TITLE

Pulsed Doppler Assessment of Tricuspid Regurgitation: Usefulness of Regurgitant Signal Patterns for Estimation of Severity

AUTHOR(S)
Carreras, F.; Borrás, X.; Augé, J. M.; Pons-Lladó, G.
PUB. DATE
September 1988
SOURCE
Angiology;Sep1988, Vol. 39 Issue 9, p788
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
A study on the value of pulsed Doppler in the detection and quantitative assessment of tricuspid regurgitation (TR) has been conducted on 33 consecutive adult patients with valvular heart disease. Only 1 patient had to be excluded owing to a technically inadequate Doppler examination. Data for comparison were obtained from a right heart catheterization performed within a twentyfour- hour interval from the Doppler study. Sensitivity and specificity in the detection of the lesion were 88% and 100%, respectively. A previously undescribed pulsed Doppler method for the estimation of the degree of TR was tested, based on the consideration of two distinctive patterns of the regurgitant Doppler signal: type I: a protosystolic regurgitant signal with progressively fading intensity along systole; and type II: a homogeneously intense pansystolic signal. Correlation between these patterns and the angiographic degrees of TR showed that milder lesions correspond to the type I Doppler pattern, whereas significant regurgitations present a type II pattern, this allowing a clinically useful method of assessment of TR.
ACCESSION #
16346142

 

Related Articles

  • Autologous Ross Operation for Congenital Aortic Stenosis. Zhuoming Xu; Chang, Anthony; Fraser Jr., Charles D.; McKenzie, E. Dean // Pediatric Cardiology;Nov2006, Vol. 27 Issue 6, p750 

    Congenital aortic stenosis is a relatively common cardiac anomaly encountered in approximately 5% of all children with heart disease. The Ross procedure is increasingly used for replacement of the aortic valve in children. We report a 12-year-old boy who was born with congenital aortic stenosis...

  • Timing of Aortic Valve Intervention in Pediatric Chronic Aortic Insufficiency. Tretter, Justin; Langsner, Alan // Pediatric Cardiology;Dec2014, Vol. 35 Issue 8, p1321 

    The timing of aortic valve intervention (AVI) in pediatric patients with chronic aortic insufficiency (AI) is largely based on adult experience, which is fraught with uncertainty and controversy. Current adult guidelines in the absence of symptoms use left ventricular (LV) systolic function and...

  • EARLY POST OPERATIVE VALVULAR PATIENT; MODIFIED DEVAGA'S REPAIR FOR MODERATE TO SEVERE TR IS A COST-EFFECTIVE MANEUVER. Ahmad, Shahbaz; Nazeer, Mohsin; Ali, Faisal; Sajid, Muhammad; Riaz, Rehan; Akhtar, Raja Pervaiz // Professional Medical Journal;2015, Vol. 22 Issue 3, p317 

    Rheumatic Heart Disease is affecting the tricuspid valve almost as equally as it affects the other valves of the heart and the fact is that the single valvular disease of the heart is rare in our population. Objectives: To determine the cost effectiveness of modified devagia repair in relief of...

  • Outcomes after balloon dilation of congenital aortic stenosis in children and adolescents. Pedra, Carlos A. C.; Sidhu, Roger; McCrindle, Brian W.; Nykanen, David G.; Justo, Robert N.; Freedom, Robert M.; Benson, Lee N. // Cardiology in the Young;Jun2004, Vol. 14 Issue 3, p315 

    Objectives: To determine the long-term outcomes and risk factors for, reintervention after balloon dilation of congenital aortic stenosis in children aged 6 months or older. Background: Although balloon dilation of congenital aortic stenosis has become a primary therapeutic strategy, few data...

  • Echocardiographic Follow-Up of Children with Isolated Discrete Subaortic Stenosis. Babaoglu, Kadir; Eroglu, Ayse Guler; Oztunç, Funda; Saltık, Levent; Demir, Tevfik; Ahunbay, Gulay; Guzeltas, Alper; Cetin, Gürkan // Pediatric Cardiology;Nov2006, Vol. 27 Issue 6, p699 

    This study evaluates the progression of stenosis, onset and progression of aortic regurgitation (AR), and the results of surgical outcomes in children with isolated discrete subaortic stenosis (SAS). The medical records of 108 patients (mean age, 5.5 ± 3.8 years; range, 3 days to 18 years)...

  • Percutaneous valve-in-valve implantations: importance of knowing the effective internal diameter of bioprosthetic valves. Gopalamurugan, A. B.; Reinthaler, Markus; Mullen, Michael J. // Heart;Nov2013, Vol. 99 Issue 22, p1709 

    The article presents case study of a 64-year-old lady presented with dysfunctional tricuspid valve resulting from severe tricuspid regurgitation. It informs that surgeons proposed percutaneous tricuspid valve-in-valve (VIV) implantation for the patient and the patient has previously implanted a...

  • Management of Moderate Functional Tricuspid Valve Regurgitation at the Time of Pulmonary Valve Replacement: Is Concomitant Tricuspid Valve Repair Necessary? Kogon, Brian; Patel, Manisha; Leong, Traci; McConnell, Michael; Book, Wendy // Pediatric Cardiology;Aug2010, Vol. 31 Issue 6, p843 

    Congenital heart defects with a component of pulmonary stenosis are often palliated in childhood by disrupting the pulmonary valve. Patients often undergo subsequent pulmonary valve replacement (PVR) to protect the heart from the consequences of pulmonary regurgitation. In the presence of...

  • LOW "GRADIENT", LOW FLOW AORTIC STENOSIS. Chambers, John // Heart;Apr2006, Vol. 92 Issue 4, p554 

    The article examines the mechanisms of low gradient, low flow aortic stenosis in Great Britain. The article found that low gradient and low left ventricular ejection fraction can be caused by critical aortic stenosis causing left ventricular impairment. In addition, consideration of the mean...

  • Cardiac Valvular Inflammatory Pseudotumor. Vaideeswar, Pradeep; Patwardhan, Anil M.; Sathe, Pragati A. // Journal of Cardiothoracic Surgery;2008, Vol. 3, Special section p1 

    Inflammatory pseudotumors are quasineoplastic lesions that occur in the lungs as well as other extrapulmonary sites. The heart is an uncommon site of origin. We report a valvular pseudotumor that produced chronic mitral and aortic regurgitation in an elderly woman.

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics