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Clinical utility of Doppler echocardiography and tissue Doppler imaging in the estimation of left ventricular filling pressures : A comparative simultaneous Doppler-catheterization study

Noninvasive assessment of diastolic filling by Doppler echocardiography provides important information about left ventricular (LV) status in selected subsets of patients. This study was designed to assess whether mitral annular velocities as assessed by tissue Doppler imaging are associated with inv...

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Published in:Circulation (New York, N.Y.) N.Y.), 2000-10, Vol.102 (15), p.1788-1794
Main Authors: OMMEN, S. R, NISHIMURA, R. A, APPLETON, C. P, MILLER, F. A, OH, J. K, REDFIELD, M. M, TAJIK, A. J
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description Noninvasive assessment of diastolic filling by Doppler echocardiography provides important information about left ventricular (LV) status in selected subsets of patients. This study was designed to assess whether mitral annular velocities as assessed by tissue Doppler imaging are associated with invasive measures of diastolic LV performance and whether additional information is gained over traditional Doppler variables. One hundred consecutive patients referred for cardiac catheterization underwent simultaneous Doppler interrogation. Invasive measurements of LV pressures were obtained with micromanometer-tipped catheters, and the mean LV diastolic pressure (M-LVDP) was used as a surrogate for mean left atrial pressure. Doppler signals from the mitral inflow, pulmonary venous inflow, and TDI of the mitral annulus were obtained. Isolated parameters of transmitral flow correlated with M-LVDP only when ejection fraction
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subjects Aged
Biological and medical sciences
Cardiovascular system
Diastole
Echocardiography, Doppler - methods
Female
Heart - physiology
Humans
Investigative techniques, diagnostic techniques (general aspects)
Male
Medical sciences
Middle Aged
Ultrasonic investigative techniques
Ventricular Function
Ventricular Function, Left
title Clinical utility of Doppler echocardiography and tissue Doppler imaging in the estimation of left ventricular filling pressures : A comparative simultaneous Doppler-catheterization study
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