| Diagnosis of patent foramen ovale by contrast versus color Doppler by transesophageal echocardiography: relation to atrial size. | |
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MedLine Citation:
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PMID: 8579014 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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To ascertain the factors related to the transesophageal echocardiographic diagnosis of patent foramen ovale, the primary echocardiographic data were reviewed from 74 patients with that diagnosis. Similar detection rates were observed with contrast echocardiography (82%) and color flow mapping (78%), but contrast was more sensitive in patients with normal-sized atria (94%) and isolated right atrial enlargement (100%) than in those with enlarged left atria, all but three of whom had biatrial enlargement (52%) (p < 0.001 by chi-square test). Doppler flow mapping was less sensitive for normal-sized atria (66%) than for isolated enlarged right atria (81%) and left (bi-) atrial enlargement (96%) (p = 0.024). Patent foramen ovale was directly visualized by two-dimensional echocardiography in 80%, with close agreement to the size of the color flow jet (r = 0.90, delta = 0.1 +/- 0.4 mm); foramen ovale size was related to right atrial area (r = 0.31, p = 0.015). Thus both saline contrast and color flow imaging are necessary to exclude the diagnosis of patent foramen ovale. |
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Authors:
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J P Sun; W J Stewart; J Hanna; J D Thomas |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: American heart journal Volume: 131 ISSN: 0002-8703 ISO Abbreviation: Am. Heart J. Publication Date: 1996 Feb |
Date Detail:
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Created Date: 1996-03-11 Completed Date: 1996-03-11 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0370465 Medline TA: Am Heart J Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 239-44 Citation Subset: AIM; IM |
Affiliation:
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Department of Cardiology, Cleveland Clinic Foundation, Ohio 44195, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Case-Control Studies Contrast Media Echocardiography* Echocardiography, Doppler, Color* Echocardiography, Transesophageal / methods* Female Heart Atria / ultrasonography Heart Septal Defects, Atrial / ultrasonography* Humans Male Middle Aged Retrospective Studies Sensitivity and Specificity Sodium Chloride / diagnostic use |
| Chemical | |
Reg. No./Substance:
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0/Contrast Media; 7647-14-5/Sodium Chloride |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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