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Table 4 Echocardiographic parameters and values to assess RV function

From: Perioperative Quality Initiative (POQI) consensus statement on perioperative assessment of right ventricular function

Variable

Imaging type

Calculation

Thresholds associated with clinical events in specific populations

RVEF

CMR

3D TTE/TEE

(RVEDV-RVESV)/RVEDV

Abnormal < 44%

FAC

2D TTE/TEE

(RVEDA-RVESA)/RVEDA

Abnormal < 35%

TAPSE

M-Mode

Maximal TA displacement

Abnormal < 16 mm

S'

TDI

Maximal systolic velocity of tricuspid annulus

Abnormal ≤ 9.6 cm/s

RVMPI

PWD

TDI

(TCOT-RVET)/RVET

PWD RVMPI abnormal > 0.40

TDI RVMPI abnormal > 0.55

PASP

CWD

PASP = 4 * TRVmax2

Abnormal > 36 mmHg

mPAP

CWD

mPAP = (0.61 × PASP) + 2

mPAP = 4 x (PRVmax v)2 + RAP

mPAP = 90—(0.62 × RVOT AT)

mPAP = TR jet VTI + RAP

Abnormal > 25 mmHg

TAPSE/PASP

M-Mode

CWD

Maximal TA displacement/4 * TRVmax2

Abnormal < 0.36 mm/mmHg

RV basal dimension

2D TTE/TEE

Maximal dimension at TA in focused RV view

Abnormal > 41 mm

Abnormal > 21 mm2/m2

RVEDA

2D TTE/TEE

End-diastolic RV endocardial border area tracing

Abnormal men > 126 mm2/m2

Abnormal women > 115 mm2/m2

RVEDV

CMR

3D TTE/TEE

End-diastolic RV endocardial border volume tracing

Abnormal men > 87 ml/m2

Abnormal women > 74 ml/m2

Strain

2D TTE/TEE

3D TTE/TEE

Speckle-tracking strain imaging on RV

Abnormal RVFLS ≤  − 19%

Abnormal RVGLS ≤  − 17%

  1. TTE Transthoracic echocardiogram, TEE Transesophageal echocardiogram, PWD Pulsed wave Doppler, CWD Continuous wave Doppler, CMR Cardiac magnetic resonance, RVEDV Right ventricle end-diastolic volume, RVESV Right ventricle end-systolic volume, RVEDA Right ventricle end-diastolic area, RVESA Right ventricle end-systolic area, TAPSE Tricuspid annulus planar systolic excursion, TA Tricuspid annulus, TDI Tissue-Doppler imaging, RVMPI Right ventricle myocardial performance index, TCOT Tricuspid closure to opening time, RAP Right atrial pressure, AT Acceleration time, TRV Tricuspid regurgitation velocity, PRV Pulmonary regurgitation velocity, RVFLS RV Free wall longitudinal strain, RVGLS RV Global longitudinal strain