PMID- 10758923
OWN - NLM
STAT- MEDLINE
DCOM- 20000421
LR  - 20220408
IS  - 0002-9149 (Print)
IS  - 0002-9149 (Linking)
VI  - 85
IP  - 7
DP  - 2000 Apr 1
TI  - Prognostic usefulness of the tricuspid annular plane systolic excursion in 
      patients with congestive heart failure secondary to idiopathic or ischemic 
      dilated cardiomyopathy.
PG  - 837-42
AB  - The prognostic value of ultrasound evaluation of right ventricular (RV) 
      performance in patients with congestive heart failure (CHF) is still a matter of 
      investigation. We studied 140 consecutive patients with chronic CHF and a left 
      ventricular ejection fraction <35%. All patients underwent a complete 
      echocardiographic evaluation that systematically included the measurement of the 
      tricuspid annular plane systolic excursion (TAPSE). During a follow-up period of 
      24 +/- 14 months, 45 patients died and 7 underwent emergency heart 
      transplantation. At the multivariate survival analysis (Cox regression model) 
      backward stepwise selection identified a prognostic model with 2 parameters: New 
      York Heart Association (NYHA) class III or IV and TAPSE < or =14 mm (p <000). In 
      a subgroup of 97 patients in sinus rhythm in whom mitral inflow Doppler variables 
      could be measured, survival was further analyzed according to a model in which 
      the significant parameters were included in the same order as usually used in 
      routine clinical practice: clinical variables first, left ventricular function 
      data second, mitral Doppler variables third, and indexes of right ventricular 
      (RV) function last. TAPSE < or =14 mm added significant (p <0.03) prognostic 
      information to NYHA class III or IV, left ventricular ejection fraction of <20%, 
      and mitral deceleration time of < 125 ms. In conclusion, in patients with CHF, 
      TAPSE adds significant prognostic information to the NYHA clinical 
      classification, to the echocardiographic evaluation of left ventricular function, 
      and to mitral Doppler variables. Furthermore, the measurement of TAPSE is easy to 
      obtain in all patients, irrespective of heart rate and rhythm.
FAU - Ghio, S
AU  - Ghio S
AD  - Dipartimento di Cardiologia and Direzione Scientifica, IRCCS Policlinico S 
      Matteo, Pavia, Italy. s.ghio@smatteo.pv.it
FAU - Recusani, F
AU  - Recusani F
FAU - Klersy, C
AU  - Klersy C
FAU - Sebastiani, R
AU  - Sebastiani R
FAU - Laudisa, M L
AU  - Laudisa ML
FAU - Campana, C
AU  - Campana C
FAU - Gavazzi, A
AU  - Gavazzi A
FAU - Tavazzi, L
AU  - Tavazzi L
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - Am J Cardiol
JT  - The American journal of cardiology
JID - 0207277
SB  - IM
MH  - Cardiac Catheterization
MH  - Cardiomyopathy, Dilated/*complications/diagnostic imaging/physiopathology
MH  - *Echocardiography, Doppler
MH  - Female
MH  - Heart Failure/*diagnostic imaging/etiology/mortality/physiopathology
MH  - Heart Ventricles/*diagnostic imaging/physiopathology
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Myocardial Ischemia/*complications/diagnostic imaging/physiopathology
MH  - Prognosis
MH  - Reproducibility of Results
MH  - Retrospective Studies
MH  - Stroke Volume
MH  - Survival Rate
MH  - Tricuspid Valve/*diagnostic imaging/physiopathology
MH  - Ventricular Function, Right/*physiology
EDAT- 2000/04/12 09:00
MHDA- 2000/04/29 09:00
CRDT- 2000/04/12 09:00
PHST- 2000/04/12 09:00 [pubmed]
PHST- 2000/04/29 09:00 [medline]
PHST- 2000/04/12 09:00 [entrez]
AID - S0002914999008772 [pii]
AID - 10.1016/s0002-9149(99)00877-2 [doi]
PST - ppublish
SO  - Am J Cardiol. 2000 Apr 1;85(7):837-42. doi: 10.1016/s0002-9149(99)00877-2.