Title
Assessment of left ventricular function in severe aortic regurgitation
UMMS Affiliation
Department of Medicine, Division of Cardiovascular Medicine
Publication Date
1976-12-01
Document Type
Article
Subjects
Adolescent; Adult; Aged; Aortic Valve Insufficiency; *Cineangiography; *Echocardiography; Female; Heart Ventricles; *Hemodynamics; Humans; Male; Middle Aged
Disciplines
Cardiology | Cardiovascular Diseases | Cardiovascular System | Diagnosis
Abstract
Echocardiographic (echo) measurements of left ventricular ejection phase indices--ejection fraction, percent shortening of the minor diameter (%deltaD), and velocity of circumferential fiber shortening (Vcf)--are said to be accurate reflections of their angiographic (angio) counterparts. Most studies correlating echo and angio left ventricular function parameters have included relatively few patients with aortic regurgitation. Echo and angio measurements of left ventricular ejection phase indices thus might not correlate in these patients in whom left ventricular geometry may have been altered due to the volume overload. To test this hypothesis, left ventricular ejection phase indices were determined by angiography and echocardiography and compared in 20 patients with isolated, symptomatic, severe aortic regurgitation. Ejection fraction, %deltaD, and Vcf by LAO cineangiograms and echo were uniformly higher than corresponding measurements from RAO angio, and were often normal in the presence of other indicators of significant left ventricular dysfunction. We conclude that the usual, linear echocardiographic measurement of left ventricular wall motion may not reflect significant myocardial dysfunction in patients with severe aortic regurgitation.
DOI of Published Version
10.1161/01.cir.54.6.975
Source
Circulation. 1976 Dec;54(6):975-9.
Journal/Book/Conference Title
Circulation
Related Resources
PubMed ID
991414
Repository Citation
Johnson AD, Alpert JS, Francis GS, Vieweg VR, Ockene IS, Hagan AD. (1976). Assessment of left ventricular function in severe aortic regurgitation. Cardiovascular Medicine Publications. https://doi.org/10.1161/01.cir.54.6.975. Retrieved from https://escholarship.umassmed.edu/cardio_pp/21