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Correlation between Tricuspid Anular Plane Systolic Exercusion (Tapse) and Peak Systolic Velocity on Anulus Tricuspid (S') with Mean Arterial Pulmonary Pressure (Mpap) on Atrial Septal Defect Patient

Author : V. Rosalinda, D.W. Anggraini, B.A. Hartopo, L. Krisdinarti
Upload Date : 19-04-2018

Background: Atrial septal defect is the most common congenital heart disease in adult patients. Pulmonary hypertension resulting from increased blood flow to the lungs causes increased load on the right ventricle. Pulmonary hypertension can be calculated based on Mean Arterial Pulmonary Pressure (mPAP) as measured by right heart catheterization. There is a correlation between pulmonary hypertension and decreased right ventricular function. Tricuspid annular plane systolic excursion (TAPSE) is the most commonly used check for proper ventricular function because the examination is easier. An examination of Doppler's features in the heart will improve the accuracy of right ventricular function examination. Peak systolic velocity at the tricuspid annulus (S') is a method that can improve the accuracy of the examination for right ventricular measurements. The purpose of this study was to determine the correlation value between TAPSE and S' with mPAP in patients with Atrial Septal DefectMethods: This research is an observational research with cross-sectional approach. The subjects of the study were patients with atrial septal defect whose control in Dr. Sardjito hospital who has done echocardiography and right heart catheterization. To know the correlation between TAPSE and S' with mPAP Pearson test was performed. The data was processed using SPSS version 22.Results: There were 40 ASD patients included in this study with the most subjects being 38 women (95%) and age with 21-30 year age range of 20 people (50%). There was a significant correlation between TAPSE and mPAP (p-value = 0.001; r = -0.495) and S' with mPAP (p-value = 0.002; r = -0.484). Decrease of TAPSE and S' value will decrease the value of mPAP and vice versa. The correlation value of TAPSE with mPAP was higher than the S 'correlation with mPAP in patients with atrial septal defect.Conclusion: The correlation value of TAPSE with mPAP has a better correlation compared with S' with mPAP in patients with atrial septal defect

KEYWORDS : Tricuspid annular plane systolic excursion, Peak systolic velocity at the tricuspid annulus, Atrial septal defect

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