Behavior of echocardiographic parameters of right ventricular function after tricuspid surgery
Metadatos
Mostrar el registro completo del ítemAutor
Rodríguez Torres, Diego José; Torres Quintero, Lucía; Segura Rodríguez, Diego; Garrido Jiménez, José Manuel; Esteban Molina, María; Gomera Martínez, Francisco; Moreno Escobar, Eduardo; García Orta, RocíoEditorial
Nature
Fecha
2022-11-14Referencia bibliográfica
Torres, D.J.R... [et al.]. Behavior of echocardiographic parameters of right ventricular function after tricuspid surgery. Sci Rep 12, 19447 (2022). [https://doi.org/10.1038/s41598-022-24048-1]
Resumen
Evaluation of right ventricular (RV) function after tricuspid valve surgery is complex. The objective
was to identify the most appropriate RV function parameters for this purpose. This prospective
study included 70 patients undergoing cardiac and tricuspid valve (TV) surgery. RV size and function
parameters were determined at 3 months and 1-year post-surgery. Categorical variables were
analyzed with the McNemar test and numerical variables with the Student’s t-test for related samples
or, when non-normally distributed, the Wilcoxon test. Spearman’s rho was used to determine
correlations between variables at 3 months and 1 year. RV diameters were reduced at 3 months postsurgery
and were then unchanged at 1 year. Tricuspid annular plane systolic excursion (TAPSE) and S′
wave values were worse at 3 months and then improved at 1 year (t-score-2.35, p 0.023; t-score-2.68;
p 0.010). There was no significant reduction in free wall longitudinal strain (LS) or shortening fraction
(SF) at 3 months (t-score 1.421 and − 1.251; p 0.218 and 0.172), and they were only slightly below presurgical
values at 1 year. No relationship was found between RV function parameters and mortality
or major complications. During the first few months after TV surgery, LS may be a more appropriate
parameter to evaluate global ventricular function in comparison to TAPSE. At 1 year, good correlations
are observed between TAPSE, S′ wave, and LS values.