Doppler echocardiography. The localization of cardiac murmurs

• Published in: Circulation (New York, N.Y.) N.Y.), 1973-10, Vol.48 (4), p.810-822
• Main Authors: Johnson, S L, Baker, D W, Lute, R A, Dodge, H T
• Format: Article
• Language: English
• Subjects: Adolescent; Adult; Aortic Coarctation - diagnosis; Aortic Valve Insufficiency - diagnosis; Aortic Valve Stenosis - diagnosis; Blood Flow Velocity; Child; Child, Preschool; Echocardiography; Female; Heart Auscultation; Heart Septal Defects, Atrial - diagnosis; Humans; Male; Methods; Middle Aged; Mitral Valve Insufficiency - diagnosis; Mitral Valve Stenosis - diagnosis; Phonocardiography; Pulmonary Valve Insufficiency - diagnosis; Tricuspid Valve Stenosis - diagnosis
• ISSN: 0009-7322; 1524-4539
• DOI: 10.1161/01.CIR.48.4.810

A range-gated pulsed Doppler flowmeter has recently been developed that measures the average velocity of blood flow within a small tear-drop shaped (4 mm by 2 mm) sample volume. Unlike the continuous wave Doppler, the distance from the transducer face to the sampling site can be continuously varied by a range adjustment knob. Twenty patients with cardiac murmurs were evaluated in a noninvasive laboratory by brief cardiac physical examination, abbreviated phonocardiogram, complete echocardiogram, and localization of the murmurs by Doppler echocardiography. The localization depends on the detection of turbulent flow or jets at the sampling site. The murmurs included the diastolic rumble of mitral stenosis, mitral regurgitation, the murmur of left ventricular outflow tract obstruction, aortic stenosis, aortic insufficiency, diastolic rumble of tricuspid stenosis, augmented right ventricular filling sound in atrial septal defects, pulmonic stenosis, pulmonic insufficiency, and high velocity flow through the obstruction in ccarctation of the aorta.