Document Detail

Noninvasive evaluation of aortic regurgitation by continuous-wave Doppler echocardiography.
MedLine Citation:
PMID:  2936529     Owner:  NLM     Status:  MEDLINE    
Continuous-wave Doppler echocardiography was used to examine the aortic regurgitant flow velocity pattern in 32 patients with aortic regurgitation (AR) and 10 patients without AR. The aortic regurgitant flow velocity patterns, characterized by a rapid rise in flow velocity immediately after closure of the aortic valve, high peak flow velocity, and a gradual deceleration until the next aortic valve opening, were successfully obtained in 30 of the 32 patients with AR (sensitivity 94%, specificity 100%). The velocity decline was greater in patients with severe AR; thus, the slope of the velocity decline (deceleration) and the time to decline to half the peak velocity (half-time index) were measured from the flow velocity pattern. The deceleration became greater and the half-time index shortened in accordance with angiographic grading of AR (p less than .01). The deceleration and the half-time index also correlated well with the aortic regurgitant fraction (r = .79, p less than .01; r = -.89, p less than .01). Because the half-time index could be measured easily and independently of Doppler incident angle, it seemed a simple and accurate index of assessing the severity of AR. Thus continuous-wave Doppler echocardiography permitted the noninvasive evaluation of AR.
T Masuyama; K Kodama; A Kitabatake; S Nanto; H Sato; M Uematsu; M Inoue; T Kamada
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Circulation     Volume:  73     ISSN:  0009-7322     ISO Abbreviation:  Circulation     Publication Date:  1986 Mar 
Date Detail:
Created Date:  1986-04-01     Completed Date:  1986-04-01     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0147763     Medline TA:  Circulation     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  460-6     Citation Subset:  AIM; IM    
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MeSH Terms
Aortic Valve Insufficiency / diagnosis*
Cardiac Output
Echocardiography / methods*
Middle Aged

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

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