Assessment of myocardial function in pediatric patients with operated tetralogy of Fallot: preliminary results with 2D strain echocardiography

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Assessment of myocardial function in pediatric patients with operated tetralogy of Fallot: preliminary results with 2D strain echocardiography. / Knirsch, Walter; Dodge-Khatami, Ali; Kadner, Alexander; Kretschmar, Oliver; Steiner, Johannes; Böttler, Petra; Kececioglu, Deniz; Harpes, Paul; Valsangiacomo Buechel, Emanuela R.

in: PEDIATR CARDIOL, Jahrgang 29, Nr. 4, 07.2008, S. 718-725.

Publikationen: SCORING: Beitrag in Fachzeitschrift/ZeitungSCORING: ZeitschriftenaufsatzForschungBegutachtung

Harvard

Knirsch, W, Dodge-Khatami, A, Kadner, A, Kretschmar, O, Steiner, J, Böttler, P, Kececioglu, D, Harpes, P & Valsangiacomo Buechel, ER 2008, 'Assessment of myocardial function in pediatric patients with operated tetralogy of Fallot: preliminary results with 2D strain echocardiography', PEDIATR CARDIOL, Jg. 29, Nr. 4, S. 718-725. https://doi.org/10.1007/s00246-008-9227-y

APA

Knirsch, W., Dodge-Khatami, A., Kadner, A., Kretschmar, O., Steiner, J., Böttler, P., Kececioglu, D., Harpes, P., & Valsangiacomo Buechel, E. R. (2008). Assessment of myocardial function in pediatric patients with operated tetralogy of Fallot: preliminary results with 2D strain echocardiography. PEDIATR CARDIOL, 29(4), 718-725. https://doi.org/10.1007/s00246-008-9227-y

Vancouver

Bibtex

@article{586d7574266745119d5faa00f548804f,
title = "Assessment of myocardial function in pediatric patients with operated tetralogy of Fallot: preliminary results with 2D strain echocardiography",
abstract = "The global myocardial function in patients after repair of tetralogy of Fallot (TOF) can be assessed by cardiovascular magnetic resonance (CMR) and measurement of B-type natriuretic peptides. Two-dimensional echocardiography-derived strain and strain rate (2D strain) facilitate the assessment of regional myocardial function. We evaluated myocardial function in 16 children with residual severe pulmonary valve regurgitation and right ventricular (RV) volume overload after TOF repair before, 1 month after, and 6 months after pulmonary valve replacement (PVR). In 2D strain echocardiography preoperatively, the longitudinal systolic RV strain was reduced (p < 0.05). One month after PVR, longitudinal systolic RV strain decreased further (p < 0.05), while systolic and early diastolic radial left ventricular strain and strain rate increased (each p < 0.05), followed by a return toward preoperative values after 6 months. Six months after PVR, preoperatively elevated RV end-diastolic volume (p < 0.01) assessed by CMR and N-terminal pro-B-type natriuretic peptide (p < 0.05) decreased. In conclusion, the impairment of the regional myocardial after TOF repair and transient changes after PVR can be subtly analyzed by 2D strain echocardiography in addition to the established assessment of myocardial function with CMR and measurement of B-type natriuretic peptides.",
keywords = "Adolescent, Child, Echocardiography, Female, Heart Ventricles/diagnostic imaging, Humans, Magnetic Resonance Imaging, Male, Natriuretic Peptide, Brain/blood, Peptide Fragments/blood, Pulmonary Valve Insufficiency/diagnostic imaging, Tetralogy of Fallot/blood, Young Adult",
author = "Walter Knirsch and Ali Dodge-Khatami and Alexander Kadner and Oliver Kretschmar and Johannes Steiner and Petra B{\"o}ttler and Deniz Kececioglu and Paul Harpes and {Valsangiacomo Buechel}, {Emanuela R}",
year = "2008",
month = jul,
doi = "10.1007/s00246-008-9227-y",
language = "English",
volume = "29",
pages = "718--725",
journal = "PEDIATR CARDIOL",
issn = "0172-0643",
publisher = "Springer New York",
number = "4",

}

RIS

TY - JOUR

T1 - Assessment of myocardial function in pediatric patients with operated tetralogy of Fallot: preliminary results with 2D strain echocardiography

AU - Knirsch, Walter

AU - Dodge-Khatami, Ali

AU - Kadner, Alexander

AU - Kretschmar, Oliver

AU - Steiner, Johannes

AU - Böttler, Petra

AU - Kececioglu, Deniz

AU - Harpes, Paul

AU - Valsangiacomo Buechel, Emanuela R

PY - 2008/7

Y1 - 2008/7

N2 - The global myocardial function in patients after repair of tetralogy of Fallot (TOF) can be assessed by cardiovascular magnetic resonance (CMR) and measurement of B-type natriuretic peptides. Two-dimensional echocardiography-derived strain and strain rate (2D strain) facilitate the assessment of regional myocardial function. We evaluated myocardial function in 16 children with residual severe pulmonary valve regurgitation and right ventricular (RV) volume overload after TOF repair before, 1 month after, and 6 months after pulmonary valve replacement (PVR). In 2D strain echocardiography preoperatively, the longitudinal systolic RV strain was reduced (p < 0.05). One month after PVR, longitudinal systolic RV strain decreased further (p < 0.05), while systolic and early diastolic radial left ventricular strain and strain rate increased (each p < 0.05), followed by a return toward preoperative values after 6 months. Six months after PVR, preoperatively elevated RV end-diastolic volume (p < 0.01) assessed by CMR and N-terminal pro-B-type natriuretic peptide (p < 0.05) decreased. In conclusion, the impairment of the regional myocardial after TOF repair and transient changes after PVR can be subtly analyzed by 2D strain echocardiography in addition to the established assessment of myocardial function with CMR and measurement of B-type natriuretic peptides.

AB - The global myocardial function in patients after repair of tetralogy of Fallot (TOF) can be assessed by cardiovascular magnetic resonance (CMR) and measurement of B-type natriuretic peptides. Two-dimensional echocardiography-derived strain and strain rate (2D strain) facilitate the assessment of regional myocardial function. We evaluated myocardial function in 16 children with residual severe pulmonary valve regurgitation and right ventricular (RV) volume overload after TOF repair before, 1 month after, and 6 months after pulmonary valve replacement (PVR). In 2D strain echocardiography preoperatively, the longitudinal systolic RV strain was reduced (p < 0.05). One month after PVR, longitudinal systolic RV strain decreased further (p < 0.05), while systolic and early diastolic radial left ventricular strain and strain rate increased (each p < 0.05), followed by a return toward preoperative values after 6 months. Six months after PVR, preoperatively elevated RV end-diastolic volume (p < 0.01) assessed by CMR and N-terminal pro-B-type natriuretic peptide (p < 0.05) decreased. In conclusion, the impairment of the regional myocardial after TOF repair and transient changes after PVR can be subtly analyzed by 2D strain echocardiography in addition to the established assessment of myocardial function with CMR and measurement of B-type natriuretic peptides.

KW - Adolescent

KW - Child

KW - Echocardiography

KW - Female

KW - Heart Ventricles/diagnostic imaging

KW - Humans

KW - Magnetic Resonance Imaging

KW - Male

KW - Natriuretic Peptide, Brain/blood

KW - Peptide Fragments/blood

KW - Pulmonary Valve Insufficiency/diagnostic imaging

KW - Tetralogy of Fallot/blood

KW - Young Adult

U2 - 10.1007/s00246-008-9227-y

DO - 10.1007/s00246-008-9227-y

M3 - SCORING: Journal article

C2 - 18506501

VL - 29

SP - 718

EP - 725

JO - PEDIATR CARDIOL

JF - PEDIATR CARDIOL

SN - 0172-0643

IS - 4

ER -