Document Detail

Passive leg-raise is helpful to identify impaired diastolic functional reserve during exercise in patients with abnormal myocardial relaxation.
MedLine Citation:
PMID:  20226626     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: The aim of this study was to demonstrate the usefulness of leg raise in identifying lower diastolic functional reserve to exercise. METHODS: One hundred fifty-four patients with abnormal left ventricular relaxation on Doppler mitral inflow with preserved left ventricular ejection fractions were enrolled. After resting evaluations, Doppler echocardiographic measurements were repeated during passive leg raise and graded supine bicycle exercise. RESULTS: Patients were divided into 3 groups according to resting E/e' ratio and its response to leg raise: group IA (persistent E/e' < 15 [n = 112]), group IB (change to E/e' > or = 15 after leg raise [n = 19]), and group II (persistent E/e' > or = 15 [n = 23]). Group II had lower S', e', and diastolic reserve index values during exercise compared with group IA but not with group IB. Group IB had higher E/e' ratios during exercise and lower diastolic functional reserve index values accompanied by lower exercise capacity compared with group IA. CONCLUSION: Passive leg raise might be helpful in identifying a subgroup with lower diastolic functional reserve and lower exercise capacity among patients with abnormal relaxation.
Eui-Young Choi; Chi Young Shim; Sung-Ai Kim; Sang Jae Rhee; Donghoon Choi; Se-Joong Rim; Yangsoo Jang; Namsik Chung; Seung-Yun Cho; Jong-Won Ha
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-03-11
Journal Detail:
Title:  Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography     Volume:  23     ISSN:  1097-6795     ISO Abbreviation:  J Am Soc Echocardiogr     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-05-10     Completed Date:  2010-08-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8801388     Medline TA:  J Am Soc Echocardiogr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  523-30     Citation Subset:  IM    
Copyright Information:
2010 American Society of Echocardiography. Published by Mosby, Inc. All rights reserved.
Cardiology Division, Heart Center, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, South Korea.
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MeSH Terms
Echocardiography / methods*
Exercise Test / methods*
Image Enhancement / methods*
Middle Aged
Reproducibility of Results
Sensitivity and Specificity
Stroke Volume*
Ventricular Dysfunction, Left / ultrasonography*

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