Artículos de revistas
Atrioventricular plane displacement versus mitral and tricuspid annular plane systoli excursion: A comparison between cardiac magnetic resonance and M-mode echocardiography
Fecha
2021Registro en:
Clinical Physiology and Functional Imaging (2021) 41:3 Págs. 262 - 270
10.1111/cpf.12693
Autor
Sepúlveda Martínez, Álvaro Gabriel
Steding Ehrenborg, Katarina
Rodríguez López, Mérida
Ostenfeld, Ellen
Valenzuela Alcaráz, Brenda
Heiberg, Einar
Gratacós, Eduard
Prat González, Susanna
Crispi, Fátima
Hedström, Erik
Institución
Resumen
Introduction: Both echocardiography and CMR imaging are used to quantify longitudinal
function. Inter-method
variability for mitral (MAPSE) and tricuspid (TAPSE)
annular plane systolic excursion, and variability between directly measured MAPSE
and TAPSE and as based on atrioventricular plane displacement (AVPD) analysis by
CMR, are, however, not known. This study, therefore, assessed inter-method
variability
and variability between annular plane systolic excursion and AVPD-based
values
in a healthy adult population.
Methods: Echocardiography and CMR were performed in 111 adults (35 [32–38]
years). Method comparisons were assessed with Deming regression, Bland–Altman
analysis and coefficient of variation. Observer reproducibility was assessed by the
concordance correlation coefficient.
Results: Echocardiography and semi-automatic
CMR agreed on MAPSE (17 ± 2 mm
vs. 17 ± 2 mm, p = 0.1) and TAPSE (25 ± 3 mm vs. 25 ± 3 mm, p = 0.5), correlated
highly between methods (fitted-slope
1.22 [95% CI 1.07–1.38]
and 1.12 [95% CI 0.95–1.29])
and showed low bias (0.42 [95% CI − 2.05 to 2.88] and − 0.18 [95% CI − 4.78
to 4.43]). Intra-/
inter-observer
reproducibility was high for both methods for both.
MAPSE (echocardiography 0.96/0.86; CMR 0.87/0.85) and TAPSE (echocardiography
0.96/0.95; CMR 0.97/0.96). MAPSE (16 ± 2 mm vs. 17 ± 2 mm; p < 0.001) and TAPSE
(24 ± 3 vs. 25 ± 3 mm; p < 0.001) based on AVPD were similar but statistically different
compared with semi-automatic
CMR.
Conclusions: Echocardiography and semi-automatic
CMR have low variability and
provide similar values for MAPSE and TAPSE and are thus interchangeable for follow-
up
studies. Lateral values based on tracked data from AVPD analysis are not clinically
significantly different and could be used as a representation of annular displacement.