دورية أكاديمية
The E/e filling index and right ventricular pressure in relation to applied international Doppler recommendations of left ventricular filling assessment.
| العنوان: | The E/e filling index and right ventricular pressure in relation to applied international Doppler recommendations of left ventricular filling assessment. |
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| المؤلفون: | Wallentin Guron C; Department of Clinical Physiology, Sahlgrenska University Hospital, SE 416 85 Göteborg, Sweden. c.wallentin@home.se, Bech-Hanssen O, Wikh R, Rosengren A, Hartford M, Caidahl K |
| المصدر: | European journal of echocardiography : the journal of the Working Group on Echocardiography of the European Society of Cardiology [Eur J Echocardiogr] 2005 Dec; Vol. 6 (6), pp. 419-28. Date of Electronic Publication: 2005 Mar 31. |
| نوع المنشور: | Journal Article; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: Oxford University Press Country of Publication: England NLM ID: 100890618 Publication Model: Print-Electronic Cited Medium: Print ISSN: 1525-2167 (Print) Linking ISSN: 15322114 NLM ISO Abbreviation: Eur J Echocardiogr Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2008- : Oxford : Oxford University Press Original Publication: London : W.B. Saunders, c2000- |
| مواضيع طبية MeSH: | Echocardiography, Doppler, Pulsed* , Ventricular Function, Left* , Ventricular Function, Right* , Ventricular Pressure*, Heart Ventricles/*diagnostic imaging, Aged ; Coronary Disease/diagnostic imaging ; Coronary Disease/physiopathology ; Female ; Humans ; Male ; Middle Aged ; Mitral Valve/diagnostic imaging ; Mitral Valve/physiology ; Predictive Value of Tests ; Reproducibility of Results ; Sensitivity and Specificity ; Ventricular Function |
| مستخلص: | Aim: A ratio>15 between the early diastolic pulsed Doppler velocities of the mitral inflow (E) and the basal left ventricular (LV) tissue (e) has been demonstrated to predict an elevated LV filling pressure (FP). An elevated LVFP implies an elevated right ventricular pressure (RVp). In order to investigate the sensitivity of the E/e filling index, we compared E/e and RVp, in their ability to identify a Doppler-assumed elevation of LVFP. Methods and Results: Application of pulsed Doppler international recommendations grouped 134 patients with acute coronary syndromes (ACS) and 50 age- and sex-matched controls, according to LV filling: normal; delayed relaxation; an isolated pathological mitral-pulmonary venous-A-wave-duration difference; pseudo normal; or a restrictive filling pattern. An E/e>15 and an RVp>30 mmHg showed the following (%) sensitivity (32/94), specificity (95/76), positive (68/59), and negative (80/97) predictive values of a Doppler-assumed elevation of LVFP, in terms of either a pseudo normal or a restrictive filling pattern. Conclusion: The low sensitivity of E/e to detect a Doppler-assumed elevation of LVFP could limit its clinical usefulness as a single variable, in ACS. The high sensitivity and negative predictive value of RVp support its use as an additional LV filling variable in these patients. |
| تواريخ الأحداث: | Date Created: 20051119 Date Completed: 20060105 Latest Revision: 20161124 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1016/j.euje.2005.01.005 |
| PMID: | 16293528 |
| قاعدة البيانات: | MEDLINE |
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