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Grade I diastolic dysfunction and elevated left ventricular end‐diastolic pressure: Mitral Doppler inflow, pulmonary vein atrial reversal, and the M‐mode mitral B‐bump
Grade I diastolic dysfunction (DD) is generally associated with a normal mean left atrial pressure (LAP) and normal left ventricular end‐diastolic pressure (LVEDP). The first hemodynamic alteration seen in DD, however, is the development of an elevated LVEDP with a persistent normal LAP. This is man...
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Published in: | Echocardiography (Mount Kisco, N.Y.) N.Y.), 2017-09, Vol.34 (9), p.1371-1373 |
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creator | Kerut, Edmund K. McIlwain, Elizabeth Nishimura, Rick A. |
description | Grade I diastolic dysfunction (DD) is generally associated with a normal mean left atrial pressure (LAP) and normal left ventricular end‐diastolic pressure (LVEDP). The first hemodynamic alteration seen in DD, however, is the development of an elevated LVEDP with a persistent normal LAP. This is manifested by echocardiography as a continued mitral pulsed wave (PW) E/A |
doi_str_mv | 10.1111/echo.13631 |
format | article |
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The first hemodynamic alteration seen in DD, however, is the development of an elevated LVEDP with a persistent normal LAP. This is manifested by echocardiography as a continued mitral pulsed wave (PW) E/A <0.8 (Grade I DD), but with evidence of an elevated LVEDP. Such findings include alterations in PV flow, mitral PW inflow response to Valsalva maneuver, and also the presence of a B‐bump on the mitral M‐mode tracing. When assessing diastolic function, it may be clinically helpful to assess for this early hemodynamic manifestation of DD.</description><identifier>ISSN: 0742-2822</identifier><identifier>EISSN: 1540-8175</identifier><identifier>DOI: 10.1111/echo.13631</identifier><identifier>PMID: 28737016</identifier><language>eng</language><publisher>United States</publisher><subject>Blood Flow Velocity - physiology ; Blood Pressure - physiology ; B‐bump ; Diastole ; diastolic dysfunction ; Echocardiography, Doppler - methods ; Grade I ; Heart Atria - diagnostic imaging ; Heart Atria - physiopathology ; Humans ; LVEDP ; Mitral Valve - diagnostic imaging ; Mitral Valve - physiopathology ; Pulmonary Veins - diagnostic imaging ; Pulmonary Veins - physiopathology ; Ventricular Dysfunction, Left - diagnosis ; Ventricular Dysfunction, Left - physiopathology ; Ventricular Function, Left - physiology ; Ventricular Pressure - physiology</subject><ispartof>Echocardiography (Mount Kisco, N.Y.), 2017-09, Vol.34 (9), p.1371-1373</ispartof><rights>2017, Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3291-fb897b4ca9776f427f48314e915fb0547bfed6c5f08658c5ad28b571ad3d7df53</citedby><orcidid>0000-0003-3880-3987</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28737016$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kerut, Edmund K.</creatorcontrib><creatorcontrib>McIlwain, Elizabeth</creatorcontrib><creatorcontrib>Nishimura, Rick A.</creatorcontrib><title>Grade I diastolic dysfunction and elevated left ventricular end‐diastolic pressure: Mitral Doppler inflow, pulmonary vein atrial reversal, and the M‐mode mitral B‐bump</title><title>Echocardiography (Mount Kisco, N.Y.)</title><addtitle>Echocardiography</addtitle><description>Grade I diastolic dysfunction (DD) is generally associated with a normal mean left atrial pressure (LAP) and normal left ventricular end‐diastolic pressure (LVEDP). The first hemodynamic alteration seen in DD, however, is the development of an elevated LVEDP with a persistent normal LAP. This is manifested by echocardiography as a continued mitral pulsed wave (PW) E/A <0.8 (Grade I DD), but with evidence of an elevated LVEDP. Such findings include alterations in PV flow, mitral PW inflow response to Valsalva maneuver, and also the presence of a B‐bump on the mitral M‐mode tracing. When assessing diastolic function, it may be clinically helpful to assess for this early hemodynamic manifestation of DD.</description><subject>Blood Flow Velocity - physiology</subject><subject>Blood Pressure - physiology</subject><subject>B‐bump</subject><subject>Diastole</subject><subject>diastolic dysfunction</subject><subject>Echocardiography, Doppler - methods</subject><subject>Grade I</subject><subject>Heart Atria - diagnostic imaging</subject><subject>Heart Atria - physiopathology</subject><subject>Humans</subject><subject>LVEDP</subject><subject>Mitral Valve - diagnostic imaging</subject><subject>Mitral Valve - physiopathology</subject><subject>Pulmonary Veins - diagnostic imaging</subject><subject>Pulmonary Veins - physiopathology</subject><subject>Ventricular Dysfunction, Left - diagnosis</subject><subject>Ventricular Dysfunction, Left - physiopathology</subject><subject>Ventricular Function, Left - physiology</subject><subject>Ventricular Pressure - physiology</subject><issn>0742-2822</issn><issn>1540-8175</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><recordid>eNp9kUFu1TAQhi1URF8LGw6AvKxQ09pOHCfdwWtpK7XqBtaRY49VI8dO7eRVb8cROAIn4BAchZPgNgV2nY010ufPM_4RekvJEc11DOo2HNGyLukLtKK8IkVDBd9BKyIqVrCGsV20l9JXQoigtHqFdlkjSkFovUI_z6PUgC-xtjJNwVmF9TaZ2avJBo-l1xgcbOQEGjswE96An6JVs5MRg9e_v33_f3OMkNIc4QRf2ylKh0_DODqI2Hrjwv0hHmc3BC_jNmus__VDZlXGImwgJukOH9-bbgFfZ-8Q8mDDIvqY-34extfopZEuwZuncx99-XT2eX1RXN2cX64_XBWqZC0tTN-0oq-UbIWoTcWEqZqSVtBSbnrCK9Eb0LXihjQ1bxSXmjU9F1TqUgtteLmPDhbvGMPdDGnqBpsUOCc9hDl1tGVl_npGREbfL6iKIaUIphujHfKOHSXdQz7dQz7dYz4ZfvfknfsB9D_0byAZoAtwbx1sn1F1Z-uLm0X6B6gfoiI</recordid><startdate>201709</startdate><enddate>201709</enddate><creator>Kerut, Edmund K.</creator><creator>McIlwain, Elizabeth</creator><creator>Nishimura, Rick A.</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-3880-3987</orcidid></search><sort><creationdate>201709</creationdate><title>Grade I diastolic dysfunction and elevated left ventricular end‐diastolic pressure: Mitral Doppler inflow, pulmonary vein atrial reversal, and the M‐mode mitral B‐bump</title><author>Kerut, Edmund K. ; McIlwain, Elizabeth ; Nishimura, Rick A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3291-fb897b4ca9776f427f48314e915fb0547bfed6c5f08658c5ad28b571ad3d7df53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Blood Flow Velocity - physiology</topic><topic>Blood Pressure - physiology</topic><topic>B‐bump</topic><topic>Diastole</topic><topic>diastolic dysfunction</topic><topic>Echocardiography, Doppler - methods</topic><topic>Grade I</topic><topic>Heart Atria - diagnostic imaging</topic><topic>Heart Atria - physiopathology</topic><topic>Humans</topic><topic>LVEDP</topic><topic>Mitral Valve - diagnostic imaging</topic><topic>Mitral Valve - physiopathology</topic><topic>Pulmonary Veins - diagnostic imaging</topic><topic>Pulmonary Veins - physiopathology</topic><topic>Ventricular Dysfunction, Left - diagnosis</topic><topic>Ventricular Dysfunction, Left - physiopathology</topic><topic>Ventricular Function, Left - physiology</topic><topic>Ventricular Pressure - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kerut, Edmund K.</creatorcontrib><creatorcontrib>McIlwain, Elizabeth</creatorcontrib><creatorcontrib>Nishimura, Rick A.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Echocardiography (Mount Kisco, N.Y.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kerut, Edmund K.</au><au>McIlwain, Elizabeth</au><au>Nishimura, Rick A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Grade I diastolic dysfunction and elevated left ventricular end‐diastolic pressure: Mitral Doppler inflow, pulmonary vein atrial reversal, and the M‐mode mitral B‐bump</atitle><jtitle>Echocardiography (Mount Kisco, N.Y.)</jtitle><addtitle>Echocardiography</addtitle><date>2017-09</date><risdate>2017</risdate><volume>34</volume><issue>9</issue><spage>1371</spage><epage>1373</epage><pages>1371-1373</pages><issn>0742-2822</issn><eissn>1540-8175</eissn><abstract>Grade I diastolic dysfunction (DD) is generally associated with a normal mean left atrial pressure (LAP) and normal left ventricular end‐diastolic pressure (LVEDP). The first hemodynamic alteration seen in DD, however, is the development of an elevated LVEDP with a persistent normal LAP. This is manifested by echocardiography as a continued mitral pulsed wave (PW) E/A <0.8 (Grade I DD), but with evidence of an elevated LVEDP. Such findings include alterations in PV flow, mitral PW inflow response to Valsalva maneuver, and also the presence of a B‐bump on the mitral M‐mode tracing. When assessing diastolic function, it may be clinically helpful to assess for this early hemodynamic manifestation of DD.</abstract><cop>United States</cop><pmid>28737016</pmid><doi>10.1111/echo.13631</doi><tpages>3</tpages><orcidid>https://orcid.org/0000-0003-3880-3987</orcidid></addata></record> |
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subjects | Blood Flow Velocity - physiology Blood Pressure - physiology B‐bump Diastole diastolic dysfunction Echocardiography, Doppler - methods Grade I Heart Atria - diagnostic imaging Heart Atria - physiopathology Humans LVEDP Mitral Valve - diagnostic imaging Mitral Valve - physiopathology Pulmonary Veins - diagnostic imaging Pulmonary Veins - physiopathology Ventricular Dysfunction, Left - diagnosis Ventricular Dysfunction, Left - physiopathology Ventricular Function, Left - physiology Ventricular Pressure - physiology |
title | Grade I diastolic dysfunction and elevated left ventricular end‐diastolic pressure: Mitral Doppler inflow, pulmonary vein atrial reversal, and the M‐mode mitral B‐bump |
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