| Abnormal intraventricular flow patterns in left ventricular dysfunction determined by color Doppler study. | |
| | |
MedLine Citation:
|
PMID: 1529908 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
We examined the relation between left ventricular (LV) flow dynamics measured by color Doppler, and either global or regional LV function in 19 normal subjects (group 1), in 55 patients with old myocardial infarction (MI) (29 without [group 2] and 26 with LV aneurysm [group 3]), and in 16 with idiopathic dilated cardiomyopathy (group 4). We calculated by M-mode color Doppler a flow persistence index (FPI) (duration of flow directed in systole toward the apex/LV ejection time). Contrast echocardiography was performed as a control method in 14 patients of the four groups. In normal subjects, rapid systolic inversion of flow toward the aorta was evident (FPI: 0.11 +/- 0.16). In all but one patient in group 2, a similar LV flow pattern was observed, but FPI was greater (0.32 +/- 0.26). In groups 3 and 4, a paradoxical antegrade LV flow pattern was evident during the entire period of systole (FPI: 1.13 +/- 0.42 and 1.28 +/- 0.36, respectively). LV flow patterns were reproduced in echo-contrast studies. FPI was related to LV end-diastolic volume (r = 0.77), end-systolic volume (r = 0.82), and ejection fraction (r = -0.84). However, when data were analyzed separately in the different groups, these correlations were significant only in groups 2 and 3. Paradoxical flow pattern is not peculiar to regional LV dysfunction; it also occurs in global LV dysfunction. This LV flow abnormality may develop after MI even in the absence of severe LV dyssynergy or dilation, and is quantitatively related to the degree of LV dysfunction. |
| | |
Authors:
|
F Pennestri'; L M Biasucci; G Rinelli; R Mongiardo; A Lombardo; E Rossi; C M Amico; O Aquilina; F Loperfido |
Related Documents
:
|
8993988 - Influence of pulse repetition frequency and high pass filter on color doppler maps of c... 128178 - Diagnosis of testicular torsion using doppler ultrasonic flowmeter. 15051328 - Spermatic cord torsion, reactive oxygen and nitrogen species and ischemia-reperfusion i... 7688708 - Transvaginal color and pulsed doppler assessment of adnexal tumor vascularity. 8430948 - Postischemic hypoperfusion during unilateral lung reperfusion in vivo. 1249478 - Eosinophil kinetics in the hypereosinophilic syndrome. |
Publication Detail:
|
Type: Comparative Study; Journal Article |
Journal Detail:
|
Title: American heart journal Volume: 124 ISSN: 0002-8703 ISO Abbreviation: Am. Heart J. Publication Date: 1992 Oct |
Date Detail:
|
Created Date: 1992-10-22 Completed Date: 1992-10-22 Revised Date: 2006-11-15 |
Medline Journal Info:
|
Nlm Unique ID: 0370465 Medline TA: Am Heart J Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 966-74 Citation Subset: AIM; IM |
Affiliation:
|
Institute of Cardiology, Catholic University Sacro Cuore, Roma, Italy. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Blood Flow Velocity / physiology Cardiomyopathy, Dilated / physiopathology, ultrasonography* Coronary Circulation / physiology* Echocardiography Echocardiography, Doppler* Female Heart Aneurysm / physiopathology, ultrasonography* Humans Male Middle Aged Myocardial Infarction / physiopathology, ultrasonography* Ventricular Function, Left / physiology* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: The relationship between intracardiovascular smoke-like echo and erythrocyte rouleaux formation.
Next Document: Echocardiographic findings and clinical features of left ventricular pseudoaneurysm after mitral val...