Advertisement
Canadian Journal of Cardiology

Right Ventricle Longitudinal Strain: A New Tool in Functional Tricuspid Regurgitation Prognostication

Published:April 09, 2021DOI:https://doi.org/10.1016/j.cjca.2021.04.001
      The second- or middle-child syndrome is a hypothetical condition whereby the middle child feels “left out” or underappreciated. Analogous to this is how the right ventricle (RV) and tricuspid valve have been treated compared with the left ventricle and mitral valve, respectively. Although a wealth of research has demonstrated the importance of the tricuspid valve and RV remodelling and function over the past 2 decades, there remain significant knowledge and treatment gaps.
      • Asmarats L
      • Taramasso M
      • Rodés-Cabau J.
      Tricuspid valve disease: diagnosis, prognosis and management of a rapidly evolving field.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Canadian Journal of Cardiology
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Asmarats L
        • Taramasso M
        • Rodés-Cabau J.
        Tricuspid valve disease: diagnosis, prognosis and management of a rapidly evolving field.
        Nat Rev Cardiol. 2019; 16: 538-554
        • Dreyfus GD
        • Martin RP
        • Chan KM
        • Dulguerov F
        • Alexandrescu C.
        Functional tricuspid regurgitation: a need to revise our understanding.
        J Am Coll Cardiol. 2015; 65: 2331-2336
        • Lang RM BL
        • Mor-Avi V
        • et al.
        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. 2015; 28 (e14): 1-39
        • Haddad F
        • Hunt SA
        • Rosenthal DN
        • Murphy DJ.
        Right ventricular function in cardiovascular disease, part I: anatomy, physiology, aging, and functional assessment of the right ventricle.
        Circulation. 2008; 117: 1436-1448
        • Abouzeid CM
        • Shah T
        • Johri A
        • Weinsaft JW
        • Kim J.
        Multimodality imaging of the right ventricle.
        Curr Treat Options Cardiovasc Med. 2017; 19: 82
        • Badano LP GC
        • Easaw J
        • Muraru D
        • et al.
        Right ventricle in pulmonary arterial hypertension: haemodynamics, structural changes, imaging, and proposal of a study protocol aimed to assess remodelling and treatment effects.
        Eur J Echocardiogr. 2010; 11: 27-37
        • Claeys M
        • Claessen G
        • Claus P
        • et al.
        Right ventricular strain rate during exercise accurately identifies male athletes with right ventricular arrhythmias.
        Eur Heart J Cardiovasc Imaging. 2020; 21: 282-290
        • Bannehr M
        • Kahn U
        • Liebchen J
        • et al.
        Right ventricular longitudinal strain predicts survival in patients with functional tricuspid regurgitation.
        Can J Cardiol. 2021; 37: 1086-1093
        • Prihadi EA
        • van der Bijl P
        • Dietz M
        • et al.
        Prognostic implications of right ventricular free wall longitudinal strain in patients with significant functional tricuspid regurgitation.
        Circ Cardiovasc Imaging. 2019; 12e008666
        • Muraru D
        • Onciul S
        • Peluso D
        • et al.
        Sex- and method-specific reference values for right ventricular strain by 2-dimensional speckle-tracking echocardiography.
        Circ Cardiovasc Imaging. 2016; 9e003866
        • Otto CM
        • Nishimura RA
        • Bonow RO
        • et al.
        2020 ACC/AHA guideline for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines.
        Circulation. 2021; 143: e72-227
        • Lin G
        • Nishimura RA
        • Connolly HM
        • et al.
        Severe symptomatic tricuspid valve regurgitation due to permanent pacemaker or implantable cardioverter-defibrillator leads.
        J Am Coll Cardiol. 2005; 45: 1672-1675
        • Chang JD
        • Manning WJ
        • Ebrille E
        • Zimetbaum PJ.
        Tricuspid valve dysfunction following pacemaker or cardioverter-defibrillator implantation.
        J Am Coll Cardiol. 2017; 69: 2331-2341
        • Paniagua D
        • Aldrich HR
        • Lieberman EH
        • Lamas GA
        • Agatston AS.
        Increased prevalence of significant tricuspid regurgitation in patients with transvenous pacemakers leads.
        Am J Cardiol. 1998; 82: 1130-1132
        • Desai RR
        • Vargas Abello LM
        • Klein AL
        • et al.
        Tricuspid regurgitation and right ventricular function after mitral valve surgery with or without concomitant tricuspid valve procedure.
        J Thorac Cardiovasc Surg. 2013; 146 (e1110): 1126-1132
        • Yamin PP RS
        • Putri VK
        • Hersunarti N
        Right ventricular dysfunction as predictor of longer hospital stay in patients with acute decompensated heart failure: a prospective study in Indonesian population.
        Cardiovasc Ultrasound. 2016; 14: 25
        • Polak JF HB
        • Wynne J
        • Colucci WS
        Right ventricular ejection fraction: an indicator of increased mortality in patients with congestive heart failure associated with coronary artery disease.
        J Am Coll Cardiol. 1983; 2: 217-224
        • di Salvo TG MM
        • Semigran MJ
        • Dec GW
        Preserved right ventricular ejection fraction predicts exercise capacity and survival in advanced heart failure.
        J Am Coll Cardiol. 1995; 25: 1143-1153
        • Gavazzi A
        • Berzuini C
        • Campana C
        • et al.
        Value of right ventricular ejection fraction in predicting short-term prognosis of patients with severe chronic heart failure.
        J Heart Lung Transplant. 1997; 16: 774-785
        • Kim J
        • di Franco A
        • Seoane T
        • et al.
        Right ventricular dysfunction impairs effort tolerance independent of left ventricular function among patients undergoing exercise stress myocardial perfusion imaging.
        Circ Cardiovasc Imaging. 2016; 9e005115
        • Chang WT
        • Liu YW
        • Liu PY
        • et al.
        Association of decreased right ventricular strain with worse survival in non-acute coronary syndrome angina.
        J Am Soc Echocardiogr. 2016; 29 (e354): 350-358
        • Amsallem M
        • Sweatt AJ
        • Aymami MC
        • et al.
        Right heart end-systolic remodeling index strongly predicts outcomes in pulmonary arterial hypertension: comparison with validated models.
        Circ Cardiovasc Imaging. 2017; 10e005771
        • Guazzi M DD
        • Labate V
        • Beussink-Nelson L
        • et al.
        RV contractile function and its coupling to pulmonary circulation in heart failure with preserved ejection fraction: stratification of clinical phenotypes and outcomes.
        JACC Cardiovasc Imaging. 2017; 10: 1211-1221
        • Sano H
        • Tanaka H
        • Motoji Y
        • et al.
        Right ventricular relative wall thickness as a predictor of outcomes and of right ventricular reverse remodeling for patients with pulmonary hypertension.
        Int J Cardiovasc Imaging. 2017; 33: 313-321
        • Wheeler M
        • Leipsic J
        • Trinh P
        • et al.
        Right ventricular assessment in adult congenital heart disease patients with right ventricle-to-pulmonary artery conduits.
        J Am Soc Echocardiogr. 2015; 28: 522-532
        • Nath J
        • Foster E
        • Heidenreich PA.
        Impact of tricuspid regurgitation on long-term survival.
        J Am Coll Cardiol. 2004; 43: 405-409

      Linked Article