Document Detail


Mitral regurgitation and left ventricular outflow tract obstruction in hypertrophic cardiomyopathy. Analysis by Doppler echocardiography.
MedLine Citation:
PMID:  1947708     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In a group of five patients with asymmetric septal hypertrophy, the presence of the mitral regurgitation and the left ventricular outflow tract gradient were studied by the Doppler echocardiographic technique. By means of Bernoulli's formula 4V2 = P1-P2, left ventricular maximal systolic pressure was assessed using mitral regurgitant and left ventricular outflow tract jets. Aortic systolic and diastolic blood pressures were measured by cuff sphygmomanometry, and simultaneous carotid pulse tracings were recorded. All patients had outflow tract pressure gradients (peak 84 +/- 11.7 mmHg) and mild mitral regurgitation. Continuous wave Doppler study recorded peak flow velocities in the outflow tract (4.6 +/- 0.26 m/sec) and mitral regurgitant (6.5 +/- 0.51 m/sec) jets. The values for ventricular systolic pressures by both methods were similar (180 +/- 24.2 vs 186 +/- 13.5 mmHg). This study confirms the presence of mitral regurgitation and actual obstruction in hypertrophic cardiomyopathy with asymmetric septal hypertrophy.
Authors:
S I Drăgulescu; C Streian; C Kuzman
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Romanian journal of internal medicine = Revue roumaine de médecine interne     Volume:  29     ISSN:  1220-4749     ISO Abbreviation:  Rom J Intern Med     Publication Date:    1991 Jan-Jun
Date Detail:
Created Date:  1991-12-26     Completed Date:  1991-12-26     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9304507     Medline TA:  Rom J Intern Med     Country:  ROMANIA    
Other Details:
Languages:  eng     Pagination:  23-31     Citation Subset:  IM    
Affiliation:
First Medical Clinic, Department of Cardiology, County Timişoara Hospital, Romania.
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MeSH Terms
Descriptor/Qualifier:
Arrhythmia, Sinus / ultrasonography
Blood Pressure
Cardiomyopathy, Hypertrophic / physiopathology,  ultrasonography*
Diastole
Echocardiography
Echocardiography, Doppler*
Female
Heart Ventricles / ultrasonography
Humans
Male
Mitral Valve / ultrasonography
Mitral Valve Insufficiency / physiopathology,  ultrasonography*
Phonocardiography
Systole

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


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