Why the study?
The relationship between 3DSTE-assessed LV rotational mechanics and RV longitudinal shortening measured by TAPSE was unknown.
Is right ventricular longitudinal shortening (TAPSE) associated with left ventricular rotational mechanics in healthy adults?
Is right ventricular longitudinal shortening (TAPSE) associated with left ventricular rotational mechanics in healthy adults?
In healthy adults, left ventricular twist is independent of right ventricular longitudinal shortening, as 3DSTE-derived LV rotational parameters and TAPSE show no association.
No association in healthy adults warrants no practice change; leaves open LV-RV interactions in disease.
Background: The left ventricle (LV) not only contracts, but its rotational mechanics have a significant role in systolic ejection, whereas the right ventricle (RV) is substantially different in shape and function, and its contractility is not accompanied by rotational features. Simple M-mode echocardiography-based tricuspid annular plane systolic excursion (TAPSE) reflects RV longitudinal contraction or shortening. The aim of the present study was to examine the relationship between the parameters characterizing the rotational mechanics of the LV as assessed by three-dimensional speckle-tracking echocardiography (3DSTE) and the TAPSE. The effects of different degrees of these parameters on each other were also examined. Methods: 6.3 years (33 males) with LV rotational mechanics being directed normally. All cases have undergone complete two-dimensional Doppler echocardiography with the measurement of TAPSE and 3DSTE. Results: 22 mm. Similarly, right atrial (RA) volumetric parameters did not differ either. TAPSE showed no associations with the degree of basal LV rotation. RA volumes were slightly increased with higher basal LV rotation. Similar to basal LV rotation, TAPSE did not change with the degree of apical LV rotation and a tendentious increase of RA volumes could be demonstrated with increasing apical LV rotation. No correlation could be demonstrated between apical and basal LV rotations and TAPSE. Conclusions: 3DSTE-derived LV rotational parameters and TAPSE are not associated suggesting that LV twist is independent of RV longitudinal shortening in healthy circumstances.
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Nemes et al. (2024) studied this question.
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