Improving feasibility of posterior descending coronary artery flow recording by transthoracic Doppler echocardiography
Autor: | M. Santini, Salvatore Greco, V. Guido, Cinzia Cianfrocca, Antonio Auriti, M. Galeazzi, Christian Pristipino |
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Rok vydání: | 2003 |
Předmět: |
Adult
Male medicine.medical_specialty Contrast enhancement Statistics as Topic Doppler echocardiography Coronary Angiography Severity of Illness Index Coronary Circulation Internal medicine medicine Humans Radiology Nuclear Medicine and imaging Posterior descending coronary artery Aged Aged 80 and over medicine.diagnostic_test business.industry Coronary Stenosis Arteries General Medicine Middle Aged Image Enhancement Coronary Vessels Echocardiography Doppler Coronary arteries medicine.anatomical_structure Echocardiography Cardiology Feasibility Studies Female Cardiology and Cardiovascular Medicine business Apical four chamber view Blood Flow Velocity Artery |
Zdroj: | European Journal of Echocardiography. 4:214-220 |
ISSN: | 1525-2167 |
DOI: | 10.1016/s1525-2167(03)00014-3 |
Popis: | Aims: Recording coronary arteries' flow by transthoracic Doppler echocardiography (TTDE) is a new task. Despite several studies concerning the left anterior descending artery (LAD) exist, the same for posterior descending coronary artery (PD) do not. Reported feasibility is not more than 76%. The aim of the study was to try to improve feasibility by using an additional two-dimensional view as a guide. Methods and Results: PD flow recording was performed in 35 consecutive unselected patients under the guidance of the usual two-dimensional modified view [a two-chamber view (2-C)], and with a new four-chamber modified view (4-C). A semi-quantitative growing-quality score (from 0 to 3 points) to the trace was given. Contrast enhancement was used if PD was not visualized without it. The overall feasibility was 80%. A good or very good velocity signal (TTDE score ≥2) was observed in 48% of patients without contrast enhancement. Time for first visualization of PD was short and significantly lower in 2-C than in 4-C (66 ± 39 vs 90 ± 70 s, respectively, P |
Databáze: | OpenAIRE |
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