RESEARCH PAPER
Assessment of right ventricular function in healthy people using tissue Doppler imaging
 
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1
Department of Cardiology and Internal Medicine, Chapidze Emergency Cardiology Center, Georgia
 
2
Caucasus University, Georgia
 
 
Submission date: 2024-08-10
 
 
Final revision date: 2025-02-11
 
 
Acceptance date: 2025-02-11
 
 
Online publication date: 2025-05-22
 
 
Corresponding author
Tengiz Verulava   

Caucasus University, Paata Saakadze 1, Caucasus University, Tbilisi, Georgia. Tel.: +995 77 284849.
 
 
 
KEYWORDS
TOPICS
ABSTRACT
Introduction:
A growing body of evidence is being gathered regarding the right ventricle's (RV) unique function, adaptation, and compensatory role. Echocardiography should probably enable prompt diagnosis and treatment assessment at the initial stage.

Aim:
The study aimed to assess the structural and functional features of the RV in healthy individuals.

Material and methods:
The study included 185 healthy adults aged 16 to 85 years. Everyone who participated in the study had an echocardiographic examination using a standard method and an RV tissue Doppler imaging (TDI) in pulsed mode from the base of the free wall. On the RV TDI, we measured the velocity of the s, e, and a wave, and the duration of isometric contraction times (ICT), ejection time (ET), and isometric relaxation time (IRT) in milliseconds.

Results and discussion:
In 51% of participants, the ratio of early and late diastolic speeds (e/a) was less than 1. It was detected in 21% of people under 40 and 64% of cases in people over 40. RV exhibits distinct embryological origins and functional characteristics compared to LV. Its unique structural components and muscle fiber orientation contribute to its contractile function, with longitudinal fibers playing a predominant role in RV emptying. Echocardiography, particularly TDI, provides valuable insights into RV function and pathology. The study highlights the importance of age-related changes in RV diastolic function, emphasizing that early diastolic myocardial relaxation declines with age, necessitating increased atrial contraction.

Conclusions:
The patient's age must be considered while analyzing the RV function's TDI in clinical practice.
ACKNOWLEDGEMENTS
The authors would like to thank the University of Caucasus and the Chapidze Emergency Cardiology Center for their support.
FUNDING
None declared.
CONFLICT OF INTEREST
None declared.
REFERENCES (14)
1.
Oguanobi NI, Ejim EC, Anisiuba BC, Onwubere BJ, Ike SO, Ibegbulam OG. Echocardiographic findings in adult Nigerian sickle cell patients with cardiovascular autonomic dysfunction. Pol Ann Med. 2015;1;22(2):86–91. https://doi.org/10.1016/j.poam....
 
2.
Mahjoob MP, Piranfar MA, Maghami E, Mazarei A, Khaheshi I, Naderian M. Diagnostic value of speckle tracking echocardiography (STE) in the determination of myocardial ischemia: a pilot study. Pol Ann Med. 2019;26(2):126–129. https://doi.org/10.29089/2019.....
 
3.
Gromadziński L, Januszko-Giergielewicz B, Lipińska A, Pruszczyk P. Effect of type 2 diabetes on the left ventricular diastolic dysfunction in patients with chronic kidney disease, 3 and 4 stages. Pol Ann Med. 2014;21(1):8–13. https://doi.org/10.1016/j.poam....
 
4.
Alam M, Wardell J, Andersson E, Samad BA, Nordlander R. Characteristics of mitral and tricuspid annular velocities determined by pulsed wave Doppler tissue imaging in healthy subjects. J Am Soc Echocardiogr. 1999;12(8):618–628. https://doi.org/10.1053/je.199....
 
5.
Meluzín J, Špinarová L, Bakala J, et al. Pulsed Doppler tissue imaging of the velocity of tricuspid annular systolic motion. A new, rapid, and non-invasive method of evaluating right ventricular systolic function. Eur Heart J. 2001;22(4):340–348. https://doi.org/10.1053/euhj.2....
 
6.
Appleton CP, Firstenberg MS, Garcia MJ, Thomas JD. The echo-doppler evaluation of left ventricular diastolic function: A current perspective. Cardiol Clin. 2000;18(3):513–546.
 
7.
Gulati VK, Katz WE, Follansbee WP, Gorcsan J. Mitral annular descent velocity by tissue Doppler echocardiography as an index of global left ventricular function. Am J Cardiol. 1996;77(11):979–984. https://doi.org/10.1016/s0002-....
 
8.
Waggoner AD, Bierig SM. Tissue Doppler imaging: A useful echocardiographic method for the cardiac sonographer to assess systolic and diastolic ventricular function. J Am Soc Echocardiogr. 2001;14(12):1143–1152. https://doi.org/10.1067/mje.20....
 
9.
Dell’Italia LJ. The right ventricle: anatomy, physiology, and clinical importance. Curr Probl Cardiol. 1991; 16:653–720. https://doi.org/10.1016/0146-2....
 
10.
Muresian H. The clinical anatomy of the right ventricle. Clin Anat. 2016;29(3):380–398. https://doi.org/10.1002/ca.224....
 
11.
Zaidi A, Knight DS, Augustine DX. et al. Echocardiographic assessment of the right heart in adults: a practical guideline from the British Society of Echocardiography. Echo Res Pract. 2020;7(1):G19–G41. https://doi.org/10.1530/ERP-19....
 
12.
Tsipis A, Petropoulou E. Echocardiography in the Evaluation of the Right Heart. US Cardiol Rev. 2022;16:e08. https://doi.org/10.15420/usc.2....
 
13.
Lang Roberto M, Badano L, Mor-Avi V, Jonathan A, Anderson A, Laura E, Flachskampf Frank A, Elyse F, Goldstein Steven A, Tatiana K, Patrizio L. Recommendations for Cardiac Chamber Quantification by Echocardiography in Adults: An Update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. Eur Heart J Cardiovasc Imaging. 2015;16:233–271. https://doi.org/10.1093/ehjci/....
 
14.
D’Andrea A, Vriz O, Carbone A, Ferrara F, Di Maio M, Cocchia R, Tagliamonte G, Acri E, Driussi C, Pezzullo E, Citro R. The impact of age and gender on right ventricular diastolic function among healthy adults. J Cardiol. 2017;70(4):387–395. https://doi.org/10.1016/j.jjcc....
 
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