Paradoxical increase in E/ e′ ratio after treatment of heart failure in two patients with preserved ejection fraction.

Autor: Misumi, Ikuo, Honda, Tsuyoshi, Kusuhara, Kenichi, Yasuda, Hisayo, Kaikita, Koichi, Hokimoto, Seiji, Ogawa, Hisao
Zdroj: Journal of Medical Ultrasonics; Apr2015, Vol. 42 Issue 2, p239-241, 3p
Abstrakt: We report an increase in E/ e′ ratio after treatment of heart failure (HF) in two patients. In case 1, the E/ e′ ratio increased from 15 to 18 after treatment of HF. In case 2, the E/ e′ ratio also increased from 24 to 35. Although a high E/ e′ ratio suggests high pulmonary artery wedge pressure and worsening HF, the ratio may increase after improvement of HF. In the present cases of diastolic dysfunction, the high E wave did not change, but the e′ wave decreased relatively. This report may suggest difficulty in evaluating hemodynamic status based on the E/ e′ ratio in patients with diastolic dysfunction. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index
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