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Paczyńska M, Sobieraj P, Burzyński Ł, et al. Tricuspid annulus plane systolic excursion (TAPSE) has superior predictive value compared to right ventricular to left ventricular ratio in normotensive patients with acute pulmonary embolism. Arch Med Sci. 2016;12(5):1008-1014doi: 10.5114/aoms.2016.57678.
Paczyńska, M., Sobieraj, P., Burzyński, �. �., Kostrubiec, M., Wiśniewska, M., Bienias, P., Kurnicka, K., Lichodziejewska, B., Pruszczyk, P., & Ciurzyński, M. (2016). Tricuspid annulus plane systolic excursion (TAPSE) has superior predictive value compared to right ventricular to left ventricular ratio in normotensive patients with acute pulmonary embolism. Archives of medical science : AMS, 12(5), 1008-1014. https://doi.org/10.5114/aoms.2016.57678
Paczyńska, Marzanna, et al. "Tricuspid annulus plane systolic excursion (TAPSE) has superior predictive value compared to right ventricular to left ventricular ratio in normotensive patients with acute pulmonary embolism." Archives of medical science : AMS vol. 12,5 (2016): 1008-1014. doi: https://doi.org/10.5114/aoms.2016.57678
Paczyńska M, Sobieraj P, Burzyński Ł, Kostrubiec M, Wiśniewska M, Bienias P, Kurnicka K, Lichodziejewska B, Pruszczyk P, Ciurzyński M. Tricuspid annulus plane systolic excursion (TAPSE) has superior predictive value compared to right ventricular to left ventricular ratio in normotensive patients with acute pulmonary embolism. Arch Med Sci. 2016 Oct 01;12(5):1008-1014. doi: 10.5114/aoms.2016.57678. Epub 2016 Aug 24. PMID: 27695491; PMCID: PMC5016574.
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Arch Med Sci. 2016 Oct 01;12(5):1008-1014. doi: 10.5114/aoms.2016.57678. Epub 2016 Aug 24.

Tricuspid annulus plane systolic excursion (TAPSE) has superior predictive value compared to right ventricular to left ventricular ratio in normotensive patients with acute pulmonary embolism.

Archives of medical science : AMS

Marzanna Paczyńska, Piotr Sobieraj, Łukasz Burzyński, Maciej Kostrubiec, Małgorzata Wiśniewska, Piotr Bienias, Katarzyna Kurnicka, Barbara Lichodziejewska, Piotr Pruszczyk, Michał Ciurzyński

Affiliations

  1. Department of Internal Medicine and Cardiology, Medical University of Warsaw, Warsaw, Poland.
  2. Department of Radiology, Medical University of Warsaw, Warsaw, Poland.

PMID: 27695491 PMCID: PMC5016574 DOI: 10.5114/aoms.2016.57678

Abstract

INTRODUCTION: Right ventricular dysfunction (RVD) is an indicator of poor prognosis in normotensive patients with acute pulmonary embolism (APE). The aim of this study was to compare right ventricular (RV)/left ventricular (LV) ratio measured by echocardiography and multidetector computed tomography (MDCT) with tricuspid annulus plane systolic excursion (TAPSE) as a prognostic factor of APE-related 30-day mortality.

MATERIAL AND METHODS: We examined 76 patients with confirmed APE, hemodynamically stable at admission. We evaluated the prognostic value of RV/LV ratio in the apical 4-chamber view and TAPSE measured at echocardiography and the MDCT RV/LV ratio.

RESULTS: Thirty-day APE-related mortality was 10.5% (8 patients). The area under the curve (AUC) for TAPSE in the prediction of APE-related mortality was higher (

CONCLUSIONS: The TAPSE is preferable to echo and MDCT RV/LV ratio for risk stratification in initially normotensive patients with APE. The TAPSE ≤ 15 mm identifies patients with an increased risk of 30-day APE-related mortality.

Keywords: acute pulmonary embolism; computed tomography; echocardiography; mortality risk; tricuspid annulus plane systolic excursion

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