Non-invasive automated assessment of the ratio of pulmonary to systemic flow in patients with atrial septal defects by the colour Doppler velocity profile integration method
Background: The recent introduction of the automated cardiac flow measurement (ACM) method, using spatiotemporal integration of the Doppler velocity profile, provides a quick and accurate automated calculation of cardiac output. Objective: To evaluate the ACM method against oximetry during cardiac c...
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Published in | Heart (British Cardiac Society) Vol. 88; no. 3; pp. 278 - 282 |
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Main Authors | , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
London
BMJ Publishing Group Ltd and British Cardiovascular Society
01.09.2002
BMJ BMJ Publishing Group LTD Copyright 2002 by Heart |
Subjects | |
Online Access | Get full text |
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Summary: | Background: The recent introduction of the automated cardiac flow measurement (ACM) method, using spatiotemporal integration of the Doppler velocity profile, provides a quick and accurate automated calculation of cardiac output. Objective: To evaluate the ACM method against oximetry during cardiac catheterisation for estimating the Qp/Qs (pulmonary to systemic flow) ratio in patients with an atrial septal defect. Methods: Left and right ventricular stroke volume (LVSV, RVSV) were calculated by ACM in 22 patients with an atrial septal defect who underwent cardiac catheterisation and in 11 patients without heart disease (control group). With ACM, the Qp/Qs ratio was estimated from RVSV divided by LVSV. In the patients with an atrial septal defect, the Qp/Qs ratio was assessed by oximetry at the time of cardiac catheterisation. Results: There was a good correlation between LVSV and RVSV obtained by ACM in the control group (r = 0.98, y = 0.97x + 0.25, SEE = 2.9 ml). The mean difference between LVSV and RVSV by ACM was −1.25 (2.76) ml. The Qp/Qs ratio obtained by ACM in the control group was 0.98 (0.06). The Qp/Qs ratio in patients with an atrial septal defect was significantly higher than in the control group (3.11 (1.20), p < 0.001). ACM determination of the Qp/Qs ratio correlated well with oximetry determination (r = 0.86, y = 0.75x + 0.55, SEE = 0.64). The mean difference between ACM and oximetry for the measurement of the Qp/Qs ratio was −0.28 (0.69). Conclusions: The newly developed ACM method is clinically useful for non-invasive automated estimations of the Qp/Qs ratio in patients with an atrial septal defect. |
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Bibliography: | istex:8BDE9C3CFF99F6A59D187425222FA2485B3DAA48 href:heartjnl-88-278.pdf PMID:12181223 ark:/67375/NVC-1HNST4KN-T Correspondence to: Dr Takeshi Hozumi, Department of Internal Medicine and Cardiology, Osaka City University School of Medicine, 1-4-3 Asahimachi, Abeno-ku, Osaka 545-8585, Japan; thozumi@med.osaka-cu.ac.jp local:0880278 ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 Correspondence to: Dr Takeshi Hozumi, Department of Internal Medicine and Cardiology, Osaka City University School of Medicine, 1-4-3 Asahimachi, Abeno-ku, Osaka 545-8585, Japan; thozumi@med.osaka-cu.ac.jp |
ISSN: | 1355-6037 1468-201X |
DOI: | 10.1136/heart.88.3.278 |