Value of Pulmonary Venous Flow Characteristics in the Assessment of Severity of Native Mitral Valve Regurgitation: An Angiographic Correlated Study
| Autor: | Jan P. Roos, Otto Kamp, Hans Huitink, Machiel J. van Eenige, Cees A. Visser |
|---|---|
| Rok vydání: | 1992 |
| Předmět: |
Adult
Male Cardiac Catheterization medicine.medical_specialty medicine.medical_treatment Doppler echocardiography Coronary artery disease Internal medicine medicine Humans Radiology Nuclear Medicine and imaging Sinus rhythm Prospective Studies Pulmonary Wedge Pressure cardiovascular diseases Angiocardiography Pulmonary wedge pressure Aged Cardiac catheterization Mitral regurgitation medicine.diagnostic_test business.industry Mitral Valve Insufficiency Middle Aged medicine.disease Echocardiography Doppler Pulmonary Veins cardiovascular system Cardiology Female Radiology Cardiology and Cardiovascular Medicine Mitral valve regurgitation business Blood Flow Velocity |
| Zdroj: | Journal of the American Society of Echocardiography. 5:239-246 |
| ISSN: | 0894-7317 |
| DOI: | 10.1016/s0894-7317(14)80343-x |
| Popis: | To evaluate the relation between left ventricular angiography and pulmonary venous flow velocity in native mitral valve regurgitation, 28 patients with sinus rhythm and valvular and/or coronary artery disease underwent transesophageal echocardiography within 24 hours after cardiac catheterization. Group I consisted of 17 patients, seven patients without (grade 0) and 10 patients with angiographically mild to moderate mitral regurgitation (grades 1 and 2). Group II consisted of 11 patients with angiographically severe mitral regurgitation (grades 3 and 4). Mitral regurgitation by transesophageal echocardiography was evaluated by measuring the regurgitant jet sizes and color-guided pulsed Doppler pulmonary venous flow velocities. Multivariate analysis revealed that the most powerful predictor (p less than 0.001) of angiographically severe (grades 3 and 4) mitral regurgitation was reversed systolic flow into the left upper pulmonary vein (sensitivity 82%, specificity 100%, positive predictive value 100%). If this variable was excluded from analysis, jet area and jet length (p less than 0.001) were the next best predictors for angiographically severe mitral regurgitation. Mean values of systolic peak pulmonary venous flow velocities were significantly lower in patients from group II, 13.0 +/- 11.1 cm/s versus 43.4 +/- 20.6 cm/s (group I) with p less than 0.005. This finding was also true for systolic time velocity integral, 1.3 +/- 1.3 cm (group II) versus 7.8 +/- 5.3 cm (group I) with p less than 0.005.(ABSTRACT TRUNCATED AT 250 WORDS) |
| Databáze: | OpenAIRE |
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