The tricuspid annular plane systolic excursion/PASP ratio’s accuracy and validity in assessing the right ventricular function: A narrative review

The tricuspid annular plane systolic excursion (TAPSE) (transthoracic apical two-chamber stretch) and pulmonary artery systolic pressure (PASP) ratio is a measure of cardiac function that is used to assess left ventricular systolic function. PASP is typically measured using a catheterization procedu...

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Main Authors: Alper Sercelik, Lutfu Askin
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-12-01
Series:Journal of Research in Medical Sciences
Subjects:
Online Access:https://journals.lww.com/10.4103/jrms.jrms_350_24
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author Alper Sercelik
Lutfu Askin
author_facet Alper Sercelik
Lutfu Askin
author_sort Alper Sercelik
collection DOAJ
description The tricuspid annular plane systolic excursion (TAPSE) (transthoracic apical two-chamber stretch) and pulmonary artery systolic pressure (PASP) ratio is a measure of cardiac function that is used to assess left ventricular systolic function. PASP is typically measured using a catheterization procedure, in which a small tube is inserted into a blood vessel and advanced to the pulmonary artery. A TAPSE/PASP ratio higher than 0.36 mm/mmHg has been shown in several studies to be a good sign of normal or generally well-maintained right ventricular function. It is important to note that the TAPSE/PASP ratio should be interpreted in the context of other clinical findings and should not be used as the sole indicator of cardiac function. A decrease in the TAPSEpulmonary arterial systolic pressure (PASP) ratio (i.e., (RV)-arterial uncoupling), which quantitatively depicts the function of the RV, was detected in patients with heart failure. In pulmonary arterial hypertension patients, TAPSE/PASP is linked to hemodynamics and functional class. In diseases impacting right cardiac function, the TAPSE/PASP may also be beneficial. The purpose of this review is to demonstrate how the TAPSE/PASP impacts how the (RV) functions. We believe that this is the first review on the topic written.
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institution Kabale University
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1735-7136
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publishDate 2024-12-01
publisher Wolters Kluwer Medknow Publications
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spelling doaj-art-4c83bfcf9d0244c6a0d0bb4669a3cc772025-01-14T06:19:52ZengWolters Kluwer Medknow PublicationsJournal of Research in Medical Sciences1735-19951735-71362024-12-01291757510.4103/jrms.jrms_350_24The tricuspid annular plane systolic excursion/PASP ratio’s accuracy and validity in assessing the right ventricular function: A narrative reviewAlper SercelikLutfu AskinThe tricuspid annular plane systolic excursion (TAPSE) (transthoracic apical two-chamber stretch) and pulmonary artery systolic pressure (PASP) ratio is a measure of cardiac function that is used to assess left ventricular systolic function. PASP is typically measured using a catheterization procedure, in which a small tube is inserted into a blood vessel and advanced to the pulmonary artery. A TAPSE/PASP ratio higher than 0.36 mm/mmHg has been shown in several studies to be a good sign of normal or generally well-maintained right ventricular function. It is important to note that the TAPSE/PASP ratio should be interpreted in the context of other clinical findings and should not be used as the sole indicator of cardiac function. A decrease in the TAPSEpulmonary arterial systolic pressure (PASP) ratio (i.e., (RV)-arterial uncoupling), which quantitatively depicts the function of the RV, was detected in patients with heart failure. In pulmonary arterial hypertension patients, TAPSE/PASP is linked to hemodynamics and functional class. In diseases impacting right cardiac function, the TAPSE/PASP may also be beneficial. The purpose of this review is to demonstrate how the TAPSE/PASP impacts how the (RV) functions. We believe that this is the first review on the topic written.https://journals.lww.com/10.4103/jrms.jrms_350_24arterial uncouplingheart failurepulmonary arterial hypertensionright ventricle arterial uncouplingright ventricle functionstricuspid annular plane systolic excursion/pulmonary arterial systolic pressure
spellingShingle Alper Sercelik
Lutfu Askin
The tricuspid annular plane systolic excursion/PASP ratio’s accuracy and validity in assessing the right ventricular function: A narrative review
Journal of Research in Medical Sciences
arterial uncoupling
heart failure
pulmonary arterial hypertension
right ventricle arterial uncoupling
right ventricle functions
tricuspid annular plane systolic excursion/pulmonary arterial systolic pressure
title The tricuspid annular plane systolic excursion/PASP ratio’s accuracy and validity in assessing the right ventricular function: A narrative review
title_full The tricuspid annular plane systolic excursion/PASP ratio’s accuracy and validity in assessing the right ventricular function: A narrative review
title_fullStr The tricuspid annular plane systolic excursion/PASP ratio’s accuracy and validity in assessing the right ventricular function: A narrative review
title_full_unstemmed The tricuspid annular plane systolic excursion/PASP ratio’s accuracy and validity in assessing the right ventricular function: A narrative review
title_short The tricuspid annular plane systolic excursion/PASP ratio’s accuracy and validity in assessing the right ventricular function: A narrative review
title_sort tricuspid annular plane systolic excursion pasp ratio s accuracy and validity in assessing the right ventricular function a narrative review
topic arterial uncoupling
heart failure
pulmonary arterial hypertension
right ventricle arterial uncoupling
right ventricle functions
tricuspid annular plane systolic excursion/pulmonary arterial systolic pressure
url https://journals.lww.com/10.4103/jrms.jrms_350_24
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