Comparison of tricuspid and mitral annular plane systolic excursion in
determination of acute blood loss in healthy volunteers
Abstract
Ultrasound is used more and more in determining acute blood loss. This
study is to compare tricuspid annular plane systolic excursion (TAPSE)
and mitral annular plane systolic excursion (MAPSE) measurement to
determine volume loss pre and post blood donation in healthy volunteers.
The systolic, diastolic and mean arterial blood pressures and pulses of
the donors were measured in the standing and supine position by the by
the attending physician, then, inferior vena cava (IVC), TAPSE and MAPSE
measurements were made pre and post blood donation. Statistically
significant differences were found in systolic blood pressure and pulse
rate values that obtained in the standing position, and in the systolic
blood pressure, diastolic blood pressure, mean arterial pressure and
pulse values that obtained in the supine position (p<0.05).
The difference between IVC expiration (IVCexp) pre and post blood
donation was 4.76±2.94, and the difference in IVC inspiration (IVCins)
was 2.73±2.91. In addition, the MAPSE and TAPSE differences were
2.16±1.4 and 2.98±2.13, respectively. Statistically significant
differences were found between IVCins-exp, TAPSE and MAPSE values. TAPSE
and MAPSE can be used in the early diagnosis of acute blood loss.