151. Different Combinations of Right Ventricular Longitudinal Velocity and Displacement Can Be Applied Effectively for Diagnosis of Right Heart Failure in Chinese Patients
- Author
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Ke Wang, Dechun Su, Zhijuan Shang, Tao Cong, Wanxiang Zheng, Yinghui Sun, and Yan Liu
- Subjects
Male ,China ,medicine.medical_specialty ,Heart Ventricles ,Ventricular Dysfunction, Right ,Right heart failure ,Internal medicine ,Healthy volunteers ,medicine ,Humans ,Cutoff ,Myocardial Performance Index ,Retrospective Studies ,Heart Failure ,Ventricular function ,Receiver operating characteristic ,business.industry ,Incidence ,Stroke Volume ,Middle Aged ,Echocardiography, Doppler, Color ,Surgery ,ROC Curve ,Fractional area change ,Ventricular Function, Right ,Cardiology ,Female ,Right Ventricular Free Wall ,Cardiology and Cardiovascular Medicine ,business ,Blood Flow Velocity ,Follow-Up Studies - Abstract
Background: The noninvasive evaluation of right ventricular function (RVF) in cardiovascular and pulmonary diseases remains a challenge. Internationally recommended echocardiographic parameters for the evaluation of RVF may not be applicable to China, because of the limited examination time per patient, the varying skill levels of ultrasonographers, inadequate allocation of professional specialties, and outdated instruments and equipment.Methods: Sixty-two patients admitted for right heart failure and 52 healthy volunteers were included in the analysis. The tricuspid annular plane systolic excursion (TAPSE), peak systolic velocity in the tricuspid annulus of the right ventricular free wall (S′), myocardial performance index, right ventricular fractional area change, and Doppler peak strains in the base and mid cavity were evaluated and compared between groups.Results: Compared with the control group, all RVF parameters in the right heart failure group showed significant deterioration (P < .001). However, only TAPSE and S′ were finally included in the discriminant equation. The diagnostic cutoff values derived from the receiver operating characteristic curve were Conclusion: TAPSE and S′ are more suitable than other parameters for the diagnosis of right heart failure in Chinese patients. Different combinations of TAPSE and S′ can be applied effectively for the diagnosis of right heart failure.
- Published
- 2016