| Autor: |
Guyer, David E., Gillam, Linda D., Foale, Rodney A., Clark, Mary C., Dinsmore, Robert, Palacios, Igor, Block, Peter, King, Mary Etta, Weyman, Arthur E. |
| Zdroj: |
Journal of the American College of Cardiology; May 1984, Vol. 3 Issue: 5 p1135-1144, 10p |
| Abstrakt: |
Two-dimensional echocardiography has proved to be reliable in the diagnosis of mitral, aortic and pulmonary stenosis. Its role in the diagnosis of rheumatic tricuspid stenosis is still being defined; therefore, the tricuspid valve echograms of 147 patients with rheumatic heart disease were examined. Thirty-eight of these patients also underwent hemodynamic evaluation. Tricuspid stenosis was defined echocardiographically as diastolic anterior leaflet doming, thickening and restricted excursion of the other two tricuspid leaflets and decreased separation of the leaflet tips. Using these criteria, the sensitivity and specificity of the echocardiogram In detecting tricuspid stenosis were 69 and 96%, respectively, in the group of 38 patients who had both echocardiographic and hemodynamic evaluations. However, when the smaller group of 17 patients who had simultaneous right atrial and right ventricular pressure recordings were considered separately, there was complete agreement between the echocardiographic and hemodynamic data. |
| Databáze: |
Supplemental Index |
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