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#MAPSE: an unappreciated treasure for assessing LV function? #EchoFirst #WhyCMR
#MAPSE is easy and feasible in almost every patient, also in #ICU. It is highly prognostic, yet unpopular. The reasons are not rational.
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#CardioTwitter #POCUS #FOAMed #MedTwitter
#MAPSE: an unappreciated treasure for assessing LV function? #EchoFirst #WhyCMR
#MAPSE is easy and feasible in almost every patient, also in #ICU. It is highly prognostic, yet unpopular. The reasons are not rational.
π§΅π
#CardioTwitter #POCUS #FOAMed #MedTwitter
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#MAPSE is easy to measure using #EchoFirst, and was described already in 1967:
doi.org
However....
#MAPSE is easy to measure using #EchoFirst, and was described already in 1967:
doi.org
However....
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...during that era, physiologists were focused on cardiac pressure/volume relationships. LVEF emerged as a metric reflecting cardiac volumes, thus filling an unmet need.
doi.org
...during that era, physiologists were focused on cardiac pressure/volume relationships. LVEF emerged as a metric reflecting cardiac volumes, thus filling an unmet need.
doi.org
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Then, #EchoFirst for assessing LVEF then became available. #MAPSE was shown early to correlate with LVEF. However, it was only considered a "quick and dirty" surrogate of LVEF.
doi.org
Then, #EchoFirst for assessing LVEF then became available. #MAPSE was shown early to correlate with LVEF. However, it was only considered a "quick and dirty" surrogate of LVEF.
doi.org
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The limitations of LVEF then became strikingly obvious, as patients with heart failure but preserved LVEF had similar prognosis as reduced LVEF.
doi.org (2006)
Meanwhile, #MAPSE had shown prognostic value already in 1997.
dx.doi.org
The limitations of LVEF then became strikingly obvious, as patients with heart failure but preserved LVEF had similar prognosis as reduced LVEF.
doi.org (2006)
Meanwhile, #MAPSE had shown prognostic value already in 1997.
dx.doi.org
doi.org/10.1056/NEJMe0β¦
Diastolic Heart Failure β A Common and Lethal Condition by Any Name | NEJM
Editorial from The New England Journal of Medicine β Diastolic Heart Failure β A Common and Lethal C...
dx.doi.org/10.1136/hrt.78β¦
Left ventricular atrioventricular plane displacement: an echocardiographic technique for rapid assessment of prognosis in heart failure.
OBJECTIVE: To assess the prognostic value of atrioventricular plane displacement in heart failure pa...
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However, this was also the time when GLS by speckle-tracking #EchoFirst emerged as a metric of LV function.
doi.org
Speckle-tracking was a huge technological trend, and still is. #MAPSE relies on simple M-mode, lacking the "WOW!"-factor and thus overlooked.
However, this was also the time when GLS by speckle-tracking #EchoFirst emerged as a metric of LV function.
doi.org
Speckle-tracking was a huge technological trend, and still is. #MAPSE relies on simple M-mode, lacking the "WOW!"-factor and thus overlooked.
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However, GLS relies on software and excellent image quality - two luxuries often absent in #CriticalCare.
#MAPSE is highly feasible in #ICU, shows better prognostic ability that LVEF...
doi.org
...and is highly correlated with GLS.
doi.org
However, GLS relies on software and excellent image quality - two luxuries often absent in #CriticalCare.
#MAPSE is highly feasible in #ICU, shows better prognostic ability that LVEF...
doi.org
...and is highly correlated with GLS.
doi.org
doi.org/10.1186/1476-7β¦
Mitral annular plane systolic excursion (MAPSE) in shock: a valuable echocardiographic parameter in intensive care patients - Cardiovascular Ultrasound
Background Assessing left ventricular (LV) dysfunction by echocardiography in ICU patients is common...
doi.org/10.1186/s13054β¦
Longitudinal wall fractional shortening: an M-mode index based on mitral annular plane systolic excursion (MAPSE) that correlates and predicts left ventricular longitudinal strain (LVLS) in intensive care patients - Critical Care
Background Left ventricular longitudinal strain (LVLS) is a modern measurement for LV function. Howe...
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Finally, because #MAPSE is works even when image quality is poor, it is available for automatic monitoring, especially with TEE. #AutoMAPSE
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Finally, because #MAPSE is works even when image quality is poor, it is available for automatic monitoring, especially with TEE. #AutoMAPSE
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To conclude, #MAPSE is a classical parameter of LV function that has been overshadowed by technological trends. MAPSE is easy to master by anyone doing #POCUS and #EchoFirst.
Imagine how medicine would be different if MAPSE was a standard parameter since 1967?
To conclude, #MAPSE is a classical parameter of LV function that has been overshadowed by technological trends. MAPSE is easy to master by anyone doing #POCUS and #EchoFirst.
Imagine how medicine would be different if MAPSE was a standard parameter since 1967?
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