Document Detail

Evaluation of systolic murmurs by Doppler ultrasonography.
MedLine Citation:
PMID:  6626396     Owner:  NLM     Status:  MEDLINE    
Non-invasive continuous and pulsed wave Doppler ultrasonography was performed in 102 consecutive patients with clinically ill defined systolic murmurs to differentiate between flow murmurs, mitral regurgitation, aortic stenosis, and ventricular septal defect, as well as to assess the severity of aortic stenosis. Diagnoses with the Doppler method were based on velocity, direction, and duration of flow signals and were subsequently verified by cardiac catheterisation in all patients. Multiple evaluations were made in 31 patients. Sensitivity and specificity were 0.87 and 0.77 in mitral regurgitation, 0.9 and 1.0 in aortic stenosis, and 1.0 and 1.0 in ventricular septal defect. In 67 patients the estimation of severity of aortic stenosis using the Doppler technique to calculate aortic pressure gradients from maximum flow velocity was significantly correlated with that determined at catheterisation. It is concluded that Doppler ultrasonography is a highly useful technique for the non-invasive evaluation of clinically ill defined systolic murmurs.
A Hoffmann; D Burckhardt
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  British heart journal     Volume:  50     ISSN:  0007-0769     ISO Abbreviation:  Br Heart J     Publication Date:  1983 Oct 
Date Detail:
Created Date:  1983-12-17     Completed Date:  1983-12-17     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  0370634     Medline TA:  Br Heart J     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  337-42     Citation Subset:  AIM; IM    
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MeSH Terms
Aortic Valve Stenosis / diagnosis*
Diagnosis, Differential
Heart Auscultation*
Heart Murmurs*
Heart Septal Defects, Ventricular / diagnosis*
Middle Aged
Mitral Valve Insufficiency / diagnosis*
Mitral Valve Prolapse / diagnosis*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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