Valvular & structural heart disease

Normal reference values for mitral annular plane systolic excursion by motion-mode and speckle tracking echocardiography: a prospective, multicentre, population-based study

Eur Heart J Cardiovasc ImagingPublished Cross-sectional study

Authors' conclusion

Normal MAPSE reference values were established based on age and sex.

Study context

Population
Healthy adults aged 18–80 years840 men (43%)
Participants
1,952 adults
Exposure
Motion-mode (M-mode) vs 2D-STE
Outcome
Normal ranges for MAPSE by M-mode and 2D-STE and its principal determinants
Methodological detailsprospective, multicentre, population-based, 55 centres
  • Prospective
  • Multicentre
  • Population-based
  • 55 centres

Main finding

As reported in the abstract

MAPSE reference values
  • Women had higher mitral annular plane systolic excursion (MAPSE) than men
  • MAPSE decreased with age
  • Age- and sex-specific reference values established for both methods

Observational data: associations, not effects.

Further findings

Determinants of MAPSE (multiple linear regression)

MAPSE on M-mode correlated with age
MAPSE on 2D-STE correlated with age, blood pressure (BP), heart rate and left ventricular (LV) volume

Correlation with global longitudinal strain

MAPSE by 2D-STE correlated more strongly with global longitudinal strain than MAPSE by M-mode

Original publication

Normal reference values for mitral annular plane systolic excursion by motion-mode and speckle tracking echocardiography: a prospective, multicentre, population-based study. Eur Heart J Cardiovasc Imaging. Published 2 August 2023. doi:10.1093/ehjci/jead187

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