Skip to main content
SpringerLink
Log in

Pulse tissue Doppler analysis of tricuspid annular motion in Iranian children

  • Published:
The International Journal of Cardiovascular Imaging Aims and scope Submit manuscript

Abstract

Background

Quantitative assessment of right ventricular (RV) function has been difficult to assess non-invasively secondary to its non-geometric shape and respiratory-variable filling. With recent improvements in ultrasound equipment we are now able to study myocardial velocity changes, which is known as tissue Doppler imaging.

Objectives

To define normal indices of tricuspid pulse tissue Doppler echocardiography imaging in children and infants.

Methods

We enrolled 100 healthy children with the age of 1 month-15 year old who were referred for echocardiography and had no cardiac lesion in primary echocardiography evaluations. Pulse tissue Doppler images of the lateral tricuspid annular motion were recorded using 4-chamber apical view. Simultaneous electrocardiography was used to correct annular motion time with electrical events.

Results

Among our patients 9 were under 1 year, 46 between 10 and 15, 36 between 5 and 10, and 9 between 10 and 15. Infants had decreased peak early diastolic annular velocities and early diastolic annular velocity-to-diastolic annular velocity at atrial contraction ratios compared with the older group. Isovolumic relaxation time difference was not significant between two different groups. In this group of patients, deceleration time and isovolumic contraction time were lower too.

Conclusion

In this study we found out normal values for systolic and diastolic indices of pulse TDI imaging of tricuspid valve in Iranian healthy children. This can be a basis for RV function studies in different congenital cardiac disease.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Frommelt PC, Ballweg JA, Whitstone BN, Frommelt MA. (2002). Usefulness of Doppler tissue imaging analysis of tricuspid annular motion for determination of right ventricular function in normal infants and children. Am J Cardiol 89(5):610–613

    Article  PubMed  Google Scholar 

  2. Kukulski T, Hubbert L, Arnold M, Wranne B, Hatle L, Sutherland GR. (2000) Normal regional right ventricular function and its change with age: a Doppler myocardial imaging study. J Am Soc Echocardiogr 13(3):194–204

    PubMed  CAS  Google Scholar 

  3. Garcia MJ, Rodriguez L, Ares M, et al. (1996) Myocardial wall velocity assessment by pulsed Doppler tissue imaging: characteristic findings in normal subjects. Am Heart J 132(3):648–656

    Article  PubMed  CAS  Google Scholar 

  4. Riggs TW, Rodriguez R, Snider AR, Batton D. (1989) Doppler echocardiographic evaluation of right and left ventricular diastolic function in normal neonates. J Am Coll Cardiol 13(3):700–705

    Article  PubMed  CAS  Google Scholar 

  5. Joe K Oh, Seward JB, Jamil Tajik A. (1999). Echo Manual. Lippincott williams & wilkins, Philadelphia

    Google Scholar 

  6. Catherine M. Otto. (2002). Textbook of Clinical Echocardiography, WB Saunders, Philadelphia

    Google Scholar 

  7. Pellerin D, Sharma R, Elliott P, Veyrat C. (2003) Tissue Doppler, strain, and strain rate echocardiography for the assessment of left and right systolic ventricular function. Heart 89 Suppl 3:iii9–iii17

    Article  PubMed  Google Scholar 

  8. Isaaz K, Thompson A, Ethevenot G, Cloez JL, Brembilla B, Pernot C. (1989). Doppler echocardiographic measurement of low velocity motion of the left ventricular posterior wall. Am J Cardiol 64(1):66–75

    Article  PubMed  CAS  Google Scholar 

  9. Rychik J, Tian ZY. (1996). Quantitative assessment of myocardial tissue velocities in normal children with Doppler tissue imaging. Am J Cardiol 77(14):1254–1257

    Article  PubMed  CAS  Google Scholar 

  10. Palka P, Lange A, Fleming AD, Sutherland GR, Fenn LN, McDicken WN. Doppler tissue imaging: myocardial wall motion velocities in normal subjects. J Am Soc Echocardiogr 1995; 8(5 Pt 1): 659–668

    Google Scholar 

  11. Emilsson K, Alam M, Wandt B. (2000). The relation between mitral annulus motion and ejection fraction: a nonlinear function. J Am Soc Echocardiogr 13(10):896–901

    Article  PubMed  CAS  Google Scholar 

  12. Donovan CL, Armstrong WF, Bach DS (1995). Quantitative Doppler tissue imaging of the left ventricular myocardium: validation in normal subjects. Am Heart J 130(1):100–104

    Article  PubMed  CAS  Google Scholar 

  13. Nagueh SF, Middleton KJ, Kopelen HA, Zoghbi WA, Quinones MA. (1997). Doppler tissue imaging: a noninvasive technique for evaluation of left ventricular relaxation and estimation of filling pressures. J Am Coll Cardiol 30(6):1527–1533

    Article  PubMed  CAS  Google Scholar 

  14. Sohn DW, Chai IH, Lee DJ, et al. (1997). Assessment of mitral annulus velocity by Doppler tissue imaging in the evaluation of left ventricular diastolic function. J Am Coll Cardiol 30(2):474–480

    Article  PubMed  CAS  Google Scholar 

  15. Mori K, Nakagawa R, Nii M, et al. (2004). Pulsed wave Doppler tissue echocardiography assessment of the long axis function of the right and left ventricles during the early neonatal period. Heart 90(2):175–180

    Article  PubMed  CAS  Google Scholar 

Download references

Acknowledgements

We are grateful to our echocardiography lab personnel Mrs Akbari, Mrs Darbani, Mrs Jahandeli for their arrangements and administrative efforts.

Author information

Authors and Affiliations

  1. Shaheed Beheshti Cardio-Vascular Research Center (SBCVRC), Shaheed Beheshti University of Medical Sciences, Tehran, Iran

    Sima Rafeiyian, Bahram Looti-Shahrokh, Mohammad-Reza Motamedi,  Zohreh Karkhaneh-Yousefi, Saied Mojtahedzadeh & Ali Kouhi

  2. Shaheed Beheshti Cardio-Vascular Research Center (SBCVRC), Shaheed Modarress Hospital, Shaheed Beheshti University of Medical Sciences, Saadat abad, Tehran, Iran

    Sima Rafeiyian

Authors
  1. Sima Rafeiyian
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Bahram Looti-Shahrokh
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Mohammad-Reza Motamedi
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Zohreh Karkhaneh-Yousefi
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Saied Mojtahedzadeh
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Ali Kouhi
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Sima Rafeiyian.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Rafeiyian, S., Looti-Shahrokh, B., Motamedi, MR. et al. Pulse tissue Doppler analysis of tricuspid annular motion in Iranian children. Int J Cardiovasc Imaging 22, 363–367 (2006). https://doi.org/10.1007/s10554-005-9061-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10554-005-9061-8

Keywords

Search

Navigation