Hostname: page-component-8448b6f56d-m8qmq Total loading time: 0 Render date: 2024-04-23T12:37:16.361Z Has data issue: false hasContentIssue false
  • English
  • Français

Evaluation of right ventricular function in patients with tetralogy of Fallot using the myocardial performance index and isovolumic acceleration: a comparison with cardiac magnetic resonance imaging

Published online by Cambridge University Press:  17 May 2013

Bülent Koca ,
Funda Öztunç ,
Ayşe Güler Eroğlu ,
Selman Gökalp ,
Memduh Dursun  and
Ravza Yilmaz
Bülent Koca*
Affiliation:
Department of Pediatric Cardiology, Harran University Medical Faculty, Sanlıurfa, Turkey
Funda Öztunç
Affiliation:
Department of Pediatric Cardiology, İstanbul University Cerrahpasa Medical Faculty, Istanbul, Turkey
Ayşe Güler Eroğlu
Affiliation:
Department of Pediatric Cardiology, İstanbul University Cerrahpasa Medical Faculty, Istanbul, Turkey
Selman Gökalp
Affiliation:
Department of Pediatric Cardiology, İstanbul University Cerrahpasa Medical Faculty, Istanbul, Turkey
Memduh Dursun
Affiliation:
Department of Pediatric Radiology, İstanbul University Medical Faculty, Istanbul, Turkey
Ravza Yilmaz
Affiliation:
Department of Pediatric Radiology, İstanbul University Medical Faculty, Istanbul, Turkey
*
Correspondence to: Dr B. Koca, Department of Pediatric Cardiology, Harran University School of Medicine, Yenisehir Campus, 63000 Sanlıurfa, Turkey. Tel: (0414) 3183027; Fax: (0414) 3183192; E-mail: bkoca78@yahoo.com
Get access Rights & Permissions [Opens in a new window]

Abstract

Background: Assessment of right ventricular function is a key point in the follow-up of operated patients with tetralogy of Fallot. Cardiac magnetic resonance assessment of right ventricular function is considered the gold standard. However, this technique is expensive, has limited availability, and requires significant expertise to acquire and interpret the images. Myocardial performance index and isovolumic acceleration have recently been studied for the assessment of right ventricular function and are shown to be simple yet powerful tools for assessing patients with right ventricular dysfunction of various origins. Methods: In this study, the integrity of myocardial performance index and isovolumic acceleration obtained by tissue Doppler imaging echocardiography to quantify right ventricular function was assessed in 31 patients operated for tetralogy of Fallot. Myocardial performance index and isovolumic acceleration measurements were compared with the parameters derived by cardiac magnetic resonance imaging. Results: In this study, a significant correlation has not been detected between cardiac magnetic resonance-originated right ventricular ejection fraction, pulmonary regurgitation fraction and myocardial performance index, isovolumic acceleration obtained by tissue Doppler imaging echocardiography from the lateral tricuspid annulus of the right ventricle. Conclusion: We have concluded that when evaluated separately, myocardial performance index and isovolumic acceleration obtained from tissue Doppler imaging echocardiography can be used in the long-term follow-up of patients who have been operated for tetralogy of Fallot, but that they do not show correlation with cardiac magnetic resonance-originated right ventricle ejection fraction and pulmonary regurgitation fraction.

Keywords

Tetralogy of Fallotright ventricle functiontissue Doppler imagingcardiac magnetic resonancemyocardial performance indexisovolumic acceleration
Type
Original Articles
Information
Cardiology in the Young , Volume 24 , Issue 3 , June 2014 , pp. 422 - 429
Copyright
Copyright © Cambridge University Press 2013 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Khositseth, A, Manop, J, Khowsathit, P, et al. N-terminal pro-brain natriuretic peptide as a marker in follow-up patients with tetralogy of Fallot after total correction. Pediatr Cardiol 2007; 28: 333–338.Google Scholar
2. Nollert, G, Fischlein, T, Bouterwek, S, Bohmer, C, Klinner, W, Reichart, B. Long-term survival in patients with repair of tetralogy of Fallot: 36-year follow-up of 490 survivors of the first year after surgical repair. J Am Coll Cardiol 1997; 30: 1374–1383.CrossRefGoogle ScholarPubMed
3. Murphy, JG, Gersh, BJ, Mair, DD, et al. Long-term outcome in patients undergoing surgical repair of tetralogy of Fallot. N Engl J Med 1993; 329: 593–599.Google Scholar
4. Jiang, L, Levine, RA, Weyman, AE. Echocardiographic assessment of right ventricular volume and function. Echocardiography 1997; 14: 189–206.Google Scholar
5. Hornung, TS, Derrick, GP, Deanfield, JE, Redington, AN. Transposition complexes in the adult: a changing perspective. Cardiol Clin 2002; 20: 405–420.Google Scholar
6. Kukulski, T, Hubbert, L, Arnold, M, Wranne, B, Hatle, L, Sutherland, GR. Normal regional right ventricular function and its change with age: a Doppler myocardial imaging study. J Am Soc Echocardiogr 2000; 13: 194–204.Google Scholar
7. Cetin, I, Tokel, K, Varan, B, Orün, U, Aşlamaci, S. Evaluation of right ventricular function by using tissue Doppler imaging in patients after repair of tetralogy of Fallot. Echocardiography 2009; 26: 950–957.Google Scholar
8. Sengupta, PP, Mohan, JC, Pandian, NG. Tissue Doppler echocardiography: principles and applications. Indian Heart J 2002; 54: 368–378.Google Scholar
9. Garcia-Fernandez, MA, Zamorano, J, Azevedo, J (eds.). Doppler Tissue Imaging. McGraw-Hill, Madrid, 1998.Google Scholar
10. Tayyareci, Y, Tayyareci, G, Nişanci, Y, Umman, B, Buğra, Z. Evaluation of the severity of mitral stenosis with a new index: isovolumic myocardial acceleration. Turk Kardiyol Dern Ars 2008; 36: 388–394.Google Scholar
11. Meijboom, F, Szatmari, A, Deckers, JW, et al. Cardiac status and health-related quality of life in the long-term after surgical repair of tetralogy of Fallot in infancy and childhood. J Thorac Cardiovasc Surg 1995; 110: 883–891.Google Scholar
12. Murphy, JG, Gersh, BJ, Mair, DD, et al. Long-term outcome in patients undergoing surgical repair of tetralogy of Fallot. N Engl J Med 1993; 329: 593–599.CrossRefGoogle ScholarPubMed
13. Jang, W, Kim, YJ, Choi, K, Lim, HG, Kim, WH, Lee, JR. Mid-term results of bioprosthetic pulmonary valve replacement in pulmonary regurgitation after tetralogy of Fallot repair. Eur J Cardiothorac Surg 2012; 42(1): e1–8. doi: 10.1093/ejcts/ezs219 [Epub 4 May 2012].Google Scholar
14. Amico, AF, Lichtenberg, GS, Reisner, SA, Stone, CK, Schwartz, RG, Meltzer, RS. Superiority of visual versus computerized echocardiographic estimation of radionuclide left ventricular ejection fraction. Am Heart J 1989; 118: 1259–1265.Google Scholar
15. Aebischer, NM, Czegledy, F. Determination of right ventricular volume by two-dimensional echocardiography with a crescentic model. J Am Soc Echocardiogr 1989; 2: 110–118.Google Scholar
16. Papavassiliou, DP, Parks, WJ, Hopkins, KL, Fyfe, DA. Three-dimensional echocardiographic measurement of right ventricular volume in children with congenital heart disease validated by magnetic resonance imaging. J Am Soc Echocardiogr 1998; 11: 770–777.Google Scholar
17. Cheung, MM, Smallhorn, JF, Redington, AN, Vogel, M. The effects of changes in loading conditions and modulation of inotropic state on the myocardial performance index: comparison with conductance catheter measurements. Eur Heart J 2004; 25: 2238–2242.Google Scholar
18. Harada, K, Tamura, M, Toyono, M, Yasuoka, K. Effect of dobutamine on a Doppler echocardiographic index of combined systolic and diastolic performance. Pediatr Cardiol 2002; 23: 613–617.Google Scholar
19. Arnlov, J, Ingelsson, E, Riserus, U, Andren, B, Lind, L. Myocardial performance index, a Doppler-derived index of global left ventricular function, predicts congestive heart failure in elderly men. Eur Heart J 2004; 25: 2220–2225.Google Scholar
20. Bruch, C, Schmermund, A, Marin, D, et al. Tei-index in patients with mild-to-moderate congestive heart failure. Eur Heart J 2000; 21: 1888–1895.Google Scholar
21. Eto, G, Ishii, M, Tei, C, Tsutsumi, T, Akagi, T, Kato, H. Assessment of global left ventricular function in normal children and in children with dilated cardiomyopathy. J Am Soc Echocardiogr 1999; 12: 1058–1064.Google Scholar
22. Cannesson, M, Jacques, D, Pinsky, MR, Gorcsan, J 3rd. Effects of modulation of left ventricular contractile state and loading conditions on tissue Doppler myocardial performance index. Am J Physiol Heart Circ Physiol 2006; 290: H1952–H1959.CrossRefGoogle ScholarPubMed
23. Pauliks, LB, Chan, KC, Chang, D, et al. Regional myocardial velocities and isovolumic contraction acceleration before and after device closure of atrial septal defects: a color tissue Doppler study. Am Heart J 2005; 150: 294–301.Google Scholar
24. Vogel, M, Derrick, G, White, PA, et al. Systemic ventricular function in patients with transposition of the great arteries after atrial repair: a tissue Doppler and conductance catheter study. J Am Coll Cardiol 2004; 43: 100–106.Google Scholar
25. Nageh, MF, Kopelen, HA, Zoghbi, WA, Quinones, MA, Nagueh, SF. Estimation of mean right atrial pressure using tissue Doppler imaging. Am J Cardiol 1999; 84: 1448–1451.Google Scholar
26. Vogel, M, Schmidt, MR, Kristiansen, SB, et al. Validation of myocardial acceleration during isovolumic contraction as a novel noninvasive index of right ventricular contractility: comparison with ventricular pressure-volume relations in an animal model. Circulation 2002; 105: 1693–1699.CrossRefGoogle ScholarPubMed
27. Frigiola, A, Redington, AN, Cullen, S, Vogel, M. Pulmonary regurgitation is an important determinat of right ventricular contractile dysfunction in patients with surgically repaired tetralogy of Fallot. Circulation 2004; 110: 153–157.Google Scholar
28. Schwerzmann, M, Samman, AM, Salehian, O, et al. Comparison of echocardiographic and cardiac magnetic resonance imaging for assessing right ventricular function in adults with repaired tetralogy of fallot. Am J Cardiol 2007; 99: 1593–1597.Google Scholar
29. Cheung, EW, Lam, WW, Cheung, SC, Cheung, YF. Functional implications of the right ventricular myocardial performance index in patients after surgical repair of tetralogy of Fallot. Heart Vessels 2008; 23: 112–117.CrossRefGoogle ScholarPubMed