Document Detail


A comparison of the clinical, haemodynamic and angiographic features in right ventricular endomyocardial fibrosis and Ebstein's anomaly of the tricuspid valve.
MedLine Citation:
PMID:  7172172     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The clinical, haemodynamic and angiographic features of 18 patients with right ventricular endomyocardial fibrosis (RVEMF) and 8 patients with Ebstein's anomaly of the tricuspid valve (EATV) have been compared. Diagnosis was confirmed by selective angiography. The position of the tricuspid annulus was identified from selective right ventricular angiograms and confirmed by selective right coronary angiography. In 83% of RVEMF patients the tricuspid annulus was displaced to the left of the spine. A false impression of displacement of the tricuspid leaflet can thus be created. However, a tricuspid leaflet displaced away from the tricuspid annulus was found only in patients with EATV. A considerable overlap exists between the wide spectrum of clinical presentations of the two conditions. Helpful distinguishing features that favour EATV were, the presence of a scratchy diastolic murmur and polyphasic QRS complexes in the ECG. Atrial fibrillation in the ECG, and myocardial calcification or pericardial effusion, whenever present, favour RVEMF.
Authors:
K G Balakrishnan; R P Sapru; K Sasidharan; C G Venkitachalam
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Cardiology     Volume:  69     ISSN:  0008-6312     ISO Abbreviation:  Cardiology     Publication Date:  1982  
Date Detail:
Created Date:  1983-02-14     Completed Date:  1983-02-14     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  1266406     Medline TA:  Cardiology     Country:  SWITZERLAND    
Other Details:
Languages:  eng     Pagination:  265-75     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Child
Coronary Angiography
Diagnosis, Differential
Ebstein Anomaly / diagnosis*
Electrocardiography
Endomyocardial Fibrosis / diagnosis*
Female
Heart Catheterization
Heart Ventricles / radiography
Hemodynamics*
Humans
Male
Tricuspid Valve / radiography
Tricuspid Valve Insufficiency / diagnosis

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


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