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Difference in the respiratory variation between pulmonary venous and mitral inflow doppler velocities in patients with constrictive pericarditis with and without atrial fibrillation
OBJECTIVES The goal of this study was to evaluate the difference in the respiratory change from expiration to inspiration (%E) between pulsed Doppler mitral inflow (MV) and pulmonary venous flow (PV) velocities in patients with constrictive pericarditis (CP) and to describe the influence of atrial f...
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Published in: | Journal of the American College of Cardiology 2001-06, Vol.37 (7), p.1936-1942 |
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container_end_page | 1942 |
container_issue | 7 |
container_start_page | 1936 |
container_title | Journal of the American College of Cardiology |
container_volume | 37 |
creator | Tabata, Tomotsugu Kabbani, Samer S Murray, R.Daniel Thomas, James D Abdalla, Ibrahim Klein, Allan L |
description | OBJECTIVES
The goal of this study was to evaluate the difference in the respiratory change from expiration to inspiration (%E) between pulsed Doppler mitral inflow (MV) and pulmonary venous flow (PV) velocities in patients with constrictive pericarditis (CP) and to describe the influence of atrial fibrillation (AF).
BACKGROUND
The difference in %E between MV and PV velocities as well as the influence of AF on %E has not been well described.
METHODS
Pulsed-wave Doppler transesophageal echocardiography (TEE) was performed with respiratory monitoring in 31 patients with CP and sinus rhythm (SR) and in 10 patients with CP and AF. The MV early (E) and late diastolic (A) velocities and their velocity time integral (VTI) as well as PV systolic (S) and diastolic (D) velocities and their VTI were measured.
RESULTS
Regardless of the cardiac rhythm: 1) The MV-E velocity and E-VTI as well as PV-D velocity and D-VTI significantly decreased from expiration to inspiration; 2) the %E in PV-D velocity (27% in SR and 35% in AF) and D-VTI (38% in SR and 45% in AF) was significantly greater than that in MV-E velocity (18% in SR and 15% in AF) and E-VTI (21% in SR and 19% in AF), respectively; 3) the PV S/D and S/D-VTI significantly increased from expiration to inspiration.
CONCLUSIONS
A significant respiratory variation was observed in both MV and PV velocities in CP, not only in patients with SR but also in those with AF. Moreover, the %E was greater in the PV velocities than it was in the MV velocities. Evaluation of the %E in the PV velocities using TEE can be a sensitive diagnostic strategy for evaluation of patients with CP, even in patients with AF. |
doi_str_mv | 10.1016/S0735-1097(01)01252-9 |
format | article |
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The goal of this study was to evaluate the difference in the respiratory change from expiration to inspiration (%E) between pulsed Doppler mitral inflow (MV) and pulmonary venous flow (PV) velocities in patients with constrictive pericarditis (CP) and to describe the influence of atrial fibrillation (AF).
BACKGROUND
The difference in %E between MV and PV velocities as well as the influence of AF on %E has not been well described.
METHODS
Pulsed-wave Doppler transesophageal echocardiography (TEE) was performed with respiratory monitoring in 31 patients with CP and sinus rhythm (SR) and in 10 patients with CP and AF. The MV early (E) and late diastolic (A) velocities and their velocity time integral (VTI) as well as PV systolic (S) and diastolic (D) velocities and their VTI were measured.
RESULTS
Regardless of the cardiac rhythm: 1) The MV-E velocity and E-VTI as well as PV-D velocity and D-VTI significantly decreased from expiration to inspiration; 2) the %E in PV-D velocity (27% in SR and 35% in AF) and D-VTI (38% in SR and 45% in AF) was significantly greater than that in MV-E velocity (18% in SR and 15% in AF) and E-VTI (21% in SR and 19% in AF), respectively; 3) the PV S/D and S/D-VTI significantly increased from expiration to inspiration.
CONCLUSIONS
A significant respiratory variation was observed in both MV and PV velocities in CP, not only in patients with SR but also in those with AF. Moreover, the %E was greater in the PV velocities than it was in the MV velocities. Evaluation of the %E in the PV velocities using TEE can be a sensitive diagnostic strategy for evaluation of patients with CP, even in patients with AF.</description><identifier>ISSN: 0735-1097</identifier><identifier>EISSN: 1558-3597</identifier><identifier>DOI: 10.1016/S0735-1097(01)01252-9</identifier><identifier>PMID: 11401135</identifier><identifier>CODEN: JACCDI</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Atrial Fibrillation - physiopathology ; Biological and medical sciences ; Blood Flow Velocity ; Cardiology. Vascular system ; Diseases of the pericardium ; Female ; Heart ; Humans ; Male ; Medical sciences ; Middle Aged ; Mitral Valve - physiology ; Pericarditis, Constrictive ; Pulmonary Veins - physiology ; Respiration ; Space life sciences ; Ultrasonography, Doppler, Pulsed</subject><ispartof>Journal of the American College of Cardiology, 2001-06, Vol.37 (7), p.1936-1942</ispartof><rights>2001 American College of Cardiology</rights><rights>2001 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c425t-40051970413f0d78ca36d3e89243632cfd5cdc2b798eb0e7869af59e40028f63</citedby><cites>FETCH-LOGICAL-c425t-40051970413f0d78ca36d3e89243632cfd5cdc2b798eb0e7869af59e40028f63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1058681$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11401135$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tabata, Tomotsugu</creatorcontrib><creatorcontrib>Kabbani, Samer S</creatorcontrib><creatorcontrib>Murray, R.Daniel</creatorcontrib><creatorcontrib>Thomas, James D</creatorcontrib><creatorcontrib>Abdalla, Ibrahim</creatorcontrib><creatorcontrib>Klein, Allan L</creatorcontrib><title>Difference in the respiratory variation between pulmonary venous and mitral inflow doppler velocities in patients with constrictive pericarditis with and without atrial fibrillation</title><title>Journal of the American College of Cardiology</title><addtitle>J Am Coll Cardiol</addtitle><description>OBJECTIVES
The goal of this study was to evaluate the difference in the respiratory change from expiration to inspiration (%E) between pulsed Doppler mitral inflow (MV) and pulmonary venous flow (PV) velocities in patients with constrictive pericarditis (CP) and to describe the influence of atrial fibrillation (AF).
BACKGROUND
The difference in %E between MV and PV velocities as well as the influence of AF on %E has not been well described.
METHODS
Pulsed-wave Doppler transesophageal echocardiography (TEE) was performed with respiratory monitoring in 31 patients with CP and sinus rhythm (SR) and in 10 patients with CP and AF. The MV early (E) and late diastolic (A) velocities and their velocity time integral (VTI) as well as PV systolic (S) and diastolic (D) velocities and their VTI were measured.
RESULTS
Regardless of the cardiac rhythm: 1) The MV-E velocity and E-VTI as well as PV-D velocity and D-VTI significantly decreased from expiration to inspiration; 2) the %E in PV-D velocity (27% in SR and 35% in AF) and D-VTI (38% in SR and 45% in AF) was significantly greater than that in MV-E velocity (18% in SR and 15% in AF) and E-VTI (21% in SR and 19% in AF), respectively; 3) the PV S/D and S/D-VTI significantly increased from expiration to inspiration.
CONCLUSIONS
A significant respiratory variation was observed in both MV and PV velocities in CP, not only in patients with SR but also in those with AF. Moreover, the %E was greater in the PV velocities than it was in the MV velocities. Evaluation of the %E in the PV velocities using TEE can be a sensitive diagnostic strategy for evaluation of patients with CP, even in patients with AF.</description><subject>Atrial Fibrillation - physiopathology</subject><subject>Biological and medical sciences</subject><subject>Blood Flow Velocity</subject><subject>Cardiology. Vascular system</subject><subject>Diseases of the pericardium</subject><subject>Female</subject><subject>Heart</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Mitral Valve - physiology</subject><subject>Pericarditis, Constrictive</subject><subject>Pulmonary Veins - physiology</subject><subject>Respiration</subject><subject>Space life sciences</subject><subject>Ultrasonography, Doppler, Pulsed</subject><issn>0735-1097</issn><issn>1558-3597</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><recordid>eNqFkc-O1SAUh4nROHdGH0HDwhhdVKEtbVkZM45_kklcOHtC4ZA5phcq0Hvjg_l-0nsbdeeKk_CdH4fzEfKMszec8e7tN9Y3ouJM9q8Yf814LepKPiA7LsRQNUL2D8nuD3JBLlP6zhjrBi4fkwvOW8Z5I3bk1wd0DiJ4AxQ9zfdAI6QZo84h_qQHHVFnDJ6OkI8Ans7LtA9er3fgw5Ko9pbuMUc9lQA3hSO1YZ4niAWYgsGMkNboueSAz4keMd9TE3zKEU3GA9AZSqWjLex2vYauRVgy1YUr4Q7HiNN0muYJeeT0lODpdl6Ru483d9efq9uvn75cv7-tTFuLXLWMCS571vLGMdsPRjedbWCQddt0TW2cFcaaeuzlACODfuikdkJC6asH1zVX5OU5do7hxwIpqz0mA2UID-XrqmeyrvtBFFCcQRNDShGcmiPuy5IUZ2rVpU661OpCMa5OupQsfc-3B5ZxD_Zv1-anAC82QCejJxe1N5j-SRdDUVqwd2cMyjIOCFElg6tTixFMVjbgfyb5DXYetx0</recordid><startdate>20010601</startdate><enddate>20010601</enddate><creator>Tabata, Tomotsugu</creator><creator>Kabbani, Samer S</creator><creator>Murray, R.Daniel</creator><creator>Thomas, James D</creator><creator>Abdalla, Ibrahim</creator><creator>Klein, Allan L</creator><general>Elsevier Inc</general><general>Elsevier Science</general><scope>6I.</scope><scope>AAFTH</scope><scope>IQODW</scope><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></search><sort><creationdate>20010601</creationdate><title>Difference in the respiratory variation between pulmonary venous and mitral inflow doppler velocities in patients with constrictive pericarditis with and without atrial fibrillation</title><author>Tabata, Tomotsugu ; Kabbani, Samer S ; Murray, R.Daniel ; Thomas, James D ; Abdalla, Ibrahim ; Klein, Allan L</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c425t-40051970413f0d78ca36d3e89243632cfd5cdc2b798eb0e7869af59e40028f63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Atrial Fibrillation - physiopathology</topic><topic>Biological and medical sciences</topic><topic>Blood Flow Velocity</topic><topic>Cardiology. Vascular system</topic><topic>Diseases of the pericardium</topic><topic>Female</topic><topic>Heart</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Mitral Valve - physiology</topic><topic>Pericarditis, Constrictive</topic><topic>Pulmonary Veins - physiology</topic><topic>Respiration</topic><topic>Space life sciences</topic><topic>Ultrasonography, Doppler, Pulsed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tabata, Tomotsugu</creatorcontrib><creatorcontrib>Kabbani, Samer S</creatorcontrib><creatorcontrib>Murray, R.Daniel</creatorcontrib><creatorcontrib>Thomas, James D</creatorcontrib><creatorcontrib>Abdalla, Ibrahim</creatorcontrib><creatorcontrib>Klein, Allan L</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Pascal-Francis</collection><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>Journal of the American College of Cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tabata, Tomotsugu</au><au>Kabbani, Samer S</au><au>Murray, R.Daniel</au><au>Thomas, James D</au><au>Abdalla, Ibrahim</au><au>Klein, Allan L</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Difference in the respiratory variation between pulmonary venous and mitral inflow doppler velocities in patients with constrictive pericarditis with and without atrial fibrillation</atitle><jtitle>Journal of the American College of Cardiology</jtitle><addtitle>J Am Coll Cardiol</addtitle><date>2001-06-01</date><risdate>2001</risdate><volume>37</volume><issue>7</issue><spage>1936</spage><epage>1942</epage><pages>1936-1942</pages><issn>0735-1097</issn><eissn>1558-3597</eissn><coden>JACCDI</coden><abstract>OBJECTIVES
The goal of this study was to evaluate the difference in the respiratory change from expiration to inspiration (%E) between pulsed Doppler mitral inflow (MV) and pulmonary venous flow (PV) velocities in patients with constrictive pericarditis (CP) and to describe the influence of atrial fibrillation (AF).
BACKGROUND
The difference in %E between MV and PV velocities as well as the influence of AF on %E has not been well described.
METHODS
Pulsed-wave Doppler transesophageal echocardiography (TEE) was performed with respiratory monitoring in 31 patients with CP and sinus rhythm (SR) and in 10 patients with CP and AF. The MV early (E) and late diastolic (A) velocities and their velocity time integral (VTI) as well as PV systolic (S) and diastolic (D) velocities and their VTI were measured.
RESULTS
Regardless of the cardiac rhythm: 1) The MV-E velocity and E-VTI as well as PV-D velocity and D-VTI significantly decreased from expiration to inspiration; 2) the %E in PV-D velocity (27% in SR and 35% in AF) and D-VTI (38% in SR and 45% in AF) was significantly greater than that in MV-E velocity (18% in SR and 15% in AF) and E-VTI (21% in SR and 19% in AF), respectively; 3) the PV S/D and S/D-VTI significantly increased from expiration to inspiration.
CONCLUSIONS
A significant respiratory variation was observed in both MV and PV velocities in CP, not only in patients with SR but also in those with AF. Moreover, the %E was greater in the PV velocities than it was in the MV velocities. Evaluation of the %E in the PV velocities using TEE can be a sensitive diagnostic strategy for evaluation of patients with CP, even in patients with AF.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>11401135</pmid><doi>10.1016/S0735-1097(01)01252-9</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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source | BACON - Elsevier - GLOBAL_SCIENCEDIRECT-OPENACCESS |
subjects | Atrial Fibrillation - physiopathology Biological and medical sciences Blood Flow Velocity Cardiology. Vascular system Diseases of the pericardium Female Heart Humans Male Medical sciences Middle Aged Mitral Valve - physiology Pericarditis, Constrictive Pulmonary Veins - physiology Respiration Space life sciences Ultrasonography, Doppler, Pulsed |
title | Difference in the respiratory variation between pulmonary venous and mitral inflow doppler velocities in patients with constrictive pericarditis with and without atrial fibrillation |
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