, these surrogates are not interchangeable, and each method needs to be separately validated for clinical use to relevant perioperative outcomes.
Volume
33
Issue
3
First Page
717
Last Page
724
ISSN
1532-8422
Published In/Presented At
Naoum, E. E., Schofield, P. T., Shen, T., Andrawes, M. N., & Kuo, A. S. (2019). Agreement Between Transesophageal Echocardiographic Tricuspid Annular Plane Systolic Excursion Measurement Methods in Cardiac Surgery Patients. Journal of cardiothoracic and vascular anesthesia, 33(3), 717–724. https://doi.org/10.1053/j.jvca.2018.11.012
Disciplines
Anesthesiology | Medicine and Health Sciences
PubMedID
30583929
Department(s)
Department of Anesthesiology
Document Type
Article