{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T05:09:48Z","timestamp":1786597788552,"version":"build-2736575974"},"reference-count":31,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T00:00:00Z","timestamp":1779926400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T00:00:00Z","timestamp":1779926400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Echocardiography"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Tricuspid annular plane systolic excursion (TAPSE) is widely used to assess right ventricular (RV) longitudinal systolic function in pediatric echocardiography; however, its reliability is influenced by developmental physiology.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the clinical utility, age\u2010dependent variability, and limitations of TAPSE in pediatric populations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A narrative review of literature published between 1990 and 2025 was conducted using PubMed, Scopus, and Google Scholar. Studies evaluating TAPSE in pediatric populations (0\u201318 years) were included.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Thirty\u2010two studies were included. TAPSE correlates well with RV systolic function in older children and adolescents, supported by age\u2010 and body surface area\u2013adjusted reference values. In neonates and infants, TAPSE is lower and more variable due to transitional physiology and altered loading conditions. TAPSE is clinically useful in pulmonary hypertension, congenital heart disease, cardiomyopathy, and posttransplant monitoring.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>TAPSE is a practical and reproducible marker of RV systolic function in children, particularly beyond infancy. In infants, interpretation should be cautious and integrated with complementary echocardiographic indices. Composite measures such as TAPSE\/PASP may improve prognostic assessment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/echo.70516","type":"journal-article","created":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T10:40:26Z","timestamp":1779964826000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Clinical Utility and Limitations of TAPSE in Pediatric Echocardiography: A Narrative Review"],"prefix":"10.1111","volume":"43","author":[{"given":"Matei","family":"Mselle","sequence":"first","affiliation":[{"name":"Department of Paediatrics Haydom Lutheran Hospital, Haydom  Manyara Tanzania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ronald","family":"mbwasi","sequence":"additional","affiliation":[{"name":"Department of Paediatric and Child Health Kilimanjaro Christian Medical Centre  Moshi Tanzania"},{"name":"Kilimanjaro Christian Medical University  Moshi Tanzania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,28]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002\u20108703(90)90298\u2010Q"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/heart.88.6.575"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1053\/euhj.2000.2296"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2006.09.115"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.echo.2009.03.013"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.echo.2011.06.002"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2011.01.084"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.echo.2013.01.011"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2014.12.152"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/ehjci\/jew182"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2019.04.024"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.recesp.2011.04.006"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCIMAGING.112.973834"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.21037\/cdt\u201020\u2010370"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cjcpc.2022.05.002"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.113.006978"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.200604\u2010547OC"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ppedcard.2017.02.002"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cjcpc.2022.04.004"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41390\u2010021\u201001770\u20101"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.echo.2019.02.009"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1186\/1532\u2010429X\u201015\u201074"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.echo.2015.11.011"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1093\/ehjci\/jev014"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.echo.2010.03.019"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.echo.2010.05.010"},{"key":"e_1_2_9_28_1","volume-title":"Pediatric Echocardiography Assessment, Protocols, and Interpretation","author":"Ash J. A.","year":"2023"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.5152\/akd.2015.622"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1053\/euhj.1999.1997"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1183\/13993003.00090\u20102017"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2014\u20101627"}],"container-title":["Echocardiography"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/echo.70516","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/echo.70516","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/echo.70516","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,9]],"date-time":"2026-08-09T16:40:06Z","timestamp":1786293606000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/echo.70516"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,28]]},"references-count":31,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["10.1111\/echo.70516"],"URL":"https:\/\/doi.org\/10.1111\/echo.70516","archive":["Portico"],"relation":{},"ISSN":["0742-2822","1540-8175"],"issn-type":[{"value":"0742-2822","type":"print"},{"value":"1540-8175","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,28]]},"assertion":[{"value":"2026-05-28","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70516"}}