Key result
ARDS onset was associated with significant right ventricular dysfunction, including a decrease in mean TAPSE from 22.4 mm pre-ARDS to 16.3 mm during ARDS (P<.001).
Why the study?
Does transthoracic echocardiography detect objective morphologic changes in right ventricular function following the onset of ARDS?
Cohort (n=14)
Does transthoracic echocardiography detect objective morphologic changes in right ventricular function following the onset of ARDS?
Absolute Event Rate: 16.3% vs 22.4%
p-value: p=<.001
Transthoracic echocardiography can objectively detect mild right ventricular dysfunction following ARDS onset, with TAPSE correlating with disease severity and 30-day mortality.
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Supports serial TTE for RV monitoring in ARDS; extends observational associations but leaves management implications open.
Wadia et al. (2016) conducted a cohort in Acute respiratory distress syndrome (ARDS) (n=14). Acute respiratory distress syndrome (ARDS) vs. Pre-ARDS state was evaluated on Mean tricuspid annular plane systolic excursion (TAPSE) (p=<.001). ARDS onset was associated with significant right ventricular dysfunction, including a decrease in mean TAPSE from 22.4 mm pre-ARDS to 16.3 mm during ARDS (P<.001).
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