1007-16 Quantitation of Apical Right Ventricular Collapse in Tamponade: A Diagnostic Improvement

Autor: D’Cruz, Ivan A., Rehman, Afzal ur
Zdroj: Journal of the American College of Cardiology; February 1995, Vol. 25 Issue: 2, Number 2 Supplement 1 p357A-357A, 1p
Abstrakt: Right ventricular (RV) collapse, a popular echocardiographic sign of tamponade is a subjective call with no precise criteria. RV collapse is usually diagnosed by early diastolic “dimpling” or local concavity of RV anterior wall in parasternal views. In 15 patients with pericardial effusion studied (A) during tamponade, and (B) after relief of tamponade, we noted that definite such “dimpling” could be seen in only five out of ten cases, while in six patients parasternal window was inadequate. In contrast, the apical four-chamber view could be obtained in all 15 patients. In this view we made several RV measurements including various transverse RV dimensions, RV area and ratios of these to the corresponding LV measurements.
Databáze: Supplemental Index