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[Doppler echocardiography diagnosis and classification of the degree of aortic valve insufficiency in patients with aortic stenoses and mitral valve diseases].
Z Kardiol. 1986 Sep; 75(9):522-7.ZK

Abstract

To test the capacity of pulsed Doppler echocardiography in the detection and quantification of aortic regurgitation, 64 consecutive patients with aortic and mitral valve disease were examined clinically and by echocardiography before cardiac catheterization. The severity of aortic regurgitation was determined angiographically (I-IV) and compared with the extent of the regurgitant jet in the left ventricle measured by pulsed Doppler echocardiography. In 15 of 64 patients neither angiography nor pulsed Doppler echocardiography showed aortic regurgitation (specificity 100%). Apart from 3 patients with poor echo quality pulsed Doppler echocardiography correctly detected aortic regurgitation in 46 of 49 patients (sensitivity 94%). Clinical examination (63%) and M-mode echocardiography (63%) were significantly less sensitive than Doppler echocardiography (p less than 0.001). The pulsed Doppler echocardiographic degree of aortic regurgitation correlated strongly with angiography (corrected contingency coefficient 0.91). In patients with severe aortic stenosis (systolic gradient greater than 50 mm Hg) aortic regurgitation I was slightly overestimated by pulsed Doppler echocardiography (p less than 0.003). Differentiation of aortic regurgitation III and IV was not possible. Mitral valve disease did not affect quantification of aortic regurgitation (n = 23).

Authors

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Pub Type(s)

English Abstract
Journal Article

Language

ger

PubMed ID

3788259

Citation

Dittmann, H, et al. "[Doppler Echocardiography Diagnosis and Classification of the Degree of Aortic Valve Insufficiency in Patients With Aortic Stenoses and Mitral Valve Diseases]." Zeitschrift Fur Kardiologie, vol. 75, no. 9, 1986, pp. 522-7.
Dittmann H, Karsch KR, Seipel L. [Doppler echocardiography diagnosis and classification of the degree of aortic valve insufficiency in patients with aortic stenoses and mitral valve diseases]. Z Kardiol. 1986;75(9):522-7.
Dittmann, H., Karsch, K. R., & Seipel, L. (1986). [Doppler echocardiography diagnosis and classification of the degree of aortic valve insufficiency in patients with aortic stenoses and mitral valve diseases]. Zeitschrift Fur Kardiologie, 75(9), 522-7.
Dittmann H, Karsch KR, Seipel L. [Doppler Echocardiography Diagnosis and Classification of the Degree of Aortic Valve Insufficiency in Patients With Aortic Stenoses and Mitral Valve Diseases]. Z Kardiol. 1986;75(9):522-7. PubMed PMID: 3788259.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Doppler echocardiography diagnosis and classification of the degree of aortic valve insufficiency in patients with aortic stenoses and mitral valve diseases]. AU - Dittmann,H, AU - Karsch,K R, AU - Seipel,L, PY - 1986/9/1/pubmed PY - 1986/9/1/medline PY - 1986/9/1/entrez SP - 522 EP - 7 JF - Zeitschrift fur Kardiologie JO - Z Kardiol VL - 75 IS - 9 N2 - To test the capacity of pulsed Doppler echocardiography in the detection and quantification of aortic regurgitation, 64 consecutive patients with aortic and mitral valve disease were examined clinically and by echocardiography before cardiac catheterization. The severity of aortic regurgitation was determined angiographically (I-IV) and compared with the extent of the regurgitant jet in the left ventricle measured by pulsed Doppler echocardiography. In 15 of 64 patients neither angiography nor pulsed Doppler echocardiography showed aortic regurgitation (specificity 100%). Apart from 3 patients with poor echo quality pulsed Doppler echocardiography correctly detected aortic regurgitation in 46 of 49 patients (sensitivity 94%). Clinical examination (63%) and M-mode echocardiography (63%) were significantly less sensitive than Doppler echocardiography (p less than 0.001). The pulsed Doppler echocardiographic degree of aortic regurgitation correlated strongly with angiography (corrected contingency coefficient 0.91). In patients with severe aortic stenosis (systolic gradient greater than 50 mm Hg) aortic regurgitation I was slightly overestimated by pulsed Doppler echocardiography (p less than 0.003). Differentiation of aortic regurgitation III and IV was not possible. Mitral valve disease did not affect quantification of aortic regurgitation (n = 23). SN - 0300-5860 UR - https://www.unboundmedicine.com/medline/citation/3788259/[Doppler_echocardiography_diagnosis_and_classification_of_the_degree_of_aortic_valve_insufficiency_in_patients_with_aortic_stenoses_and_mitral_valve_diseases]_ DB - PRIME DP - Unbound Medicine ER -