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Evaluation of right ventricular function in patients with tetralogy of Fallot using the myocardial performance index and isovolumic acceleration: a comparison with cardiac magnetic resonance imaging

Published online by Cambridge University Press:  17 May 2013

Bülent Koca ,
Funda Öztunç ,
Ayşe Güler Eroğlu ,
Selman Gökalp ,
Memduh Dursun  and
Ravza Yilmaz
Bülent Koca*
Affiliation:
Department of Pediatric Cardiology, Harran University Medical Faculty, Sanlıurfa, Turkey
Funda Öztunç
Affiliation:
Department of Pediatric Cardiology, İstanbul University Cerrahpasa Medical Faculty, Istanbul, Turkey
Ayşe Güler Eroğlu
Affiliation:
Department of Pediatric Cardiology, İstanbul University Cerrahpasa Medical Faculty, Istanbul, Turkey
Selman Gökalp
Affiliation:
Department of Pediatric Cardiology, İstanbul University Cerrahpasa Medical Faculty, Istanbul, Turkey
Memduh Dursun
Affiliation:
Department of Pediatric Radiology, İstanbul University Medical Faculty, Istanbul, Turkey
Ravza Yilmaz
Affiliation:
Department of Pediatric Radiology, İstanbul University Medical Faculty, Istanbul, Turkey
*
Correspondence to: Dr B. Koca, Department of Pediatric Cardiology, Harran University School of Medicine, Yenisehir Campus, 63000 Sanlıurfa, Turkey. Tel: (0414) 3183027; Fax: (0414) 3183192; E-mail: bkoca78@yahoo.com
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Abstract

Background: Assessment of right ventricular function is a key point in the follow-up of operated patients with tetralogy of Fallot. Cardiac magnetic resonance assessment of right ventricular function is considered the gold standard. However, this technique is expensive, has limited availability, and requires significant expertise to acquire and interpret the images. Myocardial performance index and isovolumic acceleration have recently been studied for the assessment of right ventricular function and are shown to be simple yet powerful tools for assessing patients with right ventricular dysfunction of various origins. Methods: In this study, the integrity of myocardial performance index and isovolumic acceleration obtained by tissue Doppler imaging echocardiography to quantify right ventricular function was assessed in 31 patients operated for tetralogy of Fallot. Myocardial performance index and isovolumic acceleration measurements were compared with the parameters derived by cardiac magnetic resonance imaging. Results: In this study, a significant correlation has not been detected between cardiac magnetic resonance-originated right ventricular ejection fraction, pulmonary regurgitation fraction and myocardial performance index, isovolumic acceleration obtained by tissue Doppler imaging echocardiography from the lateral tricuspid annulus of the right ventricle. Conclusion: We have concluded that when evaluated separately, myocardial performance index and isovolumic acceleration obtained from tissue Doppler imaging echocardiography can be used in the long-term follow-up of patients who have been operated for tetralogy of Fallot, but that they do not show correlation with cardiac magnetic resonance-originated right ventricle ejection fraction and pulmonary regurgitation fraction.

Keywords

Tetralogy of Fallotright ventricle functiontissue Doppler imagingcardiac magnetic resonancemyocardial performance indexisovolumic acceleration
Type
Original Articles
Information
Cardiology in the Young , Volume 24 , Issue 3 , June 2014 , pp. 422 - 429
Copyright
Copyright © Cambridge University Press 2013 

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