Evaluation of right ventricle systolic function after tetralogy of Fallot repair: A systematic review comparing cardiac magnetic resonance and global longitudinal strain.

Autor: Oliveira ALA; Faculdade Pernambucana de Saúde, Pernambuco, Brazil., de Oliveira MEP; Universidade Vila Velha, Espírito Santo, Brazil., Guimarães LV; Universidade Metropolitana de Santos, São Paulo, Brazil., Trindade GM; Universidad Cristiana de Bolívia, Santa Cruz, Bolivia., Chaves GM; Universidade Municipal de São Caetano do Sul - Campus Bela Vista, São Paulo, Brazil., Gonçalves ACP; Universidad Cristiana de Bolívia, Santa Cruz, Bolivia., de Souza TJF; Universidade do Oeste Paulista, São Paulo, Brazil., Moraes LS; Faculdade Alfredo Nasser, Goiás, Brazil., Lujan VSC; Faculdade de Ensino Superior da Amazônia Reunida, Pará, Brazil., Faria LSP; Centro Universitário de Volta Redonda, Rio de Janeiro, Brazil., Manuel V; Cardiothoracic Center, Clinica Girassol, Luanda, Angola.; Division of Cardiovascular Surgery, Heart Institute (InCor), Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.
Jazyk: angličtina
Zdroj: Echocardiography (Mount Kisco, N.Y.) [Echocardiography] 2023 Jan; Vol. 40 (1), pp. 4-14. Date of Electronic Publication: 2022 Dec 07.
DOI: 10.1111/echo.15486
Abstrakt: Background: Most patients who undergo tetralogy of Fallot (TOF) repair experience late right ventricle (RV) dysfunction due to pulmonary valve regurgitation (PVR). Cardiac magnetic resonance (CMR) is the gold standard method for evaluating RV during follow-up. Global longitudinal strain (GLS) has been introduced as a novel method for the assessment of RV dysfunction. We aimed to compare the feasibility of GLS and CMR for assessing RV function after TOF repair.
Methods: We systematically reviewed the English literature using PubMed, SciELO and Google Scholar for articles published between January 1, 2015, and December 31, 2020. Articles evaluating RV function comparing by GLS and CMR after TOF repair were included.
Results: Nine studies including 465 patients were analyzed. Most patients were men (280; 60%), the male:female ratio was 1.5:1, and the age range was .8 to 57.7 years. The mean follow-up time was 6 to 32 months. The correlation between RV GLS and RV ejection fraction (EF) by CMR was negative for the articles and varied from moderate to strong (r = -.45, r = -.60, r = -.76).
Conclusion: Right ventricle GLS can be considered for routine follow-up of TOF repair patients, even though CMR remains the noninvasive gold standard method. Using a single parameter may not allow comparison of the accuracy of 3D RV EF by using CMR and GLS. Further studies with a larger number of patients undergoing TOF repair are required to evaluate the correlation between these examinations.
(© 2022 Wiley Periodicals LLC.)
Databáze: MEDLINE
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