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Doppler evaluation of systolic and diastolic heart failure in patients with cardiomyopathy.
J Cardiol 2001; 37 Suppl 1:103-7JC

Abstract

BACKGROUND AND OBJECTIVES

Analysis of transmitral flow with Doppler echocardiography can currently evaluate left ventricular diastolic function noninvasively and easily. In addition, measurement of pulmonary venous flow and left atrial appendage flow clarifies not only left ventricular diastolic function but also left atrial systolic function in patients with left ventricular systolic failure and diastolic failure.

METHODS AND RESULTS

Doppler echocardiography was used to investigate the differences in left ventricular diastolic dysfunction. In patients with systolic heart failure, left atrial dysfunction due to afterload mismatch to the left ventricle was related to the reduction of transmitral atrial filling wave in a restrictive pattern. In contrast, in patients with diastolic heart failure, transmitral flow seldom indicated a restrictive pattern because left atrial systolic function was preserved even with high pulmonary wedge pressure.

CONCLUSIONS

Left ventricular diastolic dysfunction is somewhat distinct between patients with left ventricular systolic failure and patients with left ventricular diastolic failure. Atrial reversal flow in pulmonary vein has the potential to predict left ventricular filling pressure in patients with diastolic failure.

Authors+Show Affiliations

Third Division, Department of Internal Medicine, Osaka Medical College, Daigaku-cho 2-7, Takatsuki, Osaka 569-8686, Japan.No affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

11433812

Citation

Suwa, M, and T Ito. "Doppler Evaluation of Systolic and Diastolic Heart Failure in Patients With Cardiomyopathy." Journal of Cardiology, vol. 37 Suppl 1, 2001, pp. 103-7.
Suwa M, Ito T. Doppler evaluation of systolic and diastolic heart failure in patients with cardiomyopathy. J Cardiol. 2001;37 Suppl 1:103-7.
Suwa, M., & Ito, T. (2001). Doppler evaluation of systolic and diastolic heart failure in patients with cardiomyopathy. Journal of Cardiology, 37 Suppl 1, pp. 103-7.
Suwa M, Ito T. Doppler Evaluation of Systolic and Diastolic Heart Failure in Patients With Cardiomyopathy. J Cardiol. 2001;37 Suppl 1:103-7. PubMed PMID: 11433812.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Doppler evaluation of systolic and diastolic heart failure in patients with cardiomyopathy. AU - Suwa,M, AU - Ito,T, PY - 2001/7/4/pubmed PY - 2001/8/3/medline PY - 2001/7/4/entrez SP - 103 EP - 7 JF - Journal of cardiology JO - J Cardiol VL - 37 Suppl 1 N2 - BACKGROUND AND OBJECTIVES: Analysis of transmitral flow with Doppler echocardiography can currently evaluate left ventricular diastolic function noninvasively and easily. In addition, measurement of pulmonary venous flow and left atrial appendage flow clarifies not only left ventricular diastolic function but also left atrial systolic function in patients with left ventricular systolic failure and diastolic failure. METHODS AND RESULTS: Doppler echocardiography was used to investigate the differences in left ventricular diastolic dysfunction. In patients with systolic heart failure, left atrial dysfunction due to afterload mismatch to the left ventricle was related to the reduction of transmitral atrial filling wave in a restrictive pattern. In contrast, in patients with diastolic heart failure, transmitral flow seldom indicated a restrictive pattern because left atrial systolic function was preserved even with high pulmonary wedge pressure. CONCLUSIONS: Left ventricular diastolic dysfunction is somewhat distinct between patients with left ventricular systolic failure and patients with left ventricular diastolic failure. Atrial reversal flow in pulmonary vein has the potential to predict left ventricular filling pressure in patients with diastolic failure. SN - 0914-5087 UR - https://www.unboundmedicine.com/medline/citation/11433812/Doppler_evaluation_of_systolic_and_diastolic_heart_failure_in_patients_with_cardiomyopathy_ L2 - http://www.diseaseinfosearch.org/result/1090 DB - PRIME DP - Unbound Medicine ER -