1
|
Ferraro AM, Bonello K, Sleeper LA, Lu M, Shea M, Marx GR, Powell AJ, Geva T, Harrild DM. A comparison between the apical and subcostal view for three-dimensional echocardiographic assessment of right ventricular volumes in pediatric patients. Front Cardiovasc Med 2023; 10:1137814. [PMID: 37215544 PMCID: PMC10196107 DOI: 10.3389/fcvm.2023.1137814] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2023] [Accepted: 04/19/2023] [Indexed: 05/24/2023] Open
Abstract
Background Accurate measurement of ventricular volumes is an important clinical imaging goal. Three-dimensional echocardiography (3DEcho) is used increasingly as it is more available and less costly than cardiac magnetic resonance (CMR). For the right ventricle (RV), the current practice is to acquire 3DEcho volumes from the apical view. However, in some patients the RV may be better seen from the subcostal view. Therefore, this study compared RV volume measurements from the apical vs. the subcostal view, using CMR as a reference standard. Methods Patients <18 years old undergoing a clinical CMR examination were prospectively enrolled. 3DEcho was performed on the day of the CMR. 3DEcho images were acquired with Philips Epic 7 ultrasound system from apical and subcostal views. Offline analysis was performed with TomTec 4DRV Function for 3DEcho images and cvi42 for CMR ones. RV end-diastolic volume and end-systolic volume were collected. Agreement between 3DEcho and CMR was assessed with Bland-Altman analysis and the intraclass correlation coefficient (ICC). Percentage (%) error was calculated using CMR as the reference standard. Results Forty-seven patients were included in the analysis (age range 10 months to 16 years). The ICC was moderate to excellent for all volume comparisons to CMR (subcostal vs. CMR: end-diastolic volume 0.93, end-systolic volume 0.81; apical vs. CMR: end-diastolic volume 0.94, end-systolic volume 0.74).The 3DEcho mean % error vs. CMR for end-systolic volume was 25% for subcostal and 31% for apical; for end-diastolic volume it was 15% for subcostal and 16% for apical. The % error was not significantly different between apical vs. subcostal views for end-systolic and end-diastolic volume measurements. Conclusions For apical and subcostal views, 3DEcho-derived ventricular volumes agree well with CMR. Neither echo view has a consistently smaller error when compared to CMR volumes. Accordingly, the subcostal view can be used as an alternative to the apical view when acquiring 3DEcho volumes in pediatric patients, particularly when the image quality from this window is superior.
Collapse
Affiliation(s)
- Alessandra M. Ferraro
- Department of Cardiology, Boston Children's Hospital, Boston, MA, United States
- Department of Pediatrics, Harvard Medical School, Boston, MA, United States
- PhD Program in Angio-Cardio-Thoracic Pathophysiology and Imaging, Sapienza University of Rome, Rome, Italy
| | - Kristin Bonello
- Department of Cardiology, Boston Children's Hospital, Boston, MA, United States
- Department of Pediatrics, Harvard Medical School, Boston, MA, United States
| | - Lynn A. Sleeper
- Department of Cardiology, Boston Children's Hospital, Boston, MA, United States
- Department of Pediatrics, Harvard Medical School, Boston, MA, United States
| | - Minmin Lu
- Department of Cardiology, Boston Children's Hospital, Boston, MA, United States
| | - Melinda Shea
- Department of Cardiology, Boston Children's Hospital, Boston, MA, United States
| | - Gerald R. Marx
- Department of Cardiology, Boston Children's Hospital, Boston, MA, United States
- Department of Pediatrics, Harvard Medical School, Boston, MA, United States
| | - Andrew J. Powell
- Department of Cardiology, Boston Children's Hospital, Boston, MA, United States
- Department of Pediatrics, Harvard Medical School, Boston, MA, United States
| | - Tal Geva
- Department of Cardiology, Boston Children's Hospital, Boston, MA, United States
- Department of Pediatrics, Harvard Medical School, Boston, MA, United States
| | - David M. Harrild
- Department of Cardiology, Boston Children's Hospital, Boston, MA, United States
- Department of Pediatrics, Harvard Medical School, Boston, MA, United States
| |
Collapse
|
2
|
Drzyzga CJ, Bahls M, Ittermann T, Völzke H, Bülow R, Hammer F, Ewert R, Gläser S, Felix SB, Dörr M, Markus MRP. Lower Cardiorespiratory Fitness Is Associated With Right Ventricular Geometry and Function - The Sedentary's Heart: SHIP. J Am Heart Assoc 2021; 10:e021116. [PMID: 34743534 PMCID: PMC8751926 DOI: 10.1161/jaha.120.021116] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
Abstract
Background Lower cardiorespiratory fitness (CRF) is associated with an increased risk for cardiovascular disease. However, very little information is available about the association between lower CRF and right ventricular (RV) remodeling. We investigated the relationship between CRF and RV structure and function in a large, aging, and largely sedentary adult population–based cohort. Methods and Results We used cross‐sectional data of 2844 subjects (1486 women; median age, 51 years; interquartile range, 40–62 years) from the population‐based cohort SHIP (Study of Health in Pomerania) with echocardiography, of which 941 also had cardiac magnetic resonance imaging. We analyzed the associations of peak oxygen uptake with RV parameters determined by both imaging techniques using multivariable‐adjusted linear regression models. In echocardiography, a 1 L/min lower peak oxygen uptake was associated with a 1.18 mm (95% CI, 0.66–1.71; P<0.001) smaller RV end‐diastolic diameter and a 1.41 mm (95% CI, 0.90–1.92; P<0.001) narrower RV end‐diastolic outflow tract diameter. Similarly, using cardiac magnetic resonance imaging measurements, a 1 L/min lower peak oxygen uptake was associated with a 23.5 mL (95% CI, 18.7–28.4; P<0.001) smaller RV end‐diastolic volume, a 13.0 mL (95% CI, 9.81–16.2; P<0.001) lower RV end‐systolic volume, and a 10.7 mL/beat (95% CI, 8.10–13.3; P<0.001) lower RV stroke volume. Conclusions Our results indicate a significant association between CRF and RV remodeling. Lower CRF was associated with smaller RV chamber and lower RV systolic function, stroke volume, and cardiac output.
Collapse
Affiliation(s)
- Christine J Drzyzga
- Department of Internal Medicine B University Medicine Greifswald Greifswald Germany.,German Centre for Cardiovascular Research (DZHK)partner site Greifswald Greifswald Germany
| | - Martin Bahls
- Department of Internal Medicine B University Medicine Greifswald Greifswald Germany.,German Centre for Cardiovascular Research (DZHK)partner site Greifswald Greifswald Germany
| | - Till Ittermann
- German Centre for Cardiovascular Research (DZHK)partner site Greifswald Greifswald Germany.,Department of Study of Health in Pomerania/Clinical-Epidemiological Research Institute for Community Medicine University Medicine Greifswald Greifswald Germany
| | - Henry Völzke
- German Centre for Cardiovascular Research (DZHK)partner site Greifswald Greifswald Germany.,Department of Study of Health in Pomerania/Clinical-Epidemiological Research Institute for Community Medicine University Medicine Greifswald Greifswald Germany
| | - Robin Bülow
- Institute of Diagnostic Radiology and NeuroradiologyUniversity Medicine Greifswald Greifswald Germany
| | - Fabian Hammer
- Department of Internal Medicine B University Medicine Greifswald Greifswald Germany
| | - Ralf Ewert
- Department of Internal Medicine B University Medicine Greifswald Greifswald Germany
| | | | - Stephan B Felix
- Department of Internal Medicine B University Medicine Greifswald Greifswald Germany.,German Centre for Cardiovascular Research (DZHK)partner site Greifswald Greifswald Germany
| | - Marcus Dörr
- Department of Internal Medicine B University Medicine Greifswald Greifswald Germany.,German Centre for Cardiovascular Research (DZHK)partner site Greifswald Greifswald Germany
| | - Marcello R P Markus
- Department of Internal Medicine B University Medicine Greifswald Greifswald Germany.,German Centre for Cardiovascular Research (DZHK)partner site Greifswald Greifswald Germany.,German Center for Diabetes Research (DZD)partner site Greifswald Greifswald Germany
| |
Collapse
|