Regurgitant fraction measured by using the proximal isovelocity surface area method in dogs with chronic myxomatous mitral valve disease.

作者: Mark D. Kittleson , William A. Brown

DOI: 10.1892/0891-6640(2003)017<0084:RFMBUT>2.3.CO;2

关键词: Doppler echocardiographyHeart diseaseRegurgitant fractionMedicineProximal isovelocity surface areaRegurgitation (circulation)Internal medicineMitral regurgitationCardiologyMyxomatous mitral valveMyocardial Failure

摘要: Previous studies have demonstrated that regurgitant fraction can be measured by using the proximal isovelocity surface area (PISA) method. For this study, we utilized Doppler echocardiographic method to estimate magnitude of mitral regurgitation in dogs with myxomatous valve disease. Seventeen older, small chronic and no mild myocardial failure were studied. A blinded observer judged clinical severity mild, moderate, or severe assessment left heart size. The was calculated PISA spectral echocardiography. compared for each dog calculations atrial Five had clinically regurgitation. Four these a between 22 41%, whereas 1 73%. 3 evidence moderate 46-65%. All 9 greater than 75% (78-88%). statistically different group (P 75%), disease lesser degrees Good correlation found We conclude major determinant size mitrial is degree

参考文章(25)
Georg Grossmann, Martin Giesler, Michael Stein, Matthias Kochs, Martin Höher, Vinzenz Hombach, Quantification of mitral and tricuspid regurgitation by the proximal flow convergence method using two-dimensional colour Doppler and colour Doppler M-mode:: Influence of the mechanism of regurgitation International Journal of Cardiology. ,vol. 66, pp. 299- 307 ,(1998) , 10.1016/S0167-5273(98)00224-1
Mark D. Kittleson, Richard D. Kienle, Small Animal Cardiovascular Medicine ,(1998)
Hiroko Fujii, Satoshi Kibira, Chikako Izumi, Takashi Saito, Andrew Ryabikov, Mamoru Miura, Hemielliptic proximal isovelocity surface area method modified for clinical application: more accurate quantification of mitral regurgitation in Doppler echocardiography. Japanese Circulation Journal-english Edition. ,vol. 65, pp. 820- 826 ,(2001) , 10.1253/JCJ.65.820
Muzaffer Degertekin, Murat Gençbay, Yelda Başaran, İbrahim Duran, Hüseyın Yilmaz, İsmet Dindar, Fikret Turan, Application of Proximal Isovelocity Surface Area Method to Determine Prosthetic Mitral Valve Area Journal of The American Society of Echocardiography. ,vol. 11, pp. 1056- 1063 ,(1998) , 10.1016/S0894-7317(98)70157-9
Kenneth M Borow, Laurence H. Green, Tift Mann, Laurence J. Sloss, Eugene Braunwald, John J. Collins, Laurence Cohn, William Grossman, End-systolic volume as a predictor of postoperative left ventricular performance in volume overload from valvular regurgitation The American Journal of Medicine. ,vol. 68, pp. 655- 663 ,(1980) , 10.1016/0002-9343(80)90251-X
Ehud Schwammenthal, Chunguang Chen, Martin Giesler, Alex Sagie, J. Luis Guerrero, José Antonio Vazquez de Prada, Vinzenz Hombach, Arthur E. Weyman, Robert A. Levine, New method for accurate calculation of regurgitant flow rate based on analysis of doppler color flow maps of the proximal flow field validation in a canine model of mitral regurgitation with initial application in patients Journal of the American College of Cardiology. ,vol. 27, pp. 161- 172 ,(1996) , 10.1016/0735-1097(95)00428-9
Shiro Yamachika, Cheryl L. Reid, Devang Savani, Christopher Meckel, James Paynter, Margaret Knoll, Beverly Jamison, Julius M. Gardin, Usefulness of color Doppler proximal isovelocity surface area method in quantitating valvular regurgitation Journal of The American Society of Echocardiography. ,vol. 10, pp. 159- 168 ,(1997) , 10.1016/S0894-7317(97)70089-0
Roxann Rokey, Leroy L. Sterling, William A. Zoghbi, Michele P. Sartori, Marian C. Limacher, Lawrence C. Kuo, Miguel A. Quinones, Determination of regurgitant fraction in isolated mitral or aortic regurgitation by pulsed Doppler two-dimensional echocardiography Journal of the American College of Cardiology. ,vol. 7, pp. 1273- 1278 ,(1986) , 10.1016/S0735-1097(86)80146-2
Darrel P. Francis, Keith Willson, L. Ceri Davies, Viorel G. Florea, Andrew J.S. Coats, Derek G. Gibson, True shape and area of proximal isovelocity surface area (PISA) when flow convergence is hemispherical in valvular regurgitation. International Journal of Cardiology. ,vol. 73, pp. 237- 242 ,(2000) , 10.1016/S0167-5273(00)00222-9