Association of left ventricular filling parameters assessed by pulsed wave Doppler and color M-mode Doppler echocardiography with left ventricular pathology, pulmonary congestion, and left ventricular end-diastolic pressure.

Am J Cardiol 2004 Aug;94(4):488-91

Heart Institute, Sheba Medical Center, Tel Hashomer 52621, Israel.

Among 90 consecutive patients with various degrees of left ventricular (LV) dysfunction (normal patients, LV hypertrophy, LV ejection fraction <50%, and <30%), the mitral valve pulse-wave E/A ratio showed a characteristic U-shaped curve with increasing severity of LV dysfunction. In contrast, there was a significant progressive decrease in flow propagation velocity of the E-wave (Vp) and a significant increase in E/Vp values with increasing severity of LV dysfunction. The E/Vp ratio was the best predictor of pulmonary congestion, and in a subgroup of patients who underwent cardiac catheterization, it was the only significant predictor of LV end-diastolic pressure.

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Source
http://linkinghub.elsevier.com/retrieve/pii/S000291490400716
Publisher Site
http://dx.doi.org/10.1016/j.amjcard.2004.04.065DOI Listing
August 2004

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