Key result
MAPSE provides a reliable, rapid alternative to LVEF and GLS for assessing LV function.
Why the study?
Recent data on MAPSE for assessing LV function across clinical settings are relatively scarce, despite a paradox of choices in ultrasound markers assessing cardiac performance.
Does measurement of mitral annular plane systolic excursion (MAPSE) accurately assess left ventricular systolic function and provide prognostic value across various clinical scenarios?
Does measurement of mitral annular plane systolic excursion (MAPSE) accurately assess left ventricular systolic function and provide prognostic value across various clinical scenarios?
MAPSE remains a robust, practical, and rapid echocardiographic parameter for evaluating left ventricular longitudinal systolic function, particularly in emergency settings or when image quality is poor.
Reinforces MAPSE for rapid LV systolic assessment in acute or limited-image settings; extends prior LVEF correlations to prognostic value in HFpEF and critical illness.
Mitral annular plane systolic excursion (MAPSE) was a widely used and simple M-mode echocardiographic parameter for determining the left ventricle (LV) longitudinal systolic function. The purpose of this review is to analyze the use of MAPSE as a simple LV systolic function marker in different clinical scenarios, especially given the recent paradox of choices in ultrasound markers assessing cardiac performance. Recent data on the use of MAPSE in the assessment of LV function in different settings seem to be relatively scarce, given the wide variety of possible causes of cardiovascular pathology. There remain significant possible clinical applications of MAPSE utilization. This review included all major articles on the topic of mitral annular plane systolic excursion published and indexed in the PubMed, Google Scholar, and Scopus databases. We analyzed the potential implications of using simpler ultrasonographical tools in heart failure diagnosis, prediction, and treatment. MAPSE is a dependable, robust, and easy-to-use parameter compared to ejection fraction (EF) or global longitudinal strain (GLS) for the quick assessment of LV systolic function in various clinical settings. However, there may be a gap of evidence in certain scenarios such as conventional cardiac pacing.
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Cirin et al. (2024) conducted a review in Left ventricular systolic function assessment. Mitral annular plane systolic excursion (MAPSE) was evaluated. MAPSE is a dependable, robust, and easy-to-use parameter compared to ejection fraction or global longitudinal strain for the quick assessment of left ventricular systolic function in various clinical settings.
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