Left Atrial Distensibility and Left Ventricular Filling Pressure in Acute Versus Chronic Severe Mitral Regurgitation

作者: Shih-Hung Hsiao , Wei-Chun Huang , Ko-Long Lin , Kuan-Rau Chiou , Feng-You Kuo

DOI: 10.1016/J.AMJCARD.2009.10.052

关键词:

摘要: Echocardiograms and left ventricular (LV) filling pressure were obtained from 95 patients with chronic severe mitral regurgitation (MR) 16 acute MR. All underwent catheterization for preoperative examinations LV measurements. A total of 52 age-, gender- co-morbidity–matched negative coronary angiographic results served as the controls. Echocardiography, including assessment atrial (LA) distensibility, was performed simultaneously. LA distensibility correlated logarithmically pressure. However, early-diastolic inflow velocity divided by annular (mitral E/E′) linearly Bivariate correlation analysis revealed that positively maximum minimum indexed volume, well E/E′, but negatively ejection fraction, fraction. MR volume associated only volume. Receiver operating characteristic curve indicated not inferior to E/E′ identifying a >15 mm Hg. identify MR, superior E/E′. In conclusion, is valuable diastolic parameter. it offers adequate power assess

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