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Diagnosis and evaluation of mitral valve disease using transseptal Doppler ultrasound catheterization

In 33 patients with confirmed mitral valve disease, the mitral valve flow velocity traces were recorded by means of a directional Doppler ultrasonic velocimeter using the transseptal route, and correlated with the clinical and haemodynamic data. In all cases, characteristic anomalies of the mitral f... Full description

Journal Title: British Heart Journal 1975-03, Vol.37 (3), p.257-271
Main Author: Kalmanson, D
Other Authors: Veyrat, C , Bernier, A , Savier, C H , Chiche, P , Witchitz, S
Format: Electronic Article Electronic Article
Language: English
Subjects:
Quelle: Alma/SFX Local Collection
Publisher: England: BMJ Publishing Group Ltd and British Cardiovascular Society
ID: ISSN: 0007-0769
Link: https://www.ncbi.nlm.nih.gov/pubmed/1138730
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recordid: cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_483964
title: Diagnosis and evaluation of mitral valve disease using transseptal Doppler ultrasound catheterization
format: Article
creator:
  • Kalmanson, D
  • Veyrat, C
  • Bernier, A
  • Savier, C H
  • Chiche, P
  • Witchitz, S
subjects:
  • Abridged Index Medicus
  • Adult
  • Aged
  • Blood Flow Velocity
  • Cardiac Catheterization - methods
  • cardiovascular system
  • Female
  • Heart Septum
  • Hemodynamics
  • Humans
  • Male
  • Middle Aged
  • Mitral Valve - physiopathology
  • Mitral Valve Insufficiency - complications
  • Mitral Valve Insufficiency - diagnosis
  • Mitral Valve Insufficiency - physiopathology
  • Mitral Valve Stenosis - complications
  • Mitral Valve Stenosis - diagnosis
  • Mitral Valve Stenosis - physiopathology
  • Research Article
  • Ultrasonography
ispartof: British Heart Journal, 1975-03, Vol.37 (3), p.257-271
description: In 33 patients with confirmed mitral valve disease, the mitral valve flow velocity traces were recorded by means of a directional Doppler ultrasonic velocimeter using the transseptal route, and correlated with the clinical and haemodynamic data. In all cases, characteristic anomalies of the mitral flow velocity patterns were noted and could be related to the type of lesion, stenosis, regurgitation, or a combination of these. Furthermore, specific patterns of the flow velocity traces were shown to correlate satisfactorily with the degree of severity of the disease. The authors propose a pathophysiological interpretation of the anomalies of the velocity patterns, based on turbulence for stenosis and backward flow wave for regurgitation. They conclude that the transseptal directional Doppler catheterization provides a new reliable method for establishing the diagnosis and grading the severity of mitral valve disease using pattern recognition, and, moreover, offers a new approach to the understanding of mitral haemodynamic disturbances on a beat-to-beat basis.
language: eng
source: Alma/SFX Local Collection
identifier: ISSN: 0007-0769
fulltext: fulltext
issn:
  • 0007-0769
  • 1355-6037
  • 1468-201X
  • 2053-5864
url: Link


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descriptionIn 33 patients with confirmed mitral valve disease, the mitral valve flow velocity traces were recorded by means of a directional Doppler ultrasonic velocimeter using the transseptal route, and correlated with the clinical and haemodynamic data. In all cases, characteristic anomalies of the mitral flow velocity patterns were noted and could be related to the type of lesion, stenosis, regurgitation, or a combination of these. Furthermore, specific patterns of the flow velocity traces were shown to correlate satisfactorily with the degree of severity of the disease. The authors propose a pathophysiological interpretation of the anomalies of the velocity patterns, based on turbulence for stenosis and backward flow wave for regurgitation. They conclude that the transseptal directional Doppler catheterization provides a new reliable method for establishing the diagnosis and grading the severity of mitral valve disease using pattern recognition, and, moreover, offers a new approach to the understanding of mitral haemodynamic disturbances on a beat-to-beat basis.
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subjectAbridged Index Medicus ; Adult ; Aged ; Blood Flow Velocity ; Cardiac Catheterization - methods ; cardiovascular system ; Female ; Heart Septum ; Hemodynamics ; Humans ; Male ; Middle Aged ; Mitral Valve - physiopathology ; Mitral Valve Insufficiency - complications ; Mitral Valve Insufficiency - diagnosis ; Mitral Valve Insufficiency - physiopathology ; Mitral Valve Stenosis - complications ; Mitral Valve Stenosis - diagnosis ; Mitral Valve Stenosis - physiopathology ; Research Article ; Ultrasonography
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descriptionIn 33 patients with confirmed mitral valve disease, the mitral valve flow velocity traces were recorded by means of a directional Doppler ultrasonic velocimeter using the transseptal route, and correlated with the clinical and haemodynamic data. In all cases, characteristic anomalies of the mitral flow velocity patterns were noted and could be related to the type of lesion, stenosis, regurgitation, or a combination of these. Furthermore, specific patterns of the flow velocity traces were shown to correlate satisfactorily with the degree of severity of the disease. The authors propose a pathophysiological interpretation of the anomalies of the velocity patterns, based on turbulence for stenosis and backward flow wave for regurgitation. They conclude that the transseptal directional Doppler catheterization provides a new reliable method for establishing the diagnosis and grading the severity of mitral valve disease using pattern recognition, and, moreover, offers a new approach to the understanding of mitral haemodynamic disturbances on a beat-to-beat basis.
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abstractIn 33 patients with confirmed mitral valve disease, the mitral valve flow velocity traces were recorded by means of a directional Doppler ultrasonic velocimeter using the transseptal route, and correlated with the clinical and haemodynamic data. In all cases, characteristic anomalies of the mitral flow velocity patterns were noted and could be related to the type of lesion, stenosis, regurgitation, or a combination of these. Furthermore, specific patterns of the flow velocity traces were shown to correlate satisfactorily with the degree of severity of the disease. The authors propose a pathophysiological interpretation of the anomalies of the velocity patterns, based on turbulence for stenosis and backward flow wave for regurgitation. They conclude that the transseptal directional Doppler catheterization provides a new reliable method for establishing the diagnosis and grading the severity of mitral valve disease using pattern recognition, and, moreover, offers a new approach to the understanding of mitral haemodynamic disturbances on a beat-to-beat basis.
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