Journal of Cardiothoracic and Vascular Anesthesia
Volume 24, Issue 2 , Pages 270-274 , April 2010

Feasibility of Measuring Myocardial Performance Index of the Right Ventricle in Anesthetized Patients

  • Isabelle Michaux, MD

      Affiliations

    • Department of Anesthesia, University Hospital Basel, Basel, Switzerland
    • Department of Intensive Care Medicine, Mont-Godinne University Hospital, Université Catholique de Louvain, Yvoir, Belgium
    • Corresponding Author InformationAddress reprint requests to Isabelle Michaux, MD, Department of Intensive Care Medicine, Mont-Godinne University Hospital, Université Catholique de Louvain, 1 Av Dr Gaston Thérasse, B-5530 Yvoir, Belgium
    • ,
  • Manfred Seeberger, MD

      Affiliations

    • Department of Anesthesia, University Hospital Basel, Basel, Switzerland
    • ,
  • Regina Schuman, MD

      Affiliations

    • Department of Anesthesia, University Hospital Basel, Basel, Switzerland
    • ,
  • Karl Skarvan, MD

      Affiliations

    • Department of Anesthesia, University Hospital Basel, Basel, Switzerland
    • ,
  • Miodrag Filipovic, MD

      Affiliations

    • Department of Anesthesia, University Hospital Basel, Basel, Switzerland

References 

  1. Tei C, Dujardin KS, Hodge DO, et al. Doppler echocardiographic index for assessment of global right ventricular function. J Am Soc Echocardiogr. 1996;9:838–847
  2. Tei C, Ling LH, Hodge DO, et al. New index of combined systolic and diastolic myocardial performance: A simple and reproducible measure of cardiac function—A study in normals and dilated cardiomyopathy. J Cardiol. 1995;26:357–366
  3. Eidem BW, O'Leary PW, Tei C, et al. Usefulness of the myocardial performance index for assessing right ventricular function in congenital heart disease. Am J Cardiol. 2000;86:654–658
  4. Ishii M, Eto G, Tei C, et al. Quantitation of the global right ventricular function in children with normal heart and congenital heart disease: A right ventricular myocardial performance index. Pediatr Cardiol. 2000;21:416–421
  5. Kim WH, Otsuji Y, Yuasa T, et al. Evaluation of right ventricular dysfunction in patients with cardiac amyloidosis using Tei index. J Am Soc Echocardiogr. 2004;17:45–49
  6. Wang J, Filipovic M, Rudzitis A, et al. Transesophageal echocardiography for monitoring segmental wall motion during off-pump coronary artery bypass surgery. Anesth Analg. 2004;99:965–973
  7. Christakis GT, Weisel RD, Mickle DA, et al. Right ventricular function and metabolism. Circulation. 1990;82:332–340
  8. Ovrum E, Lindberg H, Holen EA, et al. Systemic and pulmonary circulatory effects of protamine following cardiopulmonary bypass in man. Scand J Thorac Cardiovasc Surg. 1991;25:19–24
  9. Fullerton DA, McIntyre RC, Kirson LE, et al. Impact of respiratory acid-base status in patients with pulmonary hypertension. Ann Thorac Surg. 1996;61:696–701
  10. Yeo TC, Dujardin KS, Tei C, et al. Value of a Doppler-derived index combining systolic and diastolic time intervals in predicting outcome in primary pulmonary hypertension. Am J Cardiol. 1998;81:1157–1161
  11. Chockalingam A, Gnanavelu G, Alagesan R, et al. Myocardial performance index in evaluation of acute right ventricular myocardial infarction. Echocardiography. 2004;21:487–494
  12. Ozdemir K, Altunkeser BB, Icli A, et al. New parameters in identification of right ventricular myocardial infarction and proximal right coronary artery lesion. Chest. 2003;124:219–226
  13. Karnati PK, El-Hajjar M, Torosoff M, et al. Myocardial performance index correlates with right ventricular ejection fraction measured by nuclear ventriculography. Echocardiography. 2008;25:381–385
  14. Sade LE, Gülmez Ö, Özyer U, et al. Tissue Doppler study of the right ventricle with a multisegmental approach: Comparison with cardiac magnetic resonance imaging. J Am Soc Echocardiogr. 2009;22:361–368
  15. Wang J, Prakasa K, Bomma C, et al. Comparison of novel echocardiographic parameters of right ventricular function with ejection fraction by cardiac magnetic resonance. J Am Soc Echocardiogr. 2007;20:1058–1064
  16. Haddad F, Denault AY, Couture P, et al. Right ventricular myocardial performance index predicts perioperative mortality or circulatory failure in high-risk valvular surgery. J Am Soc Echocardiogr. 2007;20:1065–1072
  17. Ascione L, De Michele M, Accadia M, et al. Myocardial global performance index as a predictor of in-hospital cardiac events in patients with first myocardial infarction. J Am Soc Echocardiogr. 2003;16:1019–1023
  18. Moller JE, Sondergaard E, Poulsen SH, et al. Serial Doppler echocardiographic assessment of left and right ventricular performance after a first myocardial infarction. J Am Soc Echocardiogr. 2001;14:249–255
  19. Myhre ES, Slinker BK, LeWinter MM. Absence of right ventricular isovolumic relaxation in open-chest anesthetized dogs. Am J Physiol. 1992;263:H1587–H1590
  20. Heerdt PM, Pleimann BE. The dose-dependent effects of halothane on right ventricular contraction pattern and regional inotropy in swine. Anesth Analg. 1996;82:1152–1158
  21. Michaux I, Filipovic M, Skarvan K, et al. Effects of on-pump versus off-pump coronary artery bypass graft surgery on right ventricular function. J Thorac Cardiovasc Surg. 2006;131:1281–1288
  22. Poulsen SH, Nielsen JC, Andersen HR. The influence of heart rate on the Doppler-derived myocardial performance index. J Am Soc Echocardiogr. 2000;13:379–384

 Supported in part by the Swiss Society of Anesthesiology and Intensive Care.

PII: S1053-0770(09)00348-6

doi: 10.1053/j.jvca.2009.09.010

Journal of Cardiothoracic and Vascular Anesthesia
Volume 24, Issue 2 , Pages 270-274 , April 2010

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