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Critical appraisal of MAPSE and TAPSE usefulness in the postoperative assessment of ventricular contractile function after congenital heart defect surgery in infants

Wojciech Mądry
Wojciech Mądry
, 
Maciej Aleksander Karolczak
Maciej Aleksander Karolczak
 e 
Marcin Myszkowski
Marcin Myszkowski
   | 30 apr 2019
Journal of Ultrasonography's Cover Image
INFORMAZIONI SU QUESTO ARTICOLO
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Article Category: original-paper
Pubblicato online: 30 apr 2019
Pagine: 9 - 16
Ricevuto: 08 nov 2018
Accettato: 17 gen 2019
DOI: https://doi.org/10.15557/jou.2019.0002
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© 2019 Wojciech Mądry et al., published by Sciendo
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Fig. 1.

Temporary change of the TAPSE parameter during the study period: measurement 0 – before surgery, measurement 1, 2, 3 – after surgery. The red point in the square corresponds to the median, the upper and lower edge of the quadrangle – quartile spacing, the arms of the graph – values 1–99% of TAPSE measurements, and free points – outliers
Temporary change of the TAPSE parameter during the study period: measurement 0 – before surgery, measurement 1, 2, 3 – after surgery. The red point in the square corresponds to the median, the upper and lower edge of the quadrangle – quartile spacing, the arms of the graph – values 1–99% of TAPSE measurements, and free points – outliers

Fig. 2.

Temporary change of the MAPSE parameter during the study period: measurement 0 – before surgery, measurements 1, 2, 3 – after surgery
Temporary change of the MAPSE parameter during the study period: measurement 0 – before surgery, measurements 1, 2, 3 – after surgery

Fig. 3.

Temporary change of the RV FAC parameter during the test period: measurement 0 – before surgery, measurements 1, 2, 3 – after surgery
Temporary change of the RV FAC parameter during the test period: measurement 0 – before surgery, measurements 1, 2, 3 – after surgery

Fig. 4.

Scatter plot of the TAPSE and RV FAC parameter in particular measurements
Scatter plot of the TAPSE and RV FAC parameter in particular measurements

Data characterizing the study group

Age (months) 4.58 ± 2.56
Boys – N (%) 26 (50.98)
Girls – N (%) 25 (49.02)
Weight (g) 5685.45 ± 1506.89
CBP time (min) 77.82 ± 29.16
AoCC time (min) 40.70 ± 16.30
Down syndrome – W (%) 5 (9.80)
Type of heart defect
ASD – N (%) 4 (7.84)
VSD – N (%) 26 (50.98)
AVSD – N (%) 12 (23.52)
ToF – N (%) 9 (17.64)

Detailed values of TAPSE, RV FAC and MAPSE parameters in individual measurements before surgery (measurement 0) and after surgery (measurement 1, 2, 3) – median and quartile distribution

Measurement 0 Measurement 1 Measurement 2 Measurement 3
TAPSE (mm) 15.2 (13.26–18.5) 4.82 (4.10–5.97) 6.37 (5.40–7.31) 7.88 (6.62–8.76)
RV FAC (%) 43.07 (35.71–51.06) 53.57 (44.04–60.99) 54.16 (48.48–60.00) 54.54 (46.66–60.86)
MAPSE (mm) 7.67 (6.92–8.94) 5.88 (5.27–6.92) 6.80 (6.00–8.09) 7.66 (7.06–9.00)

Detailed changes in TAPSE, RV FAC and MAPSE parameters according to heart defects in particular measurements before the surgery (measurement 0) and after surgery (measurement 1, 2, 3) – median and quartile distribution

ASD N = 4   Measurement 0 Measurement 1 Measurement 2 Measurement 3
TAPSE (mm) 16.60 (14.97–21.22) 7.00 (3.72–9.46) 7.77 (6.74–8.67) 7.68 (6.62–8.75)
MAPSE (mm) 6.95 (6.46–10.99) 6.12 (4.98–7.99) 6.88 (6.56–8.99) 11.71 (8.57–14.85)
RV FAC (%) 32.66 (0.00–52.11) 48.75 (39.28–51.31) 50.66 (44.06–70.12) 39.11 (37.21–41.02)
VSD N = 26   Measurement 0 Measurement 1 Measurement 2 Measurement 3
TAPSE (mm) 15.17 (12.62–18.28) 4.98 (4.18–5.98) 6.11 (5.40–7.31) 7.44 (6.80–8.25)
MAPSE (mm) 8.04 (7.02–9.30) 6.07 (5.47–6.70) 6.59 (5.69–7.55) 7.20 (7.02–8.41)
RV FAC (%) 43.94 (37.50–52.00) 59.25 (48.15–61.90) 52.83 (48.48–58.33) 54.65 (52.33–59.31)
ToF N = 9   Measurement 0 Measurement 1 Measurement 2 Measurement 3
TAPSE (mm) 15.20 (14.63–17.50) 4.60 (3.60–5.65) 6.55 (5.97–7.07) 8.17 (6.49–9.21)
MAPSE (mm) 8.27 (6.66–9.27) 5.66 (5.10–8.27) 7.73 (6.31–9.39) 9.01 (8.95–9.72)
RV FAC (%) 39.39 (35.08–46.66) 49.31 (34.84–59.54) 54.17 (50.75–59.57) 55.17 (39.39–61.53)
AVSD N = 12   Measurement 0 Measurement 1 Measurement 2 Measurement 3
TAPSE (mm) 15.47 (13.28–18.98) 4.82 (3.97–5.71) 6.2 (5.11–7.02) 8.47 (6.57–8.78)
MAPSE (mm) 7.21 (6.74–8.29) 5.78 (5.46–6.92) 7.33 (6.14–8.25) 7.91 (7.15–9.00)
RV FAC (%) 42.11 (30.76–43.85) 53.97 (42.32–59.58) 54.97 (50.00–60.00) 56.01 (50.00–68.86)

Change in the TAPSE z-score value for individual measurements

Measurement 0 Measurement 1 Measurement 2 Measurement 3
Z-score TAPSE 2.15 ± 2.22 −4.99 ± 1.33 −4.16 ± 1.12 −3.32 ± 0.98
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