Document Detail

A critical appraisal of M-mode echocardiography in mitral stenosis.
MedLine Citation:
PMID:  3829687     Owner:  NLM     Status:  MEDLINE    
The reliability of M-mode echocardiography in confirming mitral stenosis and in assessing its severity was tested in 39 patients with mitral stenosis. None of the conventional echocardiographic signs of mitral stenosis is absolutely reliable. Unless at least 2 signs are combined, the diagnosis is not conclusive (sensitivity = 0.97, specificity = 1.00). Of a number of echocardiographic parameters and equations recommended (as tools) to determine the severity of mitral stenosis, the early diastolic velocity of anterior leaflet opening (EF) is the only one with a statistically significant relationship to the mitral valve area (MVA) calculated by Gorlin (r = 0.712, p less than 0.001), and this only in uncomplicated unoperated mitral stenoses, but not in mitral restenoses and combined mitral defects. Even the recently published Seitz's equation for calculating MVA from echocardiographic data is not reliable. M-mode echocardiography is an excellent technique for the primary diagnosis of mitral stenosis. However, it is not suitable to even an approximate assessment of its haemodynamic severity.
J Hradec; V Jezek; M Aschermann; A Michaljanic; J Petrásek
Related Documents :
3300917 - Posterior wall disruption of the left ventricle after mitral valve replacement: managem...
8184387 - Mitral valve replacement with preservation of the subvalvular structures where possible...
14579847 - Mitral valve endocarditis: an uncommon cause of myocardial infarction.
3122547 - Echocardiographic abnormalities in the mucopolysaccharide storage diseases.
12426627 - Clinical assessment of the effect of digital filtering on the detection of ventricular ...
20061537 - Attenuation of myocardial injury in mice with functional deletion of the circadian rhyt...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Cor et vasa     Volume:  28     ISSN:  0010-8650     ISO Abbreviation:  Cor Vasa     Publication Date:  1986  
Date Detail:
Created Date:  1987-05-07     Completed Date:  1987-05-07     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0372614     Medline TA:  Cor Vasa     Country:  CZECHOSLOVAKIA    
Other Details:
Languages:  eng     Pagination:  419-27     Citation Subset:  IM    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Calcinosis / diagnosis
Mitral Valve / physiopathology
Mitral Valve Stenosis / diagnosis*,  physiopathology
Stroke Volume

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

Previous Document:  Use of verapamil in the treatment of hypertrophic cardiomyopathy.
Next Document:  The possibility of non-invasive identification of occluded coronary artery in acute myocardial infar...