Document Detail

Quantitative assessment of pulmonary hypertension in patients with rheumatic heart disease using continuous wave Doppler ultrasound.
MedLine Citation:
PMID:  2960624     Owner:  NLM     Status:  MEDLINE    
The accuracy of Doppler ultrasound in estimating pulmonary arterial systolic pressure non-invasively was evaluated in 50 patients with rheumatic heart disease. In all cases, the maximal velocity of the tricuspid regurgitation jet was measured by continuous wave Doppler ultrasound and the systolic pressure gradient between right ventricle and the right atrium was calculated by the modified Bernoulli equation. There was a close correlation between Doppler estimated and hemodynamically measured transtricuspid systolic gradient (r = 0.86, P less than 0.001). Right ventricular systolic pressure, which equals pulmonary arterial systolic pressure in the absence of right ventricular outflow obstruction, was calculated by adding a constant of 10 to the Doppler gradient and also by using a regression equation. Right ventricular systolic pressure obtained by both of these Doppler methods correlated closely with values at cardiac catheterization (r = 0.82 and 0.83, respectively). Our study suggests that pulmonary arterial systolic pressure can be determined non-invasively with accuracy, by Doppler ultrasound, in patients with rheumatic heart disease.
A S Sundar; S Shrivastava; V K Bahl; M L Bhatia
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  International journal of cardiology     Volume:  17     ISSN:  0167-5273     ISO Abbreviation:  Int. J. Cardiol.     Publication Date:  1987 Nov 
Date Detail:
Created Date:  1987-12-23     Completed Date:  1987-12-23     Revised Date:  2006-07-12    
Medline Journal Info:
Nlm Unique ID:  8200291     Medline TA:  Int J Cardiol     Country:  NETHERLANDS    
Other Details:
Languages:  eng     Pagination:  187-96     Citation Subset:  IM    
Department of Cardiology, All India Institute of Medical Sciences, New Delhi.
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MeSH Terms
Blood Flow Velocity
Heart Catheterization
Hypertension, Pulmonary / diagnosis*
Middle Aged
Pulmonary Wedge Pressure
Rheumatic Heart Disease / diagnosis*
Tricuspid Valve Insufficiency / diagnosis

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