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Right ventricular function in congenital cardiac disease: noninvasive quantitative parameters for clinical follow-up

Published online by Cambridge University Press:  24 May 2005

Igor I. Tulevski ,
Ali Dodge-Khatami ,
Maarten Groenink ,
Ernst E. van der Wall ,
Hans Romkes  and
Barbara J. M. Mulder
Igor I. Tulevski
Affiliation:
Department of Cardiology, Academic Medical Center, University of Amsterdam, Amsterdam The Netherlands
Ali Dodge-Khatami
Affiliation:
Department of Cardiothoracic Surgery, Academic Medical Center, University of Amsterdam, Amsterdam The Netherlands
Maarten Groenink
Affiliation:
Department of Cardiology, Academic Medical Center, University of Amsterdam, Amsterdam The Netherlands
Ernst E. van der Wall
Affiliation:
Department of Cardiology, Leiden University Medical Center, Leiden, The Netherlands
Hans Romkes
Affiliation:
Department of Cardiology, Academic Medical Center, University of Amsterdam, Amsterdam The Netherlands
Barbara J. M. Mulder
Affiliation:
Department of Cardiology, Academic Medical Center, University of Amsterdam, Amsterdam The Netherlands
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Abstract

Right ventricular function is of great importance in patients with both acute and chronic ventricular overload. The early detection of right ventricular dysfunction may have an impact on therapeutic decision making, helping to prevent or further delay functional deterioration of the right ventricle.

In patients with right ventricular overload due to congenital cardiac diseases, dobutamine stress testing combined with magnetic resonance imaging, electrocardiographic changes, and monitoring of concentrations of plasma brain natriuretic peptide are very suitable parameters for the early detection of ventricular dysfunction, and should therefore be used in the follow-up of these patients.

It is apparent that no single measurement of anatomy or function can ever adequately describe the form or performance of the right ventricle. Rather, we should be looking more towards an integrated approach of different parameters for right ventricular function. The quantitative parameters described in this study can serve this purpose. The strong correlation found between these non-invasive and independent parameters encourages their clinical implementation.

Keywords

Adult congenital heart diseaseechocardiographymagnetic resonance imaging
Type
Review
Information
Cardiology in the Young , Volume 13 , Issue 5 , October 2003 , pp. 397 - 403
Copyright
© 2003 Cambridge University Press

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References

Paul MH, Wessel HU. Exercise studies in patients with transposition of the great arteries after atrial repair operations (Mustard/Senning): a review. Pediatr Cardiol 1999; 20: 49–55.Google Scholar
Lorenz CH, Walker ES, Graham TP Jr, Powers TA. Right ventricular performance and mass by use of cine MRI late after atrial repair of transposition of the great arteries. Circulation 1995; 92: II233–II239.Google Scholar
Warnes CA. Congenitally corrected transposition: the uncorrected misnomer. J Am Coll Cardiol 1996; 27: 1244–1245.Google Scholar
Voskuil M, Hazekamp MG, Kroft LJ, et al. Postsurgical course of patients with congenitally corrected transposition of the great arteries. Am J Cardiol 1999; 83: 558–562.Google Scholar
Graham TP Jr, Parrish MD, Boucek RJ Jr, et al. Assessment of ventricular size and function in congenitally corrected transposition of the great arteries. Am J Cardiol 1983; 51: 244–251.Google Scholar
Connelly MS, Liu PP, Williams WG, Webb GD, Robertson P, McLaughlin PR. Congenitally corrected transposition of the great arteries in the adult: functional status and complications. J Am Coll Cardiol 1996; 27: 1238–1243.Google Scholar
Perloff C. Congenital Heart Diseases in Adults, 2nd edn. W.B. Saunders, Philadelphia, 1998.
Vouhe P. Congenitally corrected transposition: results of “classical” surgery. In: Redington AN, Brawn WJ, Deanfield JE, Anderson RH (eds). The Right Heart in Congenital Heart Disease. Greenwich Medical Media Ltd, London, 1998, pp 231–236.
Neffke JGJ, Tulevski II, Van der Wall EE, et al. ECG determinants in adult patients with chronic right ventricular pressure overload due to congenital heart disease: Relation with plasma neurohormones and MRI parameters. Heart 2002; 88: 266–270.Google Scholar
Gatzoulis MA, Till JA, Redington AN. Depolarization–repolarization inhomogeneity after repair of tetralogy of Fallot. The substrate for malignant ventricular tachycardia? Circulation 1997; 21: 401–404.Google Scholar
Gatzoulis MA, Walters J, McLaughlin PR, Merchant N, Webb GD, Liu P. Late arrhythmia in adults with the mustard procedure for transposition of great arteries: a surrogate marker for right ventricular dysfunction? Heart 2000; 84: 409–415.Google Scholar
The clinical role of magnetic resonance in cardiovascular disease.Task Force of the European Society of Cardiology, in collaboration with the Association of European Paediatric Cardiologists. Eur Heart J 1998; 19: 19–39.
Helbing WA, Rebergen SA, Maliepaard C, et al. Quantification of right ventricular function with magnetic resonance imaging in children with normal hearts and with congenital heart disease. Am Heart J 1995; 130: 828–837.Google Scholar
Rebergen SA, Niezen RA, Helbing WA, van der Wall EE, de Roos A. Cine gradient-echo MR imaging and MR velocity mapping in the evaluation of congenital heart disease. Radiographics 1996; 16: 467–481.Google Scholar
van der Wall EE. Do magnetic resonance techniques contribute to the management of clinical problems? Eur Heart J 1996; 17: 666–673.Google Scholar
Sechtem U, Pflugfelder PW, Gould RG, Cassidy MM, Higgins CB. Measurement of right and left ventricular volumes in healthy individuals with cine MR imaging. Radiology 1987; 163: 697–702.Google Scholar
Van der Wall EE, Vliegen HW, de Roos A, Bruschke AV. Magnetic resonance imaging in coronary artery disease. Circulation 1995; 92: 2723–2739.Google Scholar
Tulevski II, Lee PL, Groenink M, et al. Dobutamine-induced increase of right ventricular contractility without increased stroke volume in adolescent patients with transposition of the great arteries: evaluation with magnetic resonance imaging. Int J Card Imaging 2000; 16: 471–478.Google Scholar
Tulevski II, Van der Wall EE, Groenink M, et al. Usefulness of magnetic resonance imaging dobutamine stress in asymptomatic and minimally symptomatic patients with decreased cardiac reserve from congenital heart disease (complete and corrected transposition of the great arteries and subpulmonic obstruction). Am J Cardiol 2002; 89: 1077–1081.Google Scholar
Dodge-Khatami A, Tulevski II, Bennink GBWE, et al. Comparable systemic ventricular function in healthy adults and patients with unoperated congenitally corrected transposition using MRI dobutamine stress testing. Ann Thor Surg 2002; 73: 1759–1764.Google Scholar
Redington AN. Right ventricular function. In: Redington AN, Brawn WJ, Deanfield JE, Anderson RH (eds). The Right Heart in Congenital Heart Disease. Greenwich Medical Media Ltd, London, 1998, pp 17–24.
Derrick GP, Narang I, White PA, et al. Failure of stroke volume augmentation during exercise and dobutamine stress is unrelated to load-independent indexes of right ventricular performance after the mustard operation. Circulation 2000; 102: 154–159.Google Scholar
Roest AA, Helbing WA, Kunz P, et al. Exercise MR imaging in the assessment of pulmonary regurgitation and biventricular function in patients after tetralogy of Fallot repair. Radiology 2002; 223: 204–211.Google Scholar
Gatzoulis MA, Elliott JT, Guru V, et al. Right and left ventricular systolic function late after repair of tetralogy of Fallot. Am J Cardiol 2000; 86: 1352–1357.Google Scholar
Houston A, Hillis S, Lilley S, Richens T, Swan L. Echocardiography in adult congenital heart disease. Heart 1998; 80: S12–S26.Google Scholar
Cheitlin MD, Alpert JS, Armstrong WF, et al. ACC/AHA guidelines for the clinical application of echocardiography. A report of the American College of Cardiology/American Heart Association task force on practice guidelines. Circulation 1997; 95: 1686–1744.Google Scholar
McDonagh TA, Robb SD, Murdoch DR, et al. Biochemical detection of left-ventricular systolic dysfunction. Lancet 1998; 351: 9–13.Google Scholar
Bettencourt P, Ferreira A, Sousa T, et al. Brain natriuretic peptide as a marker of cardiac involvement in hypertension. Int J Cardiol 1999; 69: 169–177.Google Scholar
Yasue H, Yoshimura M, Sumida H, et al. Localization and mechanism of secretion of B-type natriuretic peptide in comparison with those of A-type natriuretic peptide in normal subjects and patients with heart failure. Circulation 1994; 90: 195–203.Google Scholar
Kambayashi Y, Nakao K, Kimura H, et al. Biological characterization of human brain natriuretic peptide (BNP) and rat BNP: species-specific actions of BNP. Biochem Biophys Res Commun 1990; 173: 599–605.Google Scholar
Nagaya N, Nishikimi T, Okano Y, et al. Plasma brain natriuretic peptide levels increase in proportion to the extent of right ventricular dysfunction in pulmonary hypertension. J Am Coll Cardiol 1998; 31: 202–208.Google Scholar
Matsuo K, Nishikimi T, Yutani C, et al. Diagnostic value of plasma levels of brain natriuretic peptide in arrhythmogenic right ventricular dysplasia. Circulation 1998; 98: 2433–2440.Google Scholar
Bolger AP, Sharma R, Li W, et al. Neurohormonal activation and the chronic heart failure syndrome in adults with congenital heart disease. Circulation 2002; 106: 92–99.Google Scholar
Tulevski II, Groenink M, van der Wall EE, et al. Increased brain and atrial natriuretic peptides in patients with chronic right ventricular pressure overload: Correlation between plasma neurohormones and right ventricular dysfunction. Heart 2001; 86: 27–30.Google Scholar
Morrison LK, Harrison A, Krishnaswamy P, Kazanegra R, Clopton P, Maisel A. Utility of a rapid B – natriuretic peptide assay in differentiating congestive heart failure from lung disease in patients presenting with dyspnea. J Am Coll Cardiol 2002; 16: 202–209.Google Scholar
Tulevski II, Van Veldhuisen DJ, Mulder BJM. Utility of a B-natriuretic peptide as a marker for right ventricular dysfunction in acute pulmonary embolism. J Am Coll Cardiol 2002; 89: 2080.Google Scholar
Tulevski II, Hirsch A, Sanson BJ, et al. Increased brain natriuretic peptide as a marker for right ventricular dysfunction in acute pulmonary embolism. Thromb Haemost 2001; 86: 1193–1196.Google Scholar
Fontaine JM, Kamal BM, Sokil AB, Wolf NM. Ventricular tachycardia: a life-threatening arrhythmia in a patient with congenitally corrected transposition of the great arteries. J Cardiovasc Electrophysiol 1998; 9: 517–522.Google Scholar
Dimas AP, Moodie DS, Sterba R, Gill CC. Long-term function of the morphologic right ventricle in adult patients with corrected transposition of the great arteries. Am Heart J 1989; 118: 526–530.Google Scholar
Vliegen HW, Van Straten A, De Roos A, et al. Magnetic resonance imaging to assess the hemodynamic effects of pulmonary valve replacement in adults late after repair of tetralogy of Fallot. Circulation 2002; 106: 1703–1707.Google Scholar