Utilità Clinica e Limitazioni della Misura della TAPSE nell'Echocardiografia Pediatrica: Una Revisione Narrativa

BACKGROUND: 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. OBJECTIVE: To evaluate the clinical utility, age-dependent variability, and limitations of TAPSE in pediatric populations. METHODS: A narrative review of literature published between 1990 and 2025 was conducted using PubMed, Scopus, and Google Scholar. Studies evaluating TAPSE in pediatric populations (0-18 years) were included. RESULTS: Thirty-two studies were included. TAPSE correlates well with RV systolic function in older children and adolescents,