| Quantification of mitral valvular incompetence. | |
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MedLine Citation:
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PMID: 3886155 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The hemodynamic and angiographic data of 147 individuals were analyzed in an attempt to assess the value of three techniques used in the diagnosis of mitral incompetence. One hundred patients had clinical evidence of mitral incompetence (group A) and 47 had normal hemodynamics (group B). The degree of mitral incompetence was assessed in all 147 individuals by two methods: determination of a regurgitant index (RI) using indicator dilution curves and determination of a regurgitant fraction (RF) using left ventricular volumes. In 26 patients of group A and 26 individuals in group B mitral incompetence was also assessed by cineangiocardiography. Each of these methods was compared with the clinical and hemodynamic evidence of mitral valvular incompetence. Both the determination of RI by dye dilution curves and RF by angiocardiography were found to be useful in separating normal individuals from patients with mitral valvular incompetence. Severe mitral incompetence is associated with an RI greater than 35% and with an RF greater than 55%. The degree of incompetence by either method was not well correlated with any independent hemodynamic variable. The use of cine angiocardiography to quantify the degree of mitral incompetence was found to be too subjective, depending on the observer, and thus less useful. |
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Authors:
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J F Lopez; S Hanson; R C Orchard; L Tan |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Catheterization and cardiovascular diagnosis Volume: 11 ISSN: 0098-6569 ISO Abbreviation: Cathet Cardiovasc Diagn Publication Date: 1985 |
Date Detail:
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Created Date: 1985-06-12 Completed Date: 1985-06-12 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 7508512 Medline TA: Cathet Cardiovasc Diagn Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 139-52 Citation Subset: IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Angiocardiography Atrial Fibrillation / physiopathology Cardiac Output Cineangiography Dye Dilution Technique Female Heart / physiopathology Heart Catheterization Heart Sounds Hemodynamics Humans Male Middle Aged Mitral Valve / physiopathology Mitral Valve Insufficiency / diagnosis*, physiopathology, radiography Retrospective Studies Stroke Volume |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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