The right ventricle systolic force ratio could predictthe severity of the tricuspid regurgitation-RIVIERA ratio
Yükleniyor...
Dosyalar
Tarih
2023
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Wiley
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Purpose: For assessing the severity of tricuspid regurgitation (TR), there is no gold standard. We developed a parameter, the right ventricular systolic force ratio-RIVIERA, using the continious wave Doppler analysis of TR and pulsed-wave analysis of the right ventricle outflow tract. We hypothesized that the RIVIERA would facilitate the ability to identify severe TR in clinical settings.Materials and Methods: We obtained data from routine transthoracic echocardiograms. All records reporting no or mild TR (n = 732), moderate TR (n = 584), and severe TR (n = 519) TR were reanalyzed to measure vena contracta (VC) width, TR jet area, effective regurgitant orifice (EROA) derived with the proximal isovelocity surface area method, the RIVIERA, and right-sided chamber volumes.Results: Significant linear trends were demonstrated for right atrial volume index, end-diastolic volume index, RVOT velocity time integral, TR jet area, TR-Vmax, TR-VTI, TR acceleration, VC width, EROA with increasing TR severity. Independent predictors of severe RT included RIVIERA <4.8, VC width =0.7 cm, TR jet area > 10 cm(2), and EROA =0.4 cm(2).Conclusion: The RIVIERA is a feasible, effective, and independent predictor of severe TR that enhances established techniques for estimating TR severity. For clinical decision-making and management, accurate measurement and classification of TR severity are essential. Therefore, it should be thought about include the RIVIERA in the integrative method to assessing TR severity.
Açıklama
Anahtar Kelimeler
Acceleration, Doppler, Force, Right Ventricle Outflow Tract, Tricuspid Regurgitation, Velocity-Time Integral
Kaynak
Journal of Clinical Ultrasound
WoS Q Değeri
Q3
Scopus Q Değeri
Q3
Cilt
Sayı
Künye
Emrah, A., Servet, I., Ibrahim, D., Fatih, Y. M., Neryan, O., Hande, S., ... & Cevat, K. (2023). The right ventricle systolic force ratio could predict the severity of the tricuspid regurgitation‐RIVIERA ratio. Journal of Clinical Ultrasound.