Key result
In patients with preserved biventricular systolic function, MAPSE and TAPSE values showed significant correlations with parameters of left ventricular diastolic function, with stronger evidence in women.
Why the study?
Although tricuspid and mitral annular plane systolic excursions assess ventricular systolic function, little is known about their relationship with left ventricular diastolic function.
Cross-Sectional (n=219)
No
MAPSE and TAPSE values show a significant correlation with parameters of left ventricular diastolic function, particularly in women, suggesting that longitudinal systolic excursion indices may reflect diastolic properties.
MAPSE and TAPSE correlate with select LV diastolic parameters, stronger in women; leaves open their diagnostic utility pending prospective studies.
Introduction: Tricuspid annular plane systolic excursion and mitral annular systolic excursion are parameters used to assess the systolic function of the right ventricle and left ventricle, respectively. Little is known about its relationship with left ventricular diastolic function. Objective: To assess whether the values of mitral annular systolic excursion and tricuspid annular plane systolic excursion correlate with parameters used in the evaluation of left ventricular diastolic function. Method: Observational cross-sectional study. Two hundred nine individuals were selected, 116 women, with both ventricles normal systolic function. The analyzes were performed for men and women, through Pearson correlation coefficient and Sperman correlation coefficient. Tricuspid annular plane systolic excursion, mitral annular systolic excursion, atrial volumes and left ventricular diastolic function parameters on transthoracic echocardiogram were obtained. Results: In women, mitral annular systolic excursion was positively correlated with lateral e ‘(Sperman correlation coefficient of 0.22; p=0.016) and tricuspid annular plane systolic excursion was positively correlated with E / A ratio (Sperman correlation coefficient of 0.23; p=0.037), lateral e’ (Sperman correlation coefficient of 0.28; p=0.012), and septal e’ (Sperman correlation coefficient of 0.28; p=0.012), and negatively with the E/e’ ratio (Pearson correlation coefficient of -0.27; p=0.018), and A wave (Pearson correlation coefficient of -0.29; p=0.009). In men, only mitral annular systolic excursion correlated positively with E wave (Pearson correlation coefficient of 0.21; p=0.037), lateral e’ (Sperman correlation coefficient of 0.34; p <0.001) and the septal e’ (Sperman correlation coefficient of 0.26; p=0.008). There was no correlation between mitral annular systolic excursion and tricuspid annular plane systolic excursion and atrial volumes. Hypertension and diabetes mellitus influenced tricuspid annular plane systolic excursion and mitral annular systolic excursion values correlated to E and A waves, E/A ratio, septal and lateral e’ waves, and E/e’ ratio. Conclusion: In the present study, mitral annular systolic excursion and tricuspid annular plane systolic excursion values showed a significant correlation with some parameters of left ventricular diastolic function, with stronger evidence on female sex.
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Martins et al. (2022) conducted a cross-sectional in Normal biventricular systolic function (n=219). Tricuspid and mitral annular plane systolic excursion (TAPSE and MAPSE) was evaluated on Correlation between MAPSE/TAPSE and left ventricular diastolic function parameters. In patients with preserved biventricular systolic function, MAPSE and TAPSE values showed significant correlations with parameters of left ventricular diastolic function, with stronger evidence in women.
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