Additive value of the right parasternal view for the assessment of aortic stenosis
Autor: | Toshio, Shimamura, Masaki, Izumo, Yukio, Sato, Noriko, Shiokawa, Nina, Uenomachi, Motoki, Miyauchi, Junko, Miyamoto, Hidekazu, Kikuchi, Junko, Shinoda, Takanori, Okamura, Yoshihiro J, Akashi |
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Rok vydání: | 2022 |
Předmět: | |
Zdroj: | Echocardiography. 39:1338-1343 |
ISSN: | 1540-8175 0742-2822 |
DOI: | 10.1111/echo.15464 |
Popis: | Although Doppler evaluation using a multiplanar method is recommended to assess the severity of aortic stenosis (AS) with transthoracic echocardiography, evidence on the diagnostic significance of a non-apical method is limited. This study aimed to compare the use of the apical with the use of the right parasternal view (RPV) method to evaluate AS severity and to examine the diagnostic significance of performing the RPV method in addition to the apical method during the evaluation.This retrospective observational study included 276 consecutive patients (mean age: 79 ± 10 years; women, 56%) with severe AS (aortic valve area [AVA] ≤1.0cmPeak velocity (VBy performing the RPV method in addition to the apical method to determine AS severity, the diagnosis of AS to be resolved in approximately 10% of cases. These results suggest that AS severity may be underestimated by using the apical method alone. |
Databáze: | OpenAIRE |
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