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Simplifying Left Ventricular Function Assessment: The Clinical Value of Mitral Annular Plane Systolic Excursion
Vasavdatta Sharma1, R Padmakumar1, Kanhai Lalani1
1Department of Cardiology, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Journal of Cardiovascular Echography
|February 2, 2026
Summary
Mitral annular plane systolic excursion (MAPSE) effectively assesses left ventricular (LV) function, correlating strongly with global longitudinal strain (GLS) and LV ejection fraction (LVEF). This simple bedside tool aids cardiac evaluation, especially in resource-limited settings.
Area of Science:
- Cardiology
- Echocardiography
- Cardiac Physiology
Background:
- Left ventricular (LV) dysfunction is a major health issue.
- Traditional assessments like GLS and LVEF can be resource-intensive.
- Mitral annular plane systolic excursion (MAPSE) offers a simpler bedside alternative.
Purpose of the Study:
- To evaluate the correlation of MAPSE with established echocardiographic parameters (GLS, LVEF).
- To establish MAPSE as a practical tool for assessing LV systolic longitudinal function.
Main Methods:
- A single-center cross-sectional study of 80 patients with LV dysfunction (LVEF <50%).
- Echocardiographic measurements included MAPSE, GLS, and LVEF.
- Statistical analyses were performed to examine parameter relationships.
Main Results:
- MAPSE strongly correlated with GLS (r=0.535) and moderately with LVEF (r=0.324).
- Lower MAPSE values were observed in patients with more severe LV dysfunction (EF <40%).
- MAPSE correlated inversely with LV filling pressures and LV end-systolic dimensions, and positively with tricuspid annular plane systolic excursion.
Conclusions:
- MAPSE is a simple, powerful tool for assessing LV function, correlating well with GLS.
- Its ease of use makes it valuable for cardiac evaluation, even with suboptimal imaging.
- MAPSE provides insights into systolic and diastolic performance and biventricular function.
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