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pmid: 16398663
SummaryAims: Non‐invasive assessment of pulmonary artery systolic pressure (PASP) has several limitations. As previously described by Burstin, the right ventricular (RV) isovolumic relaxation time (IVRt) is sensitive to changes in PASP. We therefore compared RV myocardial IVRt, derived by Doppler tissue imaging (DTI), with simultaneously measured invasive PASP.Methods and results: Twenty‐six consecutive patients (18 males, mean age 52 ± 12 years, range 23–75) underwent a simultaneous Doppler echocardiography, including DTI, and cardiac catheterization examination for measurement of PASP and right atrial mean pressures. IVRt was measured using the myocardial velocities by pulsed DTI at both basal and mid cavity segments of the RV free wall. As diastolic time intervals are influenced by heart rate IVRt was corrected for heart rate (IVRt/RR%). A significant correlation was found between PASP and regional IVRt/RR% at both the basal (r = 0·42, P<0·05) and mid cavity segment (r = 0·71, P<0·001). Furthermore, when only patients with normal right atrial pressures (<7 mmHg) were taken into account, the correlation coefficient improved at both basal and mid cavity segments (r = 0·74, P<0·05 and r = 0·83, P<0·01).Conclusion: Pulsed Doppler‐derived IVRt correlates well with PASP. The use of pulsed DTI for measurement of IVRt is simple, reproducible and easy to obtain. We propose this method as an additional non‐invasive tool in the assessment of PASP.
Adult, Echocardiography, Doppler, Pulsed, Male, Cardiac Catheterization, Time Factors, Heart Diseases, Ventricular Dysfunction, Right, Diagnostic Techniques, Cardiovascular, Hemodynamics, Blood Pressure, Middle Aged, Pulmonary Artery, Nomograms, Diastole, Ventricular Function, Right, Feasibility Studies, Humans, Female, Aged
Adult, Echocardiography, Doppler, Pulsed, Male, Cardiac Catheterization, Time Factors, Heart Diseases, Ventricular Dysfunction, Right, Diagnostic Techniques, Cardiovascular, Hemodynamics, Blood Pressure, Middle Aged, Pulmonary Artery, Nomograms, Diastole, Ventricular Function, Right, Feasibility Studies, Humans, Female, Aged
citations This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | 33 | |
popularity This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network. | Top 10% | |
influence This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | Top 10% | |
impulse This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network. | Average |