Assessment of agreement between transthoracic and transesophageal echocardiography techniques for left

AÇIKEL, MAHMUT; SEVİMLİ, Serdar; Aksakal, Enbiya; KAYA, Ahmet; BAKIRCI, EFTAL MURAT; TANBOĞA, İbrahim Halil; Kurt, Mustafa

Assessment of agreement between transthoracic and transesophageal echocardiography techniques for left

Enbiya AKSAKAL, (Atatürk Üniversitesi, Tıp Fakültesi, Kardiyoloji Anabilim Dalı, Erzurum, Türkiye)

Ahmet KAYA, (Atatürk Üniversitesi, Tıp Fakültesi, Kardiyoloji Anabilim Dalı, Erzurum, Türkiye)

Eftal Murat BAKIRCI, (Atatürk Üniversitesi, Tıp Fakültesi, Kardiyoloji Anabilim Dalı, Erzurum, Türkiye)

Mustafa KURT, (Sağlık Bakanlığı, Erzurum Bölge Eğitim ve Araştırma Hastanesi, Kardiyoloji Kliniği, Erzurum, Türkiye)

İbrahim Halil TANBOĞA, (Sağlık Bakanlığı, Erzurum Bölge Eğitim ve Araştırma Hastanesi, Kardiyoloji Kliniği, Erzurum, Türkiye)

Serdar SEVİMLİ, (Atatürk Üniversitesi, Tıp Fakültesi, Kardiyoloji Anabilim Dalı, Erzurum, Türkiye)

Mahmut AÇIKEL (Atatürk Üniversitesi, Tıp Fakültesi, Kardiyoloji Anabilim Dalı, Erzurum, Türkiye)

Anadolu Kardiyoloji Dergisi

0 1

Yıl: 2012 Cilt: 12 Sayı: 6 Sayfa Aralığı: 472 - 479 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Assessment of agreement between transthoracic and transesophageal echocardiography techniques for left

Öz:

Amaç: Sol ventrikül (SV) sistolik ve diyastolik fonksiyonlarını değerlendirmede transtorasik (TTE) ve transözafajiyal (TEE) ekokardiyografinin karşılaştırıldığı ve birbirinin yerine kullanılabilirliğini araştıran çalışma sayısı oldukça azdır. Bundan dolayı biz bu çalışmada longitüdinal miyokart deformasyon görüntüleme (gerilim-S ve gerilim hızı-Sr) ile değerlendirilen SV sistolik fonksiyonları ve konvansiyonel Doppler parametreleri ile değerlendirilen SV diyastolik fonksiyonları için TTE ve TEE arasındaki uyumu incelemeyi amaçladık. Yöntemler: İki yöntem arasındaki uyumun incelendiği bu kesitsel çalışmaya klinik endikasyonu olan 35 hasta alındı. Olgulara TTE sonrasında TEE uygulandı. Hem TTE, hem de TEE’de erken ve geç diyastolik velositeler (E, A, E’ ve A’) deselerasyon zamanı (DZ), ortalama mitral anüler sistolik velosite (Sm), izovolümetrik gevşeme zamanı (İVGZ), izovolümetrik kasılma zamanı (İVKZ), ejeksiyon zamanı (EZ) ve miyokardiyal performans indeksi (MPI) gibi Doppler parametreleri ve longitüdinal deformasyon görüntüleme parametreleri (S, Sr) ve sistolik velositeler ölçüldü. TTE ve TEE arasındaki uyum Bland-altman analizi ile değerlendirildi. Bulgular: Bland-Altman analiz sonuçları TTE ve TEE’den elde edilen E, A, DZ, E’, A’, İVGZ, İVKZ, EZ ve MPI parametreleri arasında iyi derecede uyum olduğunu gösterdi. Ancak TTE ve TEE ile ölçülen sistolik velositeler ve segmenter Sr değerleri arasındaki uyum zayıftı. TTE ve TEE’de segmenter S değerlendirmelerinde septal duvar segmentlerinde lateral duvar segmentlerine göre daha iyi uyum olduğu tespit edildi.Sonuç: Sol ventrikül diyastolik fonksiyonlarının değerlendirilmesinde TTE ve TEE konvansiyonel Doppler verileri birbirleriyle uyumludur, ancak SV sistolik fonksiyonların nicel değerlendirilmesinde kullanılan longitüdinal deformasyon parametreleri için iki metot arasında uyum zayıftır ve birbiri yerine kullanılamaz.

Anahtar Kelime:

Konular: Kalp ve Kalp Damar Sistemi

Sol ventrikül fonksiyonlarının değerlendirilmesinde kullanılan longitüdinal deformasyon görüntüleme ve geleneksel

Öz:

Objective: Studies investigating the comparison and interchangeability of transthoracic (TTE) and transesophageal echocardiography (TEE) regarding left ventricular (LV) systolic and diastolic function are limited. Therefore, in this study, we aimed to investigate agreement between TTE and TEE in the assessment of LV systolic functions by longitudinal myocardial deformation imaging (strain-S and strain rate-Sr) and LV diastolic functions by conventional Doppler parameters. Methods: Thirty-five patients underwent a clinically indicated cross-sectional study on agreement between two methods. All the patients underwent TEE right after TTE. From both TTE and TEE Doppler parameters such as early and late diastolic velocities (E, A, E’ and A`) deceleration time (DT), averaged mitral annular systolic velocity (Sm), isovolumic relaxation time (IVRT), isovolumic contraction time (IVCT), ejection time (ET), myocardial performance index (MPI) and longitudinal deformation imaging parameters (S, Sr) and systolic velocities were recorded. Agreement between TTE and TEE were evaluated by Bland-Altman analysis. Results: Bland-Altman analysis showed good agreement between TEE and TTE in terms of E, A, DT, E’, A’, IVRT, IVCT, ET and MPI measurements. However, there was poor agreement in segmental systolic velocities and segmental Sr parameters assessed by TTE and TEE. Besides, septal wall segmental S analysis showed a better agreement than lateral wall segmental analysis between TTE and TEE recordings. Conclusion: TTE and TEE conventional Doppler parameters are compatible in the assessment of LV diastolic function; however, agreement was poor in longitudinal deformation parameters that have been used in the quantitative assessment of LV systolic function between two methods and cannot be used interchangeably. (Anadolu Kardiyol Derg 2012; 12: 472-9)

Anahtar Kelime:

Konular: Kalp ve Kalp Damar Sistemi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

1. Armstrong WF, Ryan T, Feigenbaum H. Feigenbaum's echocardiography. 7th ed. Philadelphia: Wolters Kluwer Health/ Lippincott Williams & Wilkins; 2010.
2. Edvardsen T, Urheim S, Skulstad H, Steine K, Ihlen H, Smiseth OA. Quantification of left ventricular systolic function by tissue Doppler echocardiography: added value of measuring pre- and postejection velocities in ischemic myocardium. Circulation 2002; 105: 2071-7. [CrossRef]
3. Garcia MJ, Rodriguez L, Ares M, Griffin BP, Klein AL, Stewart WJ, et al. Myocardial wall velocity assessment by pulsed Doppler tissue imaging: characteristic findings in normal subjects. Am Heart J 1996; 132: 648-56. [CrossRef]
4. Heimdal A, Stoylen A, Torp H, Skjaerpe T. Real-time strain rate imaging of the left ventricle by ultrasound. J Am Soc Echocardiogr 1998; 11: 1013-9. [CrossRef]
5. Abraham TP, Dimaano VL, Liang HY. Role of tissue Doppler and strain echocardiography in current clinical practice. Circulation 2007; 116: 2597-609. [CrossRef]
6. Aksakal E, Gürlertop Y, Seven B, Sevimli S, Gündoğdu F, Arslan S, et al. Assessment of the regional myocardial deformation changes and viability in anterior acute myocardial infarction patients by strain and strain rate imaging. Anadolu Kardiyol Derg 2010; 10: 479-87. [CrossRef]
7. Aksakal E, Sevimli S, Simşek Z, Elbey MA, Kurt M, Tanboğa İH, et al. Assessment of left ventricular functions with strain and strain rate echocardiography and tissue Doppler imaging in patients with cardiac tamponade. Türk Kardiyol Dern Arş 2011; 39: 479-86. [CrossRef]
8. Sevimli S, Gündoğdu F, Arslan S, Aksakal E, Gürlertop HY, İslamoğlu Y, et al. Strain and strain rate imaging in evaluating left atrial appendage function by transesophageal echocardiography. Echocardiography 2007; 24: 823-9. [CrossRef]
9. Norrild K, Pedersen TF, Sloth E. Transesophageal tissue Doppler echocardiography for evaluation of myocardial function during aortic valve replacement. J Cardiothorac Vasc Anesth 2007; 21: 367-70. [CrossRef]
10. Silva F, Arruda R, Nobre A, Mendes M, Lemos A, Gallego J, et al. Impact of intraoperative transesophageal echocardiography in cardiac surgery: retrospective analysis of a series of 850 examinations. Rev Port Cardiol 2010; 29: 1363-82.
11. Emmiler M, Melek M, Koçoğulları CU, Çekirdekçi A. Intraoperative measurement of Qp/Qs ratio may be helpful in determining the strategy for sinus venosus type ASD. Anadolu Kardiyol Derg 2009; 9: 151-2.
12. MacLaren G, Kluger R, Connelly KA, Royse CF. Comparative feasibility of myocardial velocity and strain measurements using 2 different methods with transesophageal echocardiography during cardiac surgery. J Cardiothorac Vasc Anesth 2011; 25: 216-20. [CrossRef]
13. Nagueh SF, Appleton CP, Gillebert TC, Marino PN, Oh JK, Smiseth OA, et al. Recommendations for the evaluation of left ventricular diastolic function by echocardiography. J Am Soc Echocardiogr 2009; 22: 107-33. [CrossRef]
14. Uluçay A, Tatlı E. Myocardial performance index. Anadolu Kardiyol Derg 2008; 8: 143-8.
15. Pislaru C, Abraham TP, Belohlavek M. Strain and strain rate echocardiography. Curr Opin Cardiol 2002; 17: 443-54. [CrossRef]
16. Bland JM, Altman DG. Statistical methods for assessing agreement between two methods of clinical measurement. Lancet 1986; 1: 307-10. [CrossRef]
17. Flachskampf FA. The standard TEE examination: procedure, safety, typical cross-sections and anatomic correlations, and systematic analysis. Semin Cardiothorac Vasc Anesth 2006; 10: 49-56. [CrossRef]
18. Karaca I, Coşkun N, Yavuzkır M, İlkay E, Dağlı N, Işık A, et al. Effect of diltiazem and metoprolol on left atrial appendix functions in patients with nonvalvular chronic atrial fibrillation. Anadolu Kardiyol Derg 2007; 7: 37-41.
19. Musat D, Sherrid MV. Echocardiography in the treatment of hypertrophic cardiomyopathy. Anadolu Kardiyol Derg 2006; 6 Suppl 2: 18-26.
20. Saygılı A, Yıldırım SV, Tokel K. Assessment of atrial pathologies in children using transesophageal echocardiography. Anadolu Kardiyol Derg 2004; 4: 124-9.
21. Stoddard MF, Liddell NE, Vogel RL, Longaker RA, Dawkins PR. Comparison of cardiac dimensions by transesophageal and transthoracic echocardiography. Am Heart J 1992; 124: 675-8. [CrossRef]
22. Groban L, Dolinski SY. Transesophageal echocardiographic evaluation of diastolic function. Chest 2005; 128: 3652-63. [CrossRef]
23. Isaaz K. Tissue Doppler imaging for the assessment of left ventricular systolic and diastolic functions. Curr Opin Cardiol 2002; 17: 431-42. [CrossRef]
24. Wierzbowska-Drabik K, Drozdz J, Plewka M, Trzos E, Krzeminska- Pakula M, Kasprzak JD. The utility of pulsed tissue Doppler parameters for the diagnosis of advanced left ventricular diastolic dysfunction. Echocardiography 2006; 23: 189-96. [CrossRef]
25. Yu CM, Lin H, Ho PC, Yang H. Assessment of left and right ventricular systolic and diastolic synchronicity in normal subjects by tissue Doppler echocardiography and the effects of age and heart rate. Echocardiography 2003; 20: 19-27. [CrossRef]
26. Garcia-Fernandez MA, Bermejo J, Perez-David E, Lopez-Fernandez T, Ledesma MJ, Caso P, et al. New techniques for the assessment of regional left ventricular wall motion. Echocardiography 2003; 20: 659-72. [CrossRef]
27. Eryol NK, Topsakal R, Kıranatlı B, Abacı A, Çiçek Y, Oğuzhan A, et al. Color Doppler tissue imaging to evaluate left atrial appendage unction in mitral stenosis. Echocardiography 2003; 20: 29-35. [CrossRef]
28. Yılmaz R, Baykan M, Erdöl C. Pulsed wave tissue Doppler echocardiography. Anadolu Kardiyol Derg 2003; 3: 54-9.
29. Hill JC, Palma RA. Doppler tissue imaging for the assessment of left ventricular diastolic function: a systematic approach for the sonographer. J Am Soc Echocardiogr 2005; 18: 80-8; quiz 9. [CrossRef]
30. Cheung MM, Li J, White PA, Smallhorn JF, Redington AN, Vogel M. Doppler tissue echocardiography: can transesophageal echocardiography be used to acquire functional data? J Am Soc Echocardiogr 2003; 16: 732-7. [CrossRef]
31. Simmons LA, Weidemann F, Sutherland GR, D'Hooge J, Bijnens B, Sergeant P, et al. Doppler tissue velocity, strain, and strain rate imaging with transesophageal echocardiography in the operating room: a feasibility study. J Am Soc Echocardiogr 2002; 15: 768-76. [CrossRef]
32. Nilsson B, Henningsson R, Brodin LA, Wandt B. Transesophageal echocardiographic acquisition of mitral annulus motion during monitoring of left ventricular function in anesthetized patients. J Am Soc Echocardiogr 2006; 19: 499-506. [CrossRef]
33. Alam M, Wardell J, Andersson E, Samad BA, Nordlander R. Characteristics of mitral and tricuspid annular velocities determined by pulsed wave Doppler tissue imaging in healthy subjects. J Am Soc Echocardiogr 1999; 12: 618-28. [CrossRef]
34. Kurt M, Tanboğa IH, Işık T, Kaya A, Ekinci M, Bilen E, et al. Comparison of Transthoracic and Transesophageal 2-Dimensional Speckle Tracking Echocardiography. J Cardiothorac Vasc Anesth 2012; 26: 26-31. [CrossRef]
35. Marcucci CE, Samad Z, Rivera J, Adams DB, Philips-Bute BG, Mahajan A, et al. A comparative evaluation of transesophageal and transthoracic echocardiography for measurement of left ventricular systolic strain using speckle tracking. J Cardiothorac Vasc Anesth 2012; 26: 17-25. [CrossRef]

APA	Aksakal E, KAYA A, BAKIRCI E, Kurt M, TANBOĞA İ, SEVİMLİ S, AÇIKEL M (2012). Assessment of agreement between transthoracic and transesophageal echocardiography techniques for left. , 472 - 479.
Chicago	Aksakal Enbiya,KAYA Ahmet,BAKIRCI EFTAL MURAT,Kurt Mustafa,TANBOĞA İbrahim Halil,SEVİMLİ Serdar,AÇIKEL MAHMUT Assessment of agreement between transthoracic and transesophageal echocardiography techniques for left. (2012): 472 - 479.
MLA	Aksakal Enbiya,KAYA Ahmet,BAKIRCI EFTAL MURAT,Kurt Mustafa,TANBOĞA İbrahim Halil,SEVİMLİ Serdar,AÇIKEL MAHMUT Assessment of agreement between transthoracic and transesophageal echocardiography techniques for left. , 2012, ss.472 - 479.
AMA	Aksakal E,KAYA A,BAKIRCI E,Kurt M,TANBOĞA İ,SEVİMLİ S,AÇIKEL M Assessment of agreement between transthoracic and transesophageal echocardiography techniques for left. . 2012; 472 - 479.
Vancouver	Aksakal E,KAYA A,BAKIRCI E,Kurt M,TANBOĞA İ,SEVİMLİ S,AÇIKEL M Assessment of agreement between transthoracic and transesophageal echocardiography techniques for left. . 2012; 472 - 479.
IEEE	Aksakal E,KAYA A,BAKIRCI E,Kurt M,TANBOĞA İ,SEVİMLİ S,AÇIKEL M "Assessment of agreement between transthoracic and transesophageal echocardiography techniques for left." , ss.472 - 479, 2012.
ISNAD	Aksakal, Enbiya vd. "Assessment of agreement between transthoracic and transesophageal echocardiography techniques for left". (2012), 472-479.

APA	Aksakal E, KAYA A, BAKIRCI E, Kurt M, TANBOĞA İ, SEVİMLİ S, AÇIKEL M (2012). Assessment of agreement between transthoracic and transesophageal echocardiography techniques for left. Anadolu Kardiyoloji Dergisi, 12(6), 472 - 479.
Chicago	Aksakal Enbiya,KAYA Ahmet,BAKIRCI EFTAL MURAT,Kurt Mustafa,TANBOĞA İbrahim Halil,SEVİMLİ Serdar,AÇIKEL MAHMUT Assessment of agreement between transthoracic and transesophageal echocardiography techniques for left. Anadolu Kardiyoloji Dergisi 12, no.6 (2012): 472 - 479.
MLA	Aksakal Enbiya,KAYA Ahmet,BAKIRCI EFTAL MURAT,Kurt Mustafa,TANBOĞA İbrahim Halil,SEVİMLİ Serdar,AÇIKEL MAHMUT Assessment of agreement between transthoracic and transesophageal echocardiography techniques for left. Anadolu Kardiyoloji Dergisi, vol.12, no.6, 2012, ss.472 - 479.
AMA	Aksakal E,KAYA A,BAKIRCI E,Kurt M,TANBOĞA İ,SEVİMLİ S,AÇIKEL M Assessment of agreement between transthoracic and transesophageal echocardiography techniques for left. Anadolu Kardiyoloji Dergisi. 2012; 12(6): 472 - 479.
Vancouver	Aksakal E,KAYA A,BAKIRCI E,Kurt M,TANBOĞA İ,SEVİMLİ S,AÇIKEL M Assessment of agreement between transthoracic and transesophageal echocardiography techniques for left. Anadolu Kardiyoloji Dergisi. 2012; 12(6): 472 - 479.
IEEE	Aksakal E,KAYA A,BAKIRCI E,Kurt M,TANBOĞA İ,SEVİMLİ S,AÇIKEL M "Assessment of agreement between transthoracic and transesophageal echocardiography techniques for left." Anadolu Kardiyoloji Dergisi, 12, ss.472 - 479, 2012.
ISNAD	Aksakal, Enbiya vd. "Assessment of agreement between transthoracic and transesophageal echocardiography techniques for left". Anadolu Kardiyoloji Dergisi 12/6 (2012), 472-479.