Correlation between Mitral Valve Area and Right Ventricle Function based on TAPSE (Tricuspid Annular Plane Systolic Excursion) Parameter in Mitral Stenosis Patient

https://doi.org/10.22146/aci.40851

Hashina Zulfa(1*), Erika Maharani(2), Hasanah Mumpuni(3)

(1) Undergraduate Program, Faculty of Medicine, Public Health and Nursing,Universitas Gadjah Mada, Yogyakarta
(2) Department of Cardiology and Vascular Medicine, Faculty of Medicine, Public Health and Nursing,Universitas Gadjah Mada– Dr.Sardjito Hospital, Yogyakarta
(3) Department of Cardiology and Vascular Medicine, Faculty of Medicine, Public Health and Nursing,Universitas Gadjah Mada– Dr.Sardjito Hospital, Yogyakarta
(*) Corresponding Author

Abstract


Background: Mitral stenosis is the most common mitral valve disease found in Indonesia. Mechanical obstruction of blood flow from left atrium to left ventricle is compensated by pressure elevation in the left atrium and pulmonary circulation. It leads to right ventricle dysfunction which can be scored using TAPSE (Tricuspid Annular Plane Systolic Excursion) Parameter.

Aim: The goal of this study is to assess the relationship between mitral valve area and right ventricle function based on TAPSE parameter in mitral stenosis patient.

Methods: This study was conducted in Dr. Sardjito Hospital from May until July 2017. This was a part of mitral stenosis registry study. The parameter used was planimetry mitral valve area and TAPSE from echocardiography. The relationship between mitral valve area and TAPSE score we reanalyzed using Spearman correlation test in SPSS software.

Results: The total sample included in this study was 132 people, consisted of thirty-eight (28.79%) males and ninety-four (71.21%) females. The range of the subjects’age was 18 68 year oldand the mean was 43.31±11.13 year old. The body mass index median was 21.24 (14.24–35.38) kg/m2. The subjects were dominated by severe degree mitral stenosis patients, those were ninety-three (70.45%) people, followed by moderate degree patients, those were thirty-two (24.24%) people, and mild degree patients, those were seven (5.30%) people. Twenty-eight (21.21%) people had isolated mitral stenosis. The mitral valve area median was 0.8 (0.27–1.90) cm2. The TAPSE score range was 6–30 mm and the mean was 17.48±4.58 mm. The result from Spearman correlation test showed that the relationship strength between mitral valve area and TAPSE score were very weak (r=0.167) with significant p-value (p=0.028).

Conclusion: There is a statistically significant positive relationship with very weak strength between mitral valve area and TAPSE score as a right ventricle function parameter in mitral stenosis patients (r = 0.167, p = 0.028).




Keywords


mitral stenosis; mitral valve area; right ventricle function; TAPSE.

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References

Kuncoro A.S. 2010. Forum ekokardiografi pemeriksaan stenosis

mitral akibat proses rheumatik dengan ekokardiografi. J Kardiol Indones, 31:62–65.

Omran A.S., Arifi A.A., Mohamed A.A. 2011. Echocardiography in mitral stenosis. J Saudi Hear Assoc, 23:51–58.

Vahanian A., Alfieri O., Andreotti F., Antunes M.J., Barón-Esquivias G., Baumgartner H., et al. 2012. Guidelines on the management of valvular heart disease (version 2012). Eur Heart J, 33:2451–2496.

Baumgartner H., Hung J., Bermejo J., Chambers J.B., Evangelista A., Griffin B.P., et al. 2009. Echocardiographic assessment of valve stenosis: EAE/ASE recommendations for clinical practice. Eur J Echocardiogr, 10:1–25.

Lilly L.S. 2011. Pathophysiology of Heart Disease. 5th ed. Philadelphia: Lippincott Williams & Wilkins.

Kumar V., Jose V.J., Pati P.K., Jose J. 2014. Assessment of right ventricular strain and strain rate in patients with severe mitral stenosis before and after balloon mitral valvuloplasty. Indian Heart J, 66:176–82.

Jurcut R., Giusca S., La Gerche A., Vasile S., Ginghina C., Voigt J.U. 2010.The echocardiographic assessment of the right ventricle: What to do in 2010? Eur J Echocardiogr, 11:81–96.

İnci S., Erol M.K., Bakırcı E.M., Hamur H., Değirmenci H., Duman H., et al 2015. Effect of percutaneous mitral balloon valvuloplasty on right ventricular functions in mitral stenosis: Short- and mid-term results. Anadolu Kardiyol Derg, 15:289–296.

Younan H. 2015. Detection of subclinical right ventricular systolic dysfunction in patients with mitral stenosis by two dimensional strain and strain rate imaging. Egypt Hear J, 67:47–53.

Mittal S.R., Goozar R.S. 2001. Echocardiographic evaluation of right ventricular systolic functions in pure mitral stenosis. Int J Cardiovasc Imaging, 17(1):13–18.

Dini F.L., Conti U., Fontanive P., Andreini D., Banti S., Braccini L., et al. 2007. Right ventricular dysfunction is a major predictor of outcome in patients with moderate to severe mitral regurgitation and left ventricular dysfunction. Am Heart J, 154:172–179.

Eyskens B., Brown S.C., Claus P., Dymarkowski S., Gewillig M., Bogaert J., et al. The influence of pulmonary regurgitation on regional right ventricular function in children after surgical repair of tetralogy of Fallot. Eur J Echocardiogr, 11:341–345.

Hsiao S.H., Lin S.K., Wang W.C., Yang S.H., Gin P.L., Liu C.P. 2006. Severe tricuspid regurgitation shows significant impact in the relationship among peak systolic tricuspid annular velocity, tricuspid annular plane systolic excursion, and right ventricular ejection fraction. J Am Soc Echocardiogr,19:902–910.

Lang R.M., Badano L.P., Mor-Avi V., Afilalo J., Armstrong A., Ernande L., et al. 2015. Recommendations for cardiac chamber quantification by echocardiography in adults: an update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. J Am Soc Echocardiogr, 28:1–39.

Rusticus S.A., Lovato C.Y. 2014. Impact of sample size and variability on the power and type i error rates of equivalence tests: a simulation study. Pract Assessment, Res Eval, 19:1–10.



DOI: https://doi.org/10.22146/aci.40851

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