Ventricular Functions In Congenital Heart Diseases: A Tissue Doppler Study

El Lithy, Eman Mohamed; Sharawy, Sahar Abd Al Raouf; Khalifa, Naglaa Ali; Abozied, Heba Mohammed

doi:10.21608/zumj.2021.70537.2185

Ventricular Functions In Congenital Heart Diseases: A Tissue Doppler Study

Document Type : Original Article

Authors

¹ pediatric department , faculty of medicine ,zagazig university

² Pediatrics Faculty of medicine Zagazig university

³ clinical pathology faculty of medicine zagazig university

⁴ Assistant Professor of Pediatrics Faculty of Medicine ; Zagazig University

10.21608/zumj.2021.70537.2185

Abstract

Background: Congenital heart diseases (CHD) account for one third of all congenital anomalies. Doppler and Tissue Doppler evaluates cardiac performance and diagnose CHD. Study aim: evaluation ventricular functions in CHD using TAPSE and tissue Doppler-derived LV MPI. Methods: The study was performed at Pediatric Cardiology Unit of Zagazig University Hospitals on 70 age and sex matched children classified into case group included 35 patients with CHD and control group included 35 healthy children underwent complete history, conventional echocardiographic and tissue Doppler examination. Results: There was increase in cases regarding interventricular septum (IVS) and decrease in left ventricular diameter at end diastole (LVDd), left ventricular diameter at end systole (LVDs), right pulmonary artery diameter (RPA) and left atrium diameter more than control group with no difference inbetween regarding: posterior wall diameter (PW), fractional shortening (FS), main pulmonary artery diameter, left pulmonary artery diameter (LPA) and aorta diameter. There was a highly significant decrease in TAPSE in case more than control group and significant decrease in ejection time (ET) with no significant difference between case and control group regarding LV MPI. Conclusion: TAPSE is lower in cases compared with control group indicating longitudinal RV dysfunction. The value of LV MPI was slightly higher than that of control that need further studies with a larger number of patients.LV FS did not show any abnormality in cases pointing out ability of tissue Doppler echocardiography to measure segmental LV dysfunction compared to conventional echocardiography.Key words: ventricular functions- CHD- tissue Doppler- TAPSE- MPI.

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