Physiologic correlates of tricuspid annular plane systolic excursion in 1168 healthy subjects

Methods and results: From June 2007 to December 2013, 1168 healthy subjects ;mean age 45.1 +/- 16 years, range 16 to 92; 555 (47.5%) men] underwent comprehensive transthoracic echocardiography (TTE) as recommended by current guidelines. TAPSE values were higher in men than women (24.0 +/- 3.5 vs 23.2 +/- 3.0 mm, p value < 0.0001) but did not vary according to age. On multivariable linear regression analysis, cardiac output, RV basal and longitudinal dimensions were the only variables independently associated with TAPSE (beta coefficient = 0.161, 0.116 and 0.115 respectively). On the other hand echocardiographically- derived systolic pulmonary artery pressure (SPAP), pulmonary vascular resistance and mitral E/e' ratio were significantly higher in older subjects. Therefore a significant decrease of TAPSE/SPAP was detected in >60 years old cohort (p = 0.0001).

Background: TAPSE provides a simple, reproducible estimate of the longitudinal function of the right ventricle (RV). However, the normal limits and physiologic correlates of tricuspid annular plane systolic excursion (TAPSE) are not exactly known. The aim of this study was to explore the full spectrum of TAPSE values and determine the physiologic correlates of TAPSE.