Document Detail

Quantification of mitral regurgitation: a comparison of transesophageal echocardiography and contrast ventriculography.
MedLine Citation:
PMID:  10149879     Owner:  NLM     Status:  MEDLINE    
Transesophageal echocardiography (TEE) allows an unobscured view of the left atrium for the assessment of mitral regurgitation (MR). However, criteria for assessing MR by TEE have not been carefully validated. In order to determine and validate criteria for the assessment of MR severity, 65 clinically stable patients with a TEE color Doppler study and contrast ventriculography within a 2-week period were identified. Maximal or peak mitral regurgitation jet area to left atrial area ratio (MR/LA) derived solely from TEE imaging had the best correlation to MR severity by contrast ventriculography (r = 0.89). Utilizing MR jet area without correction for LA size resulted in r = 0.72 to 0.75. Utilizing LA area data from transthoracic echocardiograms in a subset of 29 patients resulted in r = 0.77. Best sensitivity and specificity for the assessment of MR by TEE were obtained using the following criteria: Peak MR/LA of 0%-9% predicts 0 + MR; 10%-28% 1 + MR; 29%-54% 2 + to 3 + MR; and greater than 55% 4 + MR. Best sensitivity and specificity occurs for assessment of 0 + and 4 + MR. Considerable overlap in data occurs in the 1 + and 3 + MR range utilizing the above stated criteria. Peak MR/LA ratio derived from a single TEE view in which the MR jet is maximally imaged is the best determinant of MR severity.
L E Jacobs; J H Wertheimer; M N Kotler; R Fanning; C Meyerowitz; C S Strauss; A W Ioli
Related Documents :
21277919 - Ultrasound-mediated tumor imaging and nanotherapy using drug loaded, block copolymer st...
19241149 - An assessment of the psychometric properties of lithuanian versions of dsm-iv-mr-j and ...
20021509 - Is concomitant surgery for moderate functional mitral regurgitation indicated during ao...
17306029 - Structural analysis of the evolution of steroid specificity in the mineralocorticoid an...
6330089 - Biosynthesis of the epidermal growth factor receptor in human epidermoid carcinoma-deri...
2987249 - Biosynthetic precursors and in vitro translation products of the glucose transporter of...
17377689 - Microscopic pulmonary neoplastic emboli: report of a case with respiratory failure but ...
11425979 - Multi--detector row helical ct of the pancreas: effect of contrast-enhanced multiphasic...
3951689 - Ct and the diagnosis of myopathies. preliminary findings in 42 cases.
Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Echocardiography (Mount Kisco, N.Y.)     Volume:  9     ISSN:  0742-2822     ISO Abbreviation:  Echocardiography     Publication Date:  1992 Mar 
Date Detail:
Created Date:  1992-08-27     Completed Date:  1992-08-27     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8511187     Medline TA:  Echocardiography     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  145-53     Citation Subset:  T    
Division of Cardiovascular Disease, Albert Einstein Medical Center, Philadelphia, PA 19141.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Echocardiography, Doppler / methods*
Heart Ventricles / radiography*
Middle Aged
Mitral Valve Insufficiency / radiography,  ultrasonography*
Observer Variation
Sensitivity and Specificity

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

Previous Document:  Intravascular ultrasonic assessment of lumen geometry and distensibility of the angiographically nor...
Next Document:  Usefulness of transesophageal echocardiography for the detection of left atrial thrombi in patients ...