Journal of cardiography最新文献

{"title":"[Mode of left ventricular diastolic filling in hypertrophic cardiomyopathy as studied by pulsed Doppler echocardiography and multigated blood pool scan].","authors":"H Okushi,&nbsp;T Oki,&nbsp;T Tominaga,&nbsp;T Ishimoto,&nbsp;T Uchida,&nbsp;N Fukuda,&nbsp;T Mikawa,&nbsp;K Irahara,&nbsp;M Asai,&nbsp;H Mori","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The clinical significance of the mode of left ventricular (LV) diastolic filling in hypertrophic cardiomyopathy was studied by the LV inflow velocity patterns (LVIF) of pulsed Doppler echocardiography and LV early diastolic filling rates (V2) of radionuclide (RI) angiography. The relationship between the deceleration time (DT) obtained from LVIF and the V2 was evaluated in 34 patients with nonobstructive hypertrophic cardiomyopathy (HCM) and in nine with obstructive hypertrophic cardiomyopathy (HOCM), and the results were compared with those of 10 patients with dilated cardiomyopathy (DCM), of two with restrictive cardiomyopathy (RCM), and of 19 normal subjects. HCM was subdivided into the following groups according to V1-DT relationships: Group 1 with prolonged DT and decreased V1, Group 2 with normal or short DT and normal V1, and Group 3 with normal or short DT and decreased V1. There were significant negative correlations between V2 and DT in Groups 1 and 2 of HCM, normal and HOCM. However, there were significant positive correlations in Group 3 of HCM, DCM and RCM. Nearly all patients in Group 3 had decreased LV ejection fraction and % fractional shortening, distinct B-B' step formation of the mitral valve echogram, and huge A wave of the apexcardiogram. These findings suggested that the LV rapid filling interval gradually became shorter because the LV contraction is decreased as myocardial fibrosis develops in HCM, and that we must pay attention to the diagnosis of such abnormalities, similar to those of DCM or RCM.</p>","PeriodicalId":77734,"journal":{"name":"Journal of cardiography","volume":"16 3","pages":"585-96"},"PeriodicalIF":0.0,"publicationDate":"1986-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14775757","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Pulmonary arterial end-diastolic pressure noninvasively estimated by continuous wave Doppler echocardiography].","authors":"T Masuyama,&nbsp;M Uematsu,&nbsp;H Sato,&nbsp;S Nakatani,&nbsp;S Nanto,&nbsp;A Hirayama,&nbsp;S Asada,&nbsp;K Kodama,&nbsp;A Kitabatake,&nbsp;M Inoue","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>To estimate pulmonary arterial end-diastolic pressures noninvasively, we measured the pulmonary regurgitant flow velocity by continuous wave Doppler echocardiography in 17 patients with pulmonary hypertension (pulmonary arterial end diastolic pressure greater than or equal to 18 mmHg) and in 23 patients without pulmonary hypertension. Pulmonary regurgitation was successfully detected by continuous wave Doppler echocardiography in 14 of the 17 patients with pulmonary hypertension and in 14 of the 23 patients without pulmonary hypertension. The end-diastolic pulmonary artery-to-right ventricular pressure gradient was estimated from the Doppler-determined pulmonary regurgitant flow velocity by means of a simplified Bernoulli equation. The Doppler-determined end-diastolic pulmonary artery-to-right ventricular pressure gradient correlated well with the catheter measurement (r = 0.94). It also correlated well with the pulmonary arterial end-diastolic pressure (r = 0.92). Thus, continuous wave Doppler echocardiography was useful in estimating noninvasively pulmonary arterial end-diastolic pressures.</p>","PeriodicalId":77734,"journal":{"name":"Journal of cardiography","volume":"16 3","pages":"669-75"},"PeriodicalIF":0.0,"publicationDate":"1986-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14775763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Pulsed Doppler echocardiographic evaluation of hemodynamics in premature ventricular contractions].","authors":"S Takagi,&nbsp;M Iwase,&nbsp;H X Jing,&nbsp;T Aoki,&nbsp;M Yokota,&nbsp;H Hayashi,&nbsp;I Sotobata","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>To investigate hemodynamic changes in ventricular premature contractions (VPCs), the blood flow velocities at the left ventricular (LV) outflow and inflow tracts were analyzed by pulsed Doppler echocardiography in 23 patients with VPCs and in two patients with ventricular parasystoles. Percent LV stroke volume of the ectopic and the postectopic sinus beats to the other sinus beats and %LV inflow volume of the sinus beats preceding ectopic beats to the other sinus beats were calculated from the time integral of the blood flow velocity. The following results were obtained. The %LV stroke volume of VPCs or %LV inflow volume of the preceding sinus beats correlated positively with the coupling interval of VPCs (r = 0.69, p less than 0.001 and r = 0.67, p less than 0.001, respectively). The %LV stroke volume of VPCs correlated positively with %LV inflow volume of the preceding sinus beats (r = 0.84, p less than 0.001). In some patients with VPCs of the RBBB pattern and in one patient with VPCs of the LBBB pattern associated with abnormal right axis deviation, the %LV stroke volume of VPC was much more reduced. In patients with depressed rapid filling and increased atrial filling, %LV stroke volume of the VPC or %LV inflow volume of the preceding sinus beat was smaller than in the other patients with the same coupling interval of VPCs. In VPCs of right ventricular (RV) origin, deterioration of RV hemodynamics was more prominent than in those of LV origin, and vice versa. Increased LV stroke volume was observed in postextrasystolic sinus beats, related to the coupling intervals of VPCs. However, the sum of %LV stroke volume of VPC and the postextrasystolic sinus beat decreased as the coupling intervals of VPC shortened. These results suggest that not only the coupling interval and the origin of VPCs but the LV diastolic behavior, as well, are important factors determining the hemodynamics in VPCs. They also suggest that the increment of stroke volume in postextrasystolic beats is more prominent in VPCs with shorter coupling intervals, but the LV performance as a whole is more depressed in VPCs with a shorter coupling intervals. In conclusion, pulsed Doppler echocardiography proved a useful noninvasive technique for evaluating the hemodynamics of VPCs.</p>","PeriodicalId":77734,"journal":{"name":"Journal of cardiography","volume":"16 3","pages":"637-47"},"PeriodicalIF":0.0,"publicationDate":"1986-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13590097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quantitative analysis of acute myocardial infarction using single photon emission computed tomography using technetium-99m pyrophosphate.","authors":"Y Fujiwara,&nbsp;T Itoh,&nbsp;J Doiuchi,&nbsp;T Ochi,&nbsp;T Kokubu,&nbsp;K Murase,&nbsp;K Hamamoto","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The usefulness of single photon emission computed tomography (SPECT) using technetium-99m pyrophosphate (99mTc-PPi) was evaluated in 15 patients with acute myocardial infarction. SPECT was performed with a rotating gamma camera after conventional planar images were made. Infarct size was measured from transaxial images of myocardial pyrophosphate uptakes. In each slice, the boundary was defined by subtracting 70 percent of the maximal counts and the number of voxels automatically counted. This subtraction rate was determined by phantom study and by comparing SPECT using 99mTc-PPi with thallium-201-gated myocardial scintigraphy (201Tl gated SPECT). The planar images showed diffuse uptakes in two of the 15 patients, and in these cases it was difficult to detect the infarct site. In contrast, SPECT images clearly imaged the infarct site consistent with the electrocardiographic findings, and they were definitely separated from the uptakes in the bones in all cases. Infarct size, ranging from 3.4 ml to 78.3 ml, correlated well with cumulative creatine kinase release (r = 0.84, p less than 0.01, y = 772x + 13900). Correlation of infarct size with peak serum creatine kinase level was also significant (r = 0.66, p less than 0.01, y = 10.6x + 693). In conclusion, SPECT with 99mTc-PPi is a useful means of investigating the spatial distribution of pyrophosphate uptake and of evaluating the size of myocardial infarction.</p>","PeriodicalId":77734,"journal":{"name":"Journal of cardiography","volume":"16 3","pages":"555-62"},"PeriodicalIF":0.0,"publicationDate":"1986-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13959369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Unusual cardiac hypertrophy in neonates with congestive heart failure: report of three cases].","authors":"E Ichinose,&nbsp;K Hirata,&nbsp;T Mikashima,&nbsp;H Sakamoto,&nbsp;O Toyoda,&nbsp;F Yoshioka,&nbsp;K Yokochi,&nbsp;H Kato,&nbsp;R Okada","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We experienced three cases of unusual cardiac hypertrophy of the right ventricle or interventricular septum with severe congestive heart failure in the neonatal period. One patient had congenital heart disease consisting of membranous tricuspid atresia, absent pulmonary valve, patent ductus arteriosus, left single coronary artery and a hypoplastic pouch-like right ventricle. Very marked cardiac hypertrophy was observed in the right ventricle and interventricular septum. Histologically, there was no appreciable disorganization of the cardiac muscle. The etiology of the unusual hypertrophy of cardiac muscle in this patient is uncertain. The other two patients had asymmetrical septal hypertrophy of the left ventricle evidenced by two-dimensional echocardiography. Cardiac catheterization was performed for these two patients. There was no evidence of congenital heart disease; however, one patient had a significant pressure gradient in the outflow tracts of the left and right ventricles. These two patients' faces appeared unusual and they had minor anomalies of their fingers and ears. This unusual cardiac hypertrophy associated with cardiac anomalies and minor anomalies of the face and extremities comprise a specific type of cardiomyopathy in neonates. This should be distinguished from hypertropic cardiomyopathy of older children and adults.</p>","PeriodicalId":77734,"journal":{"name":"Journal of cardiography","volume":"16 3","pages":"755-63"},"PeriodicalIF":0.0,"publicationDate":"1986-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14093312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Effect of age on left ventricular relaxation: pulsed Doppler echocardiographic evaluation].","authors":"N Kuroiwa,&nbsp;K Nakamura,&nbsp;H Kawagoe,&nbsp;M Kawahira,&nbsp;J Sanada,&nbsp;S Hashimoto","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>There is no noninvasive index to assess the left ventricular relaxation property during the isovolumic relaxation period except for the isovolumic relaxation time, which is derived from M-mode echocardiography or phonocardiography. The intracardiac blood flow can now be precisely observed using pulsed Doppler echocardiography. We evaluated the left ventricular relaxation property and studied the effect of age on the relaxation property using this method. Cardiac catheterization and pulsed Doppler echocardiography were performed for 27 patients with various heart diseases, none of whom had wall motion abnormalities on left ventriculography, to determine the relationships between invasive and noninvasive parameters. The effects of age were examined in 25 normal healthy persons ranging in age from 26 to 69 years. In all cases, the intracardiac blood flow during the isovolumic relaxation period (isovolumic relaxation flow) as obtained by pulsed Doppler echocardiography was laminar, and directed from the base toward the apex of the left ventricle. The duration of this flow (the time interval from the beginning to the end of this flow; IRT), the acceleration time (the time interval from the beginning to the peak velocity; ACT) and the acceleration rate (the slope of the beginning to the peak velocity; AcR) were measured, and IRT, ln AcT (natural logarithm of AcT) and ln AcR (natural logarithm of AcR) were compared with the parameters obtained by cardiac catheterization. The time constant T of the fall in left ventricular pressure during the isovolumic relaxation period, which was proposed as an index of the left ventricular relaxation property, correlated well with IRT (r = 0.82, p less than 0.001), ln AcT (r = 0.69, p less than 0.001) and ln AcR (r = -0.77, p less than 0.001), but there were no significant correlations with maximum blood pressure, left ventricular ejection fraction, maximal positive dp/dt or the left ventricular end-diastolic volume index. Age and these three Doppler indexes in normal healthy persons correlated significantly as follows; IRT (r = 0.80, p less than 0.001), ln AcT (r = 0.60, p less than 0.001) and ln AcR (r = -0.61, p less than 0.01).(ABSTRACT TRUNCATED AT 400 WORDS)</p>","PeriodicalId":77734,"journal":{"name":"Journal of cardiography","volume":"16 3","pages":"649-58"},"PeriodicalIF":0.0,"publicationDate":"1986-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14775761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Pheochromocytoma with normal blood pressure and dilated cardiomyopathy: a case report].","authors":"C Imaoka,&nbsp;N Kanemoto","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A rare complication of normotensive pheochromocytoma with dilated cardiomyopathy is described. This 57-year-old man first experienced palpitation eight years ago when his blood pressure, electrocardiogram and chest radiograph were all within normal limits. Five years later he was admitted to another hospital because of palpitation and was diagnosed as having dilated cardiomyopathy on the basis of cardiac catheterization and cardiac muscle biopsy. In December, 1984, he was admitted to our hospital for treatment of congestive heart failure. On admission, his electrocardiogram revealed left atrial overloading, left axis deviation, left ventricular hypertrophy with intraventricular conduction disturbances and frequent premature ventricular contractions. Echocardiography revealed marked biventricular dilatation with severe hypokinesis of the interventricular septum and the posterior wall of the left ventricle, and a B-B' step of the anterior mitral leaflet. Fasting blood sugar was slightly elevated and a 75 g glucose tolerance test was abnormal. An abdominal echogram and abdominal CT revealed a 67 mm diameter mass immediately superior to the right kidney. Blood and urine catecholamine levels were significantly increased. He was diagnosed as having a pheochromocytoma. Interestingly, he had been normotensive during the eight years until his fatal outcome. He died of congestive heart failure. Needle necropsy findings of the adrenal revealed pheochromocytoma, and those of the cardiac muscle revealed enlarged muscle cells and mild fibrosis.</p>","PeriodicalId":77734,"journal":{"name":"Journal of cardiography","volume":"16 3","pages":"735-45"},"PeriodicalIF":0.0,"publicationDate":"1986-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14775704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Metastatic thyroid cancer to the right ventricle causing obstruction of the right ventricular outflow tract and associated with disseminated intravascular coagulopathy: a case report].","authors":"K Hara,&nbsp;M Ohno,&nbsp;M Takenaga,&nbsp;H Tsuneyoshi,&nbsp;H Takeuchi,&nbsp;M Kashida,&nbsp;T Yamaguchi,&nbsp;K Machii,&nbsp;S Furuta,&nbsp;E Tohda","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A case of thyroid cancer causing right ventricular outflow tract obstruction is described. A 72-year-old woman was admitted because of shortness of breath, some ecchymoses, and marked anasarca. Her liver was palpable four fingerbreadths below her costal margin. Laboratory findings included leukocytosis, marked thrombocytopenia, and an increase in fibrinogen degradation products due to disseminated intravascular coagulopathy. Two-dimensional echocardiography demonstrated a solid mass in the right ventricle, which protruded into the right atrium and main pulmonary artery. Right ventricular outflow tract obstruction and tricuspid regurgitation were demonstrated by contrast echocardiography. These findings were confirmed by CT scans, RI angiography, and contrast angiography. The mass was partially resected from her right ventricle and her tricuspid valve was replaced successfully, but she died of sepsis three weeks after surgery. At autopsy, undifferentiated thyroid cancer and cardiac metastasis were verified. To date, only eight cases with initial symptoms of congestive heart failure due to right ventricular outflow tract obstruction caused by metastatic intracavitary tumors have been reported. Very rarely have cardiac tumors resulted in disseminated intravascular coagulopathy.</p>","PeriodicalId":77734,"journal":{"name":"Journal of cardiography","volume":"16 3","pages":"765-73"},"PeriodicalIF":0.0,"publicationDate":"1986-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14775706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Right and left ventricular ejection patterns in D-transposition of the great arteries assessed by pulsed Doppler echocardiography.","authors":"H Shiraishi,&nbsp;M Yanagisawa,&nbsp;T Kuramatsu,&nbsp;Y Nakajima,&nbsp;S Yano,&nbsp;K Itoh","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Pulsed Doppler echocardiography (PDE) was performed to evaluate the flow velocity patterns of the right (RVOT) and left ventricular outflow tracts (LVOT) in 10 patients with transposition of the great arteries (D-TGA). Twenty normal children served as controls. Systolic time intervals (STIs) and acceleration times (AcT) of the right and left ventricles were measured using PDE. The following results were obtained. In normal controls, the right ventricular pre-ejection period (RPEP) was shorter than the left ventricular pre-ejection period (LPEP), and the right ventricular ejection time (RVET) was longer than the left ventricular ejection time (LVET). The mean RPEP/RVET was 0.33 (range 0.25-0.42) and the mean LPEP/LVET was 0.38 (range 0.28-0.55). In normal controls, the flow velocity pattern of the RVOT had a dome-like contour with a peak velocity in mid-systole, and the mean AcT/RVET ratio was 0.50 (range 0.41-0.62); that of the LVOT had a triangular shape with a mean AcT/LVET ratio of 0.31 (range 0.24-0.38). In patients with D-TGA, the RPEP was longer than the LPEP and the RVET was shorter than the LVET. The mean RPEP/RVET was 0.53 (range 0.39-0.76) in patients with intact ventricular septum and 0.52 (range 0.54-0.60) in patients with ventricular septal defect (VSD). The RPEP/RVET was significantly greater in patients with D-TGA than in normal controls. The mean LPEP/LVET was 0.27 (range 0.16-0.42) in patients with intact ventricular septum, and 0.34 (range 0.23-0.40) in patients with VSD. The LPEP/LVET was significantly less in patients with intact ventricular septum than in normal controls. The flow velocity patterns of the RVOT and LVOT were the same as those for normal controls. The mean AcT/RVET ratio was 0.51 (range 0.49-0.55) in patients with intact ventricular septum and 0.49 (range 0.39-0.67) in patients with VSD. The mean AcT/LVET was 0.32 (range 0.27-0.38) in patients with intact ventricular septum and 0.28 (range 0.20-0.45) in patients with VSD. The flow patterns did not change after intraatrial baffle repair. Our studies indicate that the flow velocity patterns of the RVOT and LVOT in patients with D-TGA were not reversed, in spite of inverted afterloads.</p>","PeriodicalId":77734,"journal":{"name":"Journal of cardiography","volume":"16 3","pages":"677-87"},"PeriodicalIF":0.0,"publicationDate":"1986-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14775764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Pressure gradient across the mitral valve in mitral stenosis estimated by high pulse repetition frequency Doppler method].","authors":"S Miyazawa,&nbsp;S Suzuki,&nbsp;Y Nakamura,&nbsp;T Sasaki,&nbsp;H Emoto,&nbsp;A Mizuno,&nbsp;T Takahashi,&nbsp;S Kudo,&nbsp;T Arai","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>High pulse repetition frequency (HPRF) Doppler and continuous wave (CW) Doppler methods were used to estimate the pressure gradient across the mitral valve. Twenty-two cases of mitral stenosis and five cases of ischemic heart disease were studied. Both the HPRF and CW Doppler studies were conducted during catheterization in all cases. In the Doppler study, pressure gradient was calculated using the simplified Bernoulli's formula. The HPRF device used was a type SSD-730 produced by Aloka Co. It had a reference frequency of 2 MHz. Its minimum pulse repetition frequency was 4.2 KHz; its maximum, 19.2 KHz. Among the 27 cases, the maximum flow velocity measured by the HPRF method at the level of the mitral valve orifice was compared with that by the CW method. As the velocity increased, the discrepancy of measured values between the two methods increased, but it was within 0.1 m/sec. Therefore, there was a good correlation between the HPRF and CW methods (r = 0.98). The pressure gradient between time delay-corrected pulmonary artery wedge pressure and left ventricular pressure was compared with that obtained by the HPRF method. Contrary to our expectations, the correlation coefficient between the two was not so high, and the pressure gradients calculated by the HPRF method tended to be underestimated. For eight patients in whom the left atrial pressure could be recorded, the pressure gradient between the left atrium and left ventricle was compared with that obtained by the HPRF method. There was underestimation, and a good correlation coefficient was obtained. When using pulmonary artery wedge pressure as a substitute for left atrial pressure, one must realize that the time delay varies in every case and that the pressure pulse itself is not the same. When the pressure gradient between the left atrium and left ventricle is used, a good correlation coefficient can be obtained. Therefore, the flow velocity obtained by the HPRF method will reflect the true pressure gradient across the mitral valve. The HPRF method proved to have a potential equal to that of the CW method for estimating mitral valve flow velocity in mitral stenosis, and it may be used as a helpful diagnostic tool.</p>","PeriodicalId":77734,"journal":{"name":"Journal of cardiography","volume":"16 2","pages":"445-55"},"PeriodicalIF":0.0,"publicationDate":"1986-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14089219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}