Germing Alfried, Gotzmann Michael, Rausse Ricarda, Brodherr Turgut, Holt Stephan, Lindstaedt Michael, Dietrich Johannes, Ranft Ulrich, Krämer Ursula, Mügge Andreas
Medizinische Klinik II, Kardiologie und Angiologie, Berufsgenossenschaftliche Universitätsklinik Bergmannsheil GmbH, Bürkle-de-la-Camp-Platz 1, D-44789 Bochum, Germany.
Eur J Echocardiogr. 2010 Sep;11(8):725-8. doi: 10.1093/ejechocard/jeq053. Epub 2010 Apr 23.
The application of tricuspid annular plane systolic excursion (TAPSE) as an additional echocardiographic tool to analyse right ventricular (RV) systolic function has been recently established and two-dimensional-guided M-mode measurements of systolic long axis function of the RV are simple, repeatable, and highly reproducible. However, rare data are available on normal values. We aimed to analyse normal values in healthy women >70 years of age.
In a cross-sectional survey, we investigated a cohort of randomly selected, non-hospitalized women >70 years of age. History of myocardial infarction, valvular heart disease, and diastolic dysfunction were exclusion criteria. In order to rule out left ventricular or RV dysfunction, a normal left ventricular ejection fraction and normal values of B-type natriuretic peptide (BNP) were necessary prior to study inclusion. A detailed echocardiographic examination was performed. A total of 80 participants were included (mean age 75 +/- 2.6 years). Mean left ventricular ejection fraction was 63.8 +/- 5.7%. Tissue Doppler derived mean E/E' ratio was 10 +/- 2.3. Mean right atrial diameter was 31.3 +/- 4.7 mm. Mean values for RV outflow tract and RV dimension were 27.3 +/- 3.6 and 28.8 +/- 3.7 mm, respectively. Mean TAPSE was 23.7 +/- 3.5 mm. Mean value of BNP was normal (42.5 +/- 35.7 pg/mL).
In women >70 years of age without heart failure, structural heart disease, and neurohormonal activation, normal TAPSE values are approximately 24 mm.
三尖瓣环平面收缩期位移（TAPSE）作为一种额外的超声心动图工具用于分析右心室（RV）收缩功能，最近已得到确立，并且二维引导的右心室收缩期长轴功能M型测量简单、可重复且高度可再现。然而，关于正常值的可用数据很少。我们旨在分析70岁以上健康女性的正常值。
在一项横断面调查中，我们研究了一组随机选取的70岁以上非住院女性。排除标准为心肌梗死病史、瓣膜性心脏病和舒张功能障碍。为了排除左心室或右心室功能障碍，在纳入研究之前，左心室射血分数正常以及B型利钠肽（BNP）值正常是必要的。进行了详细的超声心动图检查。共纳入80名参与者（平均年龄75±2.6岁）。平均左心室射血分数为63.8±5.7%。组织多普勒得出的平均E/E'比值为10±2.3。平均右心房直径为31.3±4.7mm。右心室流出道和右心室尺寸的平均值分别为27.3±3.6和28.8±3.7mm。平均TAPSE为23.7±3.5mm。BNP的平均值正常（42.5±35.7pg/mL）。
在70岁以上无心力衰竭、结构性心脏病和神经激素激活的女性中，正常TAPSE值约为24mm。
