Echocardiographic Assessment of Right Ventricular Systolic Function in Postoperative Tetralogy of Fallot Patients with Special Emphasis on Right Ventricular-Global Longitudinal Strain
Background: Limitations of echocardiography have long been known for the assessment of right ventricular (RV) systolic function in postoperative tetralogy of Fallot (TOF) patients. In this study, we evaluated the role of RV-global longitudinal strain (GLS) for the assessment of RV systolic function....
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2022-01-01
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| Series: | Journal of the Indian Academy of Echocardiography & Cardiovascular Imaging |
| Subjects: | |
| Online Access: | http://www.jiaecho.org/article.asp?issn=2543-1463;year=2022;volume=6;issue=2;spage=100;epage=107;aulast=Kidwai |
| _version_ | 1811276708538482688 |
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| author | Mohammad Moaaz Kidwai Sushil Azad Sitaraman Radhakrishnan Ankit Garg Shashikapoor Yadav Amit Kumar |
| author_facet | Mohammad Moaaz Kidwai Sushil Azad Sitaraman Radhakrishnan Ankit Garg Shashikapoor Yadav Amit Kumar |
| author_sort | Mohammad Moaaz Kidwai |
| collection | DOAJ |
| description | Background: Limitations of echocardiography have long been known for the assessment of right ventricular (RV) systolic function in postoperative tetralogy of Fallot (TOF) patients. In this study, we evaluated the role of RV-global longitudinal strain (GLS) for the assessment of RV systolic function. Materials and Methods: It was a single institution prospective observational study of ninety postoperative TOF patients. Detailed 2-dimensional echocardiography along with RV-GLS using speckle tracing imaging was done at baseline and after 1 year. The children were divided into three groups based on duration since total correction, i.e., group A (6 months to 5 years), group B (6–10 years), and group C (>10 years) to assess the differences in RV systolic function. Furthermore, correlation of RV-GLS with RV-fractional area change (FAC), tricuspid annular plane systolic excursion, and tricuspid valve tissue Doppler imaging s' velocity was done. Results: In group A patients, a statistically significant increase in RV systolic function was seen over a period of 1 year. However, in group B and C patients, no significant change was seen. There was a strong positive correlation of RV-GLS only with RV-FAC during the first follow-up (r = 0.41, P < 0.01) and second follow-up periods (r = 0.67, P < 0.01). Conclusion: RV-GLS has a strong positive correlation with RV-FAC, and it detects preclinical regional myocardial dysfunction even when the RV-FAC is normal and thus must be included in the evaluation of postoperative TOF children. |
| first_indexed | 2024-04-13T00:01:34Z |
| format | Article |
| id | doaj.art-7db2c4ecc6574147a818d67558083ae9 |
| institution | Directory Open Access Journal |
| issn | 2543-1463 2543-1471 |
| language | English |
| last_indexed | 2024-04-13T00:01:34Z |
| publishDate | 2022-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of the Indian Academy of Echocardiography & Cardiovascular Imaging |
| spelling | doaj.art-7db2c4ecc6574147a818d67558083ae92022-12-22T03:11:20ZengWolters Kluwer Medknow PublicationsJournal of the Indian Academy of Echocardiography & Cardiovascular Imaging2543-14632543-14712022-01-016210010710.4103/jiae.jiae_60_21Echocardiographic Assessment of Right Ventricular Systolic Function in Postoperative Tetralogy of Fallot Patients with Special Emphasis on Right Ventricular-Global Longitudinal StrainMohammad Moaaz KidwaiSushil AzadSitaraman RadhakrishnanAnkit GargShashikapoor YadavAmit KumarBackground: Limitations of echocardiography have long been known for the assessment of right ventricular (RV) systolic function in postoperative tetralogy of Fallot (TOF) patients. In this study, we evaluated the role of RV-global longitudinal strain (GLS) for the assessment of RV systolic function. Materials and Methods: It was a single institution prospective observational study of ninety postoperative TOF patients. Detailed 2-dimensional echocardiography along with RV-GLS using speckle tracing imaging was done at baseline and after 1 year. The children were divided into three groups based on duration since total correction, i.e., group A (6 months to 5 years), group B (6–10 years), and group C (>10 years) to assess the differences in RV systolic function. Furthermore, correlation of RV-GLS with RV-fractional area change (FAC), tricuspid annular plane systolic excursion, and tricuspid valve tissue Doppler imaging s' velocity was done. Results: In group A patients, a statistically significant increase in RV systolic function was seen over a period of 1 year. However, in group B and C patients, no significant change was seen. There was a strong positive correlation of RV-GLS only with RV-FAC during the first follow-up (r = 0.41, P < 0.01) and second follow-up periods (r = 0.67, P < 0.01). Conclusion: RV-GLS has a strong positive correlation with RV-FAC, and it detects preclinical regional myocardial dysfunction even when the RV-FAC is normal and thus must be included in the evaluation of postoperative TOF children.http://www.jiaecho.org/article.asp?issn=2543-1463;year=2022;volume=6;issue=2;spage=100;epage=107;aulast=Kidwaiglobal longitudinal strain-global longitudinal strainright ventricular systolic functiontetralogy of fallot |
| spellingShingle | Mohammad Moaaz Kidwai Sushil Azad Sitaraman Radhakrishnan Ankit Garg Shashikapoor Yadav Amit Kumar Echocardiographic Assessment of Right Ventricular Systolic Function in Postoperative Tetralogy of Fallot Patients with Special Emphasis on Right Ventricular-Global Longitudinal Strain Journal of the Indian Academy of Echocardiography & Cardiovascular Imaging global longitudinal strain-global longitudinal strain right ventricular systolic function tetralogy of fallot |
| title | Echocardiographic Assessment of Right Ventricular Systolic Function in Postoperative Tetralogy of Fallot Patients with Special Emphasis on Right Ventricular-Global Longitudinal Strain |
| title_full | Echocardiographic Assessment of Right Ventricular Systolic Function in Postoperative Tetralogy of Fallot Patients with Special Emphasis on Right Ventricular-Global Longitudinal Strain |
| title_fullStr | Echocardiographic Assessment of Right Ventricular Systolic Function in Postoperative Tetralogy of Fallot Patients with Special Emphasis on Right Ventricular-Global Longitudinal Strain |
| title_full_unstemmed | Echocardiographic Assessment of Right Ventricular Systolic Function in Postoperative Tetralogy of Fallot Patients with Special Emphasis on Right Ventricular-Global Longitudinal Strain |
| title_short | Echocardiographic Assessment of Right Ventricular Systolic Function in Postoperative Tetralogy of Fallot Patients with Special Emphasis on Right Ventricular-Global Longitudinal Strain |
| title_sort | echocardiographic assessment of right ventricular systolic function in postoperative tetralogy of fallot patients with special emphasis on right ventricular global longitudinal strain |
| topic | global longitudinal strain-global longitudinal strain right ventricular systolic function tetralogy of fallot |
| url | http://www.jiaecho.org/article.asp?issn=2543-1463;year=2022;volume=6;issue=2;spage=100;epage=107;aulast=Kidwai |
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