Feasibility of 2-dimensional speckle tracking echocardiography strain analysis of the right ventricle with trans-thoracic echocardiography in intensive care: a literature review and meta-analysis-Reference-Cited by-同舟云学术

Feasibility of 2-dimensional speckle tracking echocardiography strain analysis of the right ventricle with trans-thoracic echocardiography in intensive care: a literature review and meta-analysis

Published:2023-07-20 Issue:1 Volume:10 Page:
ISSN:2055-0464
Container-title:Echo Research & Practice
language:en
Short-container-title:Echo Res Pract

Author:

McErlane James,Shelley Ben,McCall Philip

Abstract

Abstract Objectives To identify variables that affect the feasibility of 2-dimensional right ventricular speckle tracking echocardiography (RV-STE) in the intensive care unit. Background Trans-thoracic echocardiography (TTE) of the right ventricle is challenging. RV-STE is a novel echocardiography method thought to measure global RV function more fully than conventional TTE parameters. The feasibility of RV-STE in ICU populations has not been well described, and variables influencing RV-STE in ICU have not been investigated. This study aimed to address this. Methods A literature review using Ovid MEDLINE(R) was undertaken. We performed meta-analysis with subgroup analysis of; RV-STE type (RV free-wall [RVFWLS] versus RV global longitudinal strain [RVGLS]), study design (prospective versus retrospective), coronavirus disease-19 (COVID-19) study or not, and strain software used. This was followed by meta-regression of proportion of invasive mechanical ventilation (IMV), with and without COVID-19 studies as a co-variate. Results Eleven relevant studies from the literature search were identified, reporting an overall feasibility of RV-STE of 83.3% (95%CI 74.6–89.4%). Prospective study design was associated with higher feasibility compared with retrospective studies (p = 0.02). There were no statistical differences on univariate analysis between RVFWLS versus RVGLS, COVID-19 study or not, or strain software used. Meta-regression with COVID-19 study as a covariate demonstrated that higher proportions of IMV were significantly associated with worse feasibility (p = 0.04), as were COVID-19 studies (p < 0.01). Conclusions We have identified three variables associated with poor feasibility; retrospective study design, COVID-19 studies, and proportion of IMV. A prospective study design should be viewed as gold standard to maximise RV-STE feasibility.

Publisher

Springer Science and Business Media LLC

Subject

Advanced and Specialized Nursing,Radiology, Nuclear Medicine and imaging,Radiological and Ultrasound Technology

Link

https://link.springer.com/content/pdf/10.1186/s44156-023-00021-0.pdf

Reference6 articles.

1. Murphy E, Shelley B. Clinical presentation and management of right ventricular dysfunction. BJA Educ. 2019;19(6):183–90. https://doi.org/10.1016/j.bjae.2019.02.004.

2. Longobardo L, Suma V, Jain R, et al. Role of two-dimensional speckle-tracking echocardiography strain in the assessment of right ventricular systolic function and comparison with conventional parameters. J Am Soc Echocardiogr. 2017;30(10):937-946.e6. https://doi.org/10.1016/j.echo.2017.06.016.

3. McCall P, Soosay A, Kinsella J, et al. The utility of transthoracic echocardiographic measures of right ventricular systolic function in a lung resection cohort. Echo Res Pract. 2019. https://doi.org/10.1530/ERP-18-0067.

4. Lemarié J, Maigrat CH, Kimmoun A, et al. Feasibility, reproducibility and diagnostic usefulness of right ventricular strain by 2-dimensional speckle-tracking echocardiography in ARDS patients: the ARD strain study. Ann Intensive Care. 2020;10(1):24. https://doi.org/10.1186/s13613-020-0636-2.

5. Bursi F, Santangelo G, Sansalone D, et al. Prognostic utility of quantitative offline 2D-echocardiography in hospitalized patients with COVID-19 disease. Echocardiography. 2020;37(12):2029–39. https://doi.org/10.1111/echo.14869.