Skip to main content
The Ultrasound Journal
Download PDF

Volume 6 Supplement 1

9th WINFOUS World Congress on Ultrasound in Emergency and Critical Care

  • Meeting abstract
  • Open access
  • Published:

Tricuspid annular plane systolic excursion is reflective of biventricular function in critically ill patients

Critical Ultrasound Journal volume 6, Article number: A14 (2014) Cite this article

Background

Tricuspid annular plane systolic excursion (TAPSE) is an easily measureable,fast and reproducible echocardiographic parameter which gives relevant information about biventricular cardiac function.

Objective

To explore the utility of tricuspid annular plane systolic excursion (TAPSE) for biventricular function assessment in critically ill ICU patients at admission.

Design

Prospective observational study.

Setting

A 12-bed medical-surgical critical care unit.

Patients and methods

Hundred and one patients admitted to the ICU for sepsis, septic shock, acute cardio respiratory failure or other organ supportivecare. A trained cardiologist conducted transthoracic echocardiography within 48 hours of admission to ICU. Echocardiographic parameters of both right and left heart along with demographic, prognosis, hemodynamic, ventilator, and laboratory parameters wererecorded.

Results

TAPSE, right ventricle (RV) fractional area change (FAC), the left ventricular ejection fraction (LVEF), were measured using Doppler echocardiography. Mean age and TAPSE of patients was 41.54 ± 16.07 years and 23.09 ± 5.534 mm respectively. Positive correlation of TAPSE was observed with pulsed doppler peak velocity at annulus (right) (N = 95; r = 0.432; p = 0.000), RVFAC (N = 94; r = 0.397; p = 0.000), pulsed doppler peak velocity at annulus (left) (N = 98; r = 0.287; p = 0.004), LVEF(N = 97; r = 0.248; p = 0.014). Also observed was a negative correlation was with tissue doppler myocardial performance index (left) (N = 74; r = -0.226; p = 0.05). On logistic regression analysis TAPSE showed a significant impact on both RVFAC (p = 0.009; Exp (B) = 11.329; 95% C.I = 1.832-70.079) and LVEF (p = 0.040; Exp (B) = 14.154; 95% C.I = 1.127-177.825).

Conclusions

TAPSE is reflective of biventricular function at baseline in critically ill ICU patients. Its potential as a hemodynamic monitoring tool needs further exploration in critical illness.

Author information

Authors and Affiliations

  1. SGPGIMS, Department of Critical Care Medicine, Lucknow, India

    Ratender Singh, Sudeep Kumar, Sreevatsa Nadig & Arvind Baronia

Authors
  1. Ratender Singh
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Sudeep Kumar
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Sreevatsa Nadig
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Arvind Baronia
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Open Access This article is distributed under the terms of the Creative Commons Attribution 2.0 International License (https://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Reprints and permissions

About this article

Cite this article

Singh, R., Kumar, S., Nadig, S. et al. Tricuspid annular plane systolic excursion is reflective of biventricular function in critically ill patients. Crit Ultrasound J 6 (Suppl 1), A14 (2014). https://doi.org/10.1186/2036-7902-6-S1-A14

Download citation

  • Published:

  • DOI: https://doi.org/10.1186/2036-7902-6-S1-A14

Keywords