Doppler evaluation of patients with constrictive pericarditis: Use of tricuspid regurgitation velocity curves to determine enhanced ventricular interaction
Objectives. This study sought to examine the value of analyzing Doppler echocardiographically derived tricuspid regurgitation signals during respiration in relation to the diagnosis of constrictive pericarditis. Background. A physiologic hallmark of constrictive pericarditis is enhanced ventricular...
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| Veröffentlicht in: | Journal of the American College of Cardiology 1996-09, Vol.28 (3), p.652-657 |
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| creator | Klodas, Elizabeth Nishimura, Rick A. Appleton, Christopher P. Redfield, Margaret M. Oh, Jae K. |
| description | Objectives. This study sought to examine the value of analyzing Doppler echocardiographically derived tricuspid regurgitation signals during respiration in relation to the diagnosis of constrictive pericarditis.
Background. A physiologic hallmark of constrictive pericarditis is enhanced ventricular interdependence, which produces reciprocal changes in right and left ventricular filling and ejection dynamics during the respiratory cycle. It was hypothesized that these changes could be detected noninvasively by analyzing Doppler echocardiographically derived tricuspid regurgitation signals and that this information could assist in noninvasively diagnosing constrictive pericarditis.
Methods. Simultaneous Doppler echocardiography and catheterization studies of the right and left sides of the heart with high fidelity pressure manometers were performed in 5 patients with surgically confirmed constrictive pericarditis and 12 patients (control subjects) with heart failure due to other causes.
Results. Changes observed in tricuspid regurgitation Doppler echocardiographic variables from onset to peak inspiration in patients with constrictive pericarditis were significantly different from those in control subjects. Mean (±SD) percent change in maximal tricuspid regurgitation velocity was 13% ± 6% and −8% ± 7% in the constrictive pericarditis and control groups, respectively (p < 0.0001); mean percent change in tricupsid regurgitation signal duration was 18% ± 2% and −2% ± 7%, respectively (p < 0.0001); mean percent change in tricuspid regurgitation time velocity integral was 27% ± 15% and −10% ± 12%, respectively (p < 0.0001).
Conclusions. Respiratory changes in Doppler echocardiographically derived tricuspid regurgitation peak velocity and velocity duration are increased in patients with constrictive pericarditis and may be helpful in diagnosing this condition noninvasively. |
| doi_str_mv | 10.1016/0735-1097(96)00198-2 |
| format | Article |
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Background. A physiologic hallmark of constrictive pericarditis is enhanced ventricular interdependence, which produces reciprocal changes in right and left ventricular filling and ejection dynamics during the respiratory cycle. It was hypothesized that these changes could be detected noninvasively by analyzing Doppler echocardiographically derived tricuspid regurgitation signals and that this information could assist in noninvasively diagnosing constrictive pericarditis.
Methods. Simultaneous Doppler echocardiography and catheterization studies of the right and left sides of the heart with high fidelity pressure manometers were performed in 5 patients with surgically confirmed constrictive pericarditis and 12 patients (control subjects) with heart failure due to other causes.
Results. Changes observed in tricuspid regurgitation Doppler echocardiographic variables from onset to peak inspiration in patients with constrictive pericarditis were significantly different from those in control subjects. Mean (±SD) percent change in maximal tricuspid regurgitation velocity was 13% ± 6% and −8% ± 7% in the constrictive pericarditis and control groups, respectively (p < 0.0001); mean percent change in tricupsid regurgitation signal duration was 18% ± 2% and −2% ± 7%, respectively (p < 0.0001); mean percent change in tricuspid regurgitation time velocity integral was 27% ± 15% and −10% ± 12%, respectively (p < 0.0001).
Conclusions. Respiratory changes in Doppler echocardiographically derived tricuspid regurgitation peak velocity and velocity duration are increased in patients with constrictive pericarditis and may be helpful in diagnosing this condition noninvasively.</description><identifier>ISSN: 0735-1097</identifier><identifier>EISSN: 1558-3597</identifier><identifier>DOI: 10.1016/0735-1097(96)00198-2</identifier><identifier>PMID: 8772752</identifier><identifier>CODEN: JACCDI</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Aged ; Biological and medical sciences ; Blood Flow Velocity ; Cardiac Catheterization ; Cardiac Output, Low - diagnostic imaging ; Cardiac Output, Low - etiology ; Cardiology. Vascular system ; Cardiovascular system ; Diseases of the pericardium ; Echocardiography, Doppler ; Female ; Heart ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; Male ; Medical sciences ; Middle Aged ; Pericarditis, Constrictive - complications ; Pericarditis, Constrictive - diagnostic imaging ; Pericarditis, Constrictive - physiopathology ; Prospective Studies ; Tricuspid Valve Insufficiency - complications ; Tricuspid Valve Insufficiency - diagnostic imaging ; Tricuspid Valve Insufficiency - physiopathology ; Ultrasonic investigative techniques ; Ventricular Function</subject><ispartof>Journal of the American College of Cardiology, 1996-09, Vol.28 (3), p.652-657</ispartof><rights>1996</rights><rights>1996 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c398t-ed75832a8a81057f04f064690d0e6e08158bc16701b42e11531e791d1c2f25013</citedby><cites>FETCH-LOGICAL-c398t-ed75832a8a81057f04f064690d0e6e08158bc16701b42e11531e791d1c2f25013</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/0735109796001982$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3203975$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8772752$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Klodas, Elizabeth</creatorcontrib><creatorcontrib>Nishimura, Rick A.</creatorcontrib><creatorcontrib>Appleton, Christopher P.</creatorcontrib><creatorcontrib>Redfield, Margaret M.</creatorcontrib><creatorcontrib>Oh, Jae K.</creatorcontrib><title>Doppler evaluation of patients with constrictive pericarditis: Use of tricuspid regurgitation velocity curves to determine enhanced ventricular interaction</title><title>Journal of the American College of Cardiology</title><addtitle>J Am Coll Cardiol</addtitle><description>Objectives. This study sought to examine the value of analyzing Doppler echocardiographically derived tricuspid regurgitation signals during respiration in relation to the diagnosis of constrictive pericarditis.
Background. A physiologic hallmark of constrictive pericarditis is enhanced ventricular interdependence, which produces reciprocal changes in right and left ventricular filling and ejection dynamics during the respiratory cycle. It was hypothesized that these changes could be detected noninvasively by analyzing Doppler echocardiographically derived tricuspid regurgitation signals and that this information could assist in noninvasively diagnosing constrictive pericarditis.
Methods. Simultaneous Doppler echocardiography and catheterization studies of the right and left sides of the heart with high fidelity pressure manometers were performed in 5 patients with surgically confirmed constrictive pericarditis and 12 patients (control subjects) with heart failure due to other causes.
Results. Changes observed in tricuspid regurgitation Doppler echocardiographic variables from onset to peak inspiration in patients with constrictive pericarditis were significantly different from those in control subjects. Mean (±SD) percent change in maximal tricuspid regurgitation velocity was 13% ± 6% and −8% ± 7% in the constrictive pericarditis and control groups, respectively (p < 0.0001); mean percent change in tricupsid regurgitation signal duration was 18% ± 2% and −2% ± 7%, respectively (p < 0.0001); mean percent change in tricuspid regurgitation time velocity integral was 27% ± 15% and −10% ± 12%, respectively (p < 0.0001).
Conclusions. Respiratory changes in Doppler echocardiographically derived tricuspid regurgitation peak velocity and velocity duration are increased in patients with constrictive pericarditis and may be helpful in diagnosing this condition noninvasively.</description><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Blood Flow Velocity</subject><subject>Cardiac Catheterization</subject><subject>Cardiac Output, Low - diagnostic imaging</subject><subject>Cardiac Output, Low - etiology</subject><subject>Cardiology. Vascular system</subject><subject>Cardiovascular system</subject><subject>Diseases of the pericardium</subject><subject>Echocardiography, Doppler</subject><subject>Female</subject><subject>Heart</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Pericarditis, Constrictive - complications</subject><subject>Pericarditis, Constrictive - diagnostic imaging</subject><subject>Pericarditis, Constrictive - physiopathology</subject><subject>Prospective Studies</subject><subject>Tricuspid Valve Insufficiency - complications</subject><subject>Tricuspid Valve Insufficiency - diagnostic imaging</subject><subject>Tricuspid Valve Insufficiency - physiopathology</subject><subject>Ultrasonic investigative techniques</subject><subject>Ventricular Function</subject><issn>0735-1097</issn><issn>1558-3597</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1996</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc1u1DAUhS0EKtPCG4DkBUJlEbh2xrHdBRIqv1IlNnRteeyb1igTB9sJ6rPwsjjMaJasfK3z3aOrcwh5weAtA9a9A9mKhoGWl7p7A8C0avgjsmFCqKYVWj4mmxPylJzn_BMAOsX0GTlTUnIp-Ib8-RinacBEcbHDbEuII409neqEY8n0dyj31MUxlxRcCQvSCetkkw8l5Ct6m3HlV3XOU_A04d2c7kI5WC04RBfKA3VzWjDTEqnHgmkfRqQ43tvRoa_U-M9gsImGscrWrdvPyJPeDhmfH98Lcvv504_rr83N9y_frj_cNK7VqjTopVAtt8oqBkL2sO2h23YaPGCHoJhQO8c6CWy35ciYaBlKzTxzvOcCWHtBXh98pxR_zZiL2YfscBjsiHHORioulVC8gtsD6FLMOWFvphT2Nj0YBmbtxKyBmzVwo-tn7cSsay-P_vNuj_60dCyh6q-Ous3ODn2qqYR8wloOrZaiYu8PGNYsloDJZFdLqgGGhK4YH8P_7_gLhRqrwQ</recordid><startdate>19960901</startdate><enddate>19960901</enddate><creator>Klodas, Elizabeth</creator><creator>Nishimura, Rick A.</creator><creator>Appleton, Christopher P.</creator><creator>Redfield, Margaret M.</creator><creator>Oh, Jae K.</creator><general>Elsevier Inc</general><general>Elsevier Science</general><scope>6I.</scope><scope>AAFTH</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19960901</creationdate><title>Doppler evaluation of patients with constrictive pericarditis: Use of tricuspid regurgitation velocity curves to determine enhanced ventricular interaction</title><author>Klodas, Elizabeth ; Nishimura, Rick A. ; Appleton, Christopher P. ; Redfield, Margaret M. ; Oh, Jae K.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c398t-ed75832a8a81057f04f064690d0e6e08158bc16701b42e11531e791d1c2f25013</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1996</creationdate><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Blood Flow Velocity</topic><topic>Cardiac Catheterization</topic><topic>Cardiac Output, Low - diagnostic imaging</topic><topic>Cardiac Output, Low - etiology</topic><topic>Cardiology. Vascular system</topic><topic>Cardiovascular system</topic><topic>Diseases of the pericardium</topic><topic>Echocardiography, Doppler</topic><topic>Female</topic><topic>Heart</topic><topic>Humans</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Pericarditis, Constrictive - complications</topic><topic>Pericarditis, Constrictive - diagnostic imaging</topic><topic>Pericarditis, Constrictive - physiopathology</topic><topic>Prospective Studies</topic><topic>Tricuspid Valve Insufficiency - complications</topic><topic>Tricuspid Valve Insufficiency - diagnostic imaging</topic><topic>Tricuspid Valve Insufficiency - physiopathology</topic><topic>Ultrasonic investigative techniques</topic><topic>Ventricular Function</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Klodas, Elizabeth</creatorcontrib><creatorcontrib>Nishimura, Rick A.</creatorcontrib><creatorcontrib>Appleton, Christopher P.</creatorcontrib><creatorcontrib>Redfield, Margaret M.</creatorcontrib><creatorcontrib>Oh, Jae K.</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the American College of Cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Klodas, Elizabeth</au><au>Nishimura, Rick A.</au><au>Appleton, Christopher P.</au><au>Redfield, Margaret M.</au><au>Oh, Jae K.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Doppler evaluation of patients with constrictive pericarditis: Use of tricuspid regurgitation velocity curves to determine enhanced ventricular interaction</atitle><jtitle>Journal of the American College of Cardiology</jtitle><addtitle>J Am Coll Cardiol</addtitle><date>1996-09-01</date><risdate>1996</risdate><volume>28</volume><issue>3</issue><spage>652</spage><epage>657</epage><pages>652-657</pages><issn>0735-1097</issn><eissn>1558-3597</eissn><coden>JACCDI</coden><abstract>Objectives. This study sought to examine the value of analyzing Doppler echocardiographically derived tricuspid regurgitation signals during respiration in relation to the diagnosis of constrictive pericarditis.
Background. A physiologic hallmark of constrictive pericarditis is enhanced ventricular interdependence, which produces reciprocal changes in right and left ventricular filling and ejection dynamics during the respiratory cycle. It was hypothesized that these changes could be detected noninvasively by analyzing Doppler echocardiographically derived tricuspid regurgitation signals and that this information could assist in noninvasively diagnosing constrictive pericarditis.
Methods. Simultaneous Doppler echocardiography and catheterization studies of the right and left sides of the heart with high fidelity pressure manometers were performed in 5 patients with surgically confirmed constrictive pericarditis and 12 patients (control subjects) with heart failure due to other causes.
Results. Changes observed in tricuspid regurgitation Doppler echocardiographic variables from onset to peak inspiration in patients with constrictive pericarditis were significantly different from those in control subjects. Mean (±SD) percent change in maximal tricuspid regurgitation velocity was 13% ± 6% and −8% ± 7% in the constrictive pericarditis and control groups, respectively (p < 0.0001); mean percent change in tricupsid regurgitation signal duration was 18% ± 2% and −2% ± 7%, respectively (p < 0.0001); mean percent change in tricuspid regurgitation time velocity integral was 27% ± 15% and −10% ± 12%, respectively (p < 0.0001).
Conclusions. Respiratory changes in Doppler echocardiographically derived tricuspid regurgitation peak velocity and velocity duration are increased in patients with constrictive pericarditis and may be helpful in diagnosing this condition noninvasively.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>8772752</pmid><doi>10.1016/0735-1097(96)00198-2</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Aged Biological and medical sciences Blood Flow Velocity Cardiac Catheterization Cardiac Output, Low - diagnostic imaging Cardiac Output, Low - etiology Cardiology. Vascular system Cardiovascular system Diseases of the pericardium Echocardiography, Doppler Female Heart Humans Investigative techniques, diagnostic techniques (general aspects) Male Medical sciences Middle Aged Pericarditis, Constrictive - complications Pericarditis, Constrictive - diagnostic imaging Pericarditis, Constrictive - physiopathology Prospective Studies Tricuspid Valve Insufficiency - complications Tricuspid Valve Insufficiency - diagnostic imaging Tricuspid Valve Insufficiency - physiopathology Ultrasonic investigative techniques Ventricular Function |
| title | Doppler evaluation of patients with constrictive pericarditis: Use of tricuspid regurgitation velocity curves to determine enhanced ventricular interaction |
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