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Intensive Care Medicine

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01-06-2018 | Systematic Review

The use of echocardiographic indices in defining and assessing right ventricular systolic function in critical care research

Authors: Stephen J. Huang, Marek Nalos, Louise Smith, Arvind Rajamani, Anthony S. McLean

Published in: Intensive Care Medicine | Issue 6/2018

Abstract

Purpose

Many echocardiographic indices (or methods) for assessing right ventricular (RV) function are available, but each has its strengths and limitations. In some cases, there might be discordance between the indices. We conducted a systematic review to audit the echocardiographic RV assessments in critical care research to see if a consistent pattern existed. We specifically looked into the kind and number of RV indices used, and how RV dysfunction was defined in each study.

Methods

Studies conducted in critical care settings and reported echocardiographic RV function indices from 1997 to 2017 were searched systematically from three databases. Non-adult studies, case reports, reviews and secondary studies were excluded. These studies’ characteristics and RV indices reported were summarized.

Results

Out of 495 non-duplicated publications found, 81 studies were included in our systematic review. There has been an increasing trend of studying RV function by echocardiography since 2001, and most were conducted in ICU. Thirty-one studies use a single index, mostly TAPSE, to define RV dysfunction; 33 used composite indices and the combinations varied between studies. Seventeen studies did not define RV dysfunction. For those using composite indices, many did not explain their choices.

Conclusions

TAPSE seemed to be the most popular index in the last 2–3 years. Many studies used combinations of indices but, apart from cor pulmonale, we could not find a consistent pattern of RV assessment and definition of RV dysfunction amongst these studies.

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Title: The use of echocardiographic indices in defining and assessing right ventricular systolic function in critical care research
Authors: Stephen J. Huang
Marek Nalos
Louise Smith
Arvind Rajamani
Anthony S. McLean
Publication date: 01-06-2018
Publisher: Springer Berlin Heidelberg
Published in: Intensive Care Medicine / Issue 6/2018
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI: https://doi.org/10.1007/s00134-018-5211-z

At a glance: The STEP trials

Springer Medicine

The use of echocardiographic indices in defining and assessing right ventricular systolic function in critical care research

Abstract

Purpose

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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