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Revista Cubana de Pediatría

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2013, Number 3

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Rev Cubana Pediatr 2013; 85 (3)

Tricuspid annular displacement in normal children measured by an extrapolated echocardiographic program

Ozores SFJ
Full text How to cite this article

Language: Spanish
References: 6
Page:
PDF size: 170.33 Kb.


Key words:

tricuspid annular plane systolic excursion, echocardiogram, right ventricle systolic function, pediatrics.

ABSTRACT

Introduction: the tricuspid annular plane systolic excursion (TAPSE) is a useful parameter to evaluate the right ventricular function in pediatric patients.
Objectives: to show the normal values of TAPSE in Cuban children by age groups, and to describe their relationship with the age, the left ventricular output, the pulmonary acceleration time and the ejection fraction of the left ventricle.
Methods: a prospective study included 102 normal children to whom TAPSE was measured by adapting the program for distance mensuration between point E and the interventricular septum.
Results: average TAPSE was 19.4 mm (DS±6) with mean values equal to 9.5 mm in the first week up to 21.2 mm at 5 years and 24.1 in older children. There was significant positive correlation between TAPSE figures and age (r= 0.679) described in equation TAPSE= 13.2787 + 5.2354 log (X). The TAPSE values were presented in five age groups. It was also found that there was significant correlation among TAPSE, pulmonary acceleration time and systolic output of the left ventricle.
Conclusions: there exist five well-defined age groups, the major changes occur before 5 years of age and log relation was found among TAPSE, age and pulmonary acceleration time. The used program is recommended as an alternative to measure TAPSE.


REFERENCES

  1. Helbing WA, Bosch HG, Maliepaard C, Rebergen SA, Van der Geest RJ, Hansen B, et al. Comparison of echocardiographic methods with magnetic resonance imaging for assessment of right ventricular function in children. Am J Cardiol. 1995;76:589-94.

  2. Zeineh NS, Champion HC. Utility of tricuspid annular plane systolic excursion in the assessment of right ventricular function. PVRI Review. 2010;2:17-21.

  3. Ghio S, Recusan F, Klersy C, Sebastián R, Laudisa ML, Campana C, et al. Prognostic Usefulness of the Tricuspid Annular Plane Systolic Excursion in Patients with Congestive Heart Failure Secondary to Idiopathic or Ischemic Dilated Cardiomyopathy. Am J Cardiol. 2000;85:837-42.

  4. Forfia PR, Fisher MR, Mathai SC, Housten-Harris T, Hemnes AR, Borlaug BA, et al. Tricuspid annular displacement predicts survival in pulmonary hypertension. Am J Respir Crit Care Med. 2006;174:1034-41.

  5. Koestenberger M, Ravekes W, Everett AD, Stueger HP, Heinzl B, Gamillscheg A, et al. Right Ventricular Function in Infants, Children and Adolescents: Reference Values of the Tricuspid Annular Plane Systolic Excursion (TAPSE) in 640 Healthy Patients and Calculation of z Score Values. J Am Soc Echocardiogr. 2009;22:715-9.

  6. Núñez Gil IJ, Rubio MD, Cartón AJ, López-Romero P, Deiros L. García-Guereta L, Labrandero C, et al. Determinación de valores normalizados del desplazamiento sistólico del plano del anillo tricuspídeo (TAPSE) en 405 niños y adolescentes españoles. Rev Esp Cardiol. 2011;64:674-80.




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Rev Cubana Pediatr. 2013;85