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Schwammenthal E, Popescu BA, Popescu AC, Di Segni E, Guetta V, Rath S, Eldar M, Feinberg MS. 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. The American Journal of Cardiology, 94, pp. 488-491, 2004.

Abstract: Among 90 consecutive patients with various degrees of left ventricular (LV) dysfunction (normals, LV hypertrophy, LV ejection fraction < 50%, and < 30%), mitral valve pulsed-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.

Keywords: left ventricular diastolic function, filling pressures, pulmonary congestion, echocardiography

Posted by Bogdan Alexandru Popescu

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