Echocardiographic features of atrial septal defect
Echocardiographic studies were performed on 39 adult patients with atrial septal defects. Findings were compared with those from normal subjects, patients with other congenital left-to-right shunts (ventricular septal defect and patent ductus arteriosus), patients with uncomplicated right ventricula...
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Veröffentlicht in: | Circulation (New York, N.Y.) N.Y.), 1971-01, Vol.43 (1), p.129-135 |
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creator | Diamond, M A Dillon, J C Haine, C L Chang, S Feigenbaum, H |
description | Echocardiographic studies were performed on 39 adult patients with atrial septal defects. Findings were compared with those from normal subjects, patients with other congenital left-to-right shunts (ventricular septal defect and patent ductus arteriosus), patients with uncomplicated right ventricular pressure overload (pulmonic stenosis and pulmonary hypertension), and patients with pulmonary hypertension complicated by tricuspid regurgitation. Two echocardiographic features were assessed: 1) a right ventricular dimension, or RVD Index, representing the distance between the right ventricular epicardial echoes and echoes from the right side of the interventricular septum divided by the patient's body surface area, and 2) motion of the interventricular septum.
The increased RVD Index and abnormal septal motion observed in the patients with atrial septal defects provided an ultrasound complex that could clearly separate these patients from normal individuals, those with ventricular septal defect and patent ductus arteriosus, and those with uncomplicated right ventricular pressure overload. However, patients with tricuspid regurgitation could not be differentiated from the group with atrial septal defects, indicating that this echocardiographic complex reflected a volume overload of the right ventricle. |
doi_str_mv | 10.1161/01.CIR.43.1.129 |
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The increased RVD Index and abnormal septal motion observed in the patients with atrial septal defects provided an ultrasound complex that could clearly separate these patients from normal individuals, those with ventricular septal defect and patent ductus arteriosus, and those with uncomplicated right ventricular pressure overload. However, patients with tricuspid regurgitation could not be differentiated from the group with atrial septal defects, indicating that this echocardiographic complex reflected a volume overload of the right ventricle.</description><identifier>ISSN: 0009-7322</identifier><identifier>EISSN: 1524-4539</identifier><identifier>DOI: 10.1161/01.CIR.43.1.129</identifier><identifier>PMID: 5540846</identifier><language>eng</language><publisher>United States</publisher><subject>Adolescent ; Adult ; Diagnosis, Differential ; Ductus Arteriosus, Patent - diagnosis ; Echocardiography ; Female ; Heart Septal Defects, Atrial - diagnosis ; Heart Septal Defects, Ventricular - diagnosis ; Humans ; Hypertension, Pulmonary ; Male ; Middle Aged ; Pulmonary Heart Disease - diagnosis ; Tricuspid Valve Stenosis - diagnosis ; Ultrasonography</subject><ispartof>Circulation (New York, N.Y.), 1971-01, Vol.43 (1), p.129-135</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c373t-b8804de3b931dd1d148e740f49801afd43ba67de1f598b22615c112dedab90953</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,3688,27929,27930</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/5540846$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Diamond, M A</creatorcontrib><creatorcontrib>Dillon, J C</creatorcontrib><creatorcontrib>Haine, C L</creatorcontrib><creatorcontrib>Chang, S</creatorcontrib><creatorcontrib>Feigenbaum, H</creatorcontrib><title>Echocardiographic features of atrial septal defect</title><title>Circulation (New York, N.Y.)</title><addtitle>Circulation</addtitle><description>Echocardiographic studies were performed on 39 adult patients with atrial septal defects. Findings were compared with those from normal subjects, patients with other congenital left-to-right shunts (ventricular septal defect and patent ductus arteriosus), patients with uncomplicated right ventricular pressure overload (pulmonic stenosis and pulmonary hypertension), and patients with pulmonary hypertension complicated by tricuspid regurgitation. Two echocardiographic features were assessed: 1) a right ventricular dimension, or RVD Index, representing the distance between the right ventricular epicardial echoes and echoes from the right side of the interventricular septum divided by the patient's body surface area, and 2) motion of the interventricular septum.
The increased RVD Index and abnormal septal motion observed in the patients with atrial septal defects provided an ultrasound complex that could clearly separate these patients from normal individuals, those with ventricular septal defect and patent ductus arteriosus, and those with uncomplicated right ventricular pressure overload. However, patients with tricuspid regurgitation could not be differentiated from the group with atrial septal defects, indicating that this echocardiographic complex reflected a volume overload of the right ventricle.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Diagnosis, Differential</subject><subject>Ductus Arteriosus, Patent - diagnosis</subject><subject>Echocardiography</subject><subject>Female</subject><subject>Heart Septal Defects, Atrial - diagnosis</subject><subject>Heart Septal Defects, Ventricular - diagnosis</subject><subject>Humans</subject><subject>Hypertension, Pulmonary</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Pulmonary Heart Disease - diagnosis</subject><subject>Tricuspid Valve Stenosis - diagnosis</subject><subject>Ultrasonography</subject><issn>0009-7322</issn><issn>1524-4539</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1971</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kM9LwzAYhoMoc07PnoSevLXLlx9tcpQxdTAQRM8hTb64Smtr0h78761seHp54Xnfw0PILdACoIQ1hWKzey0EL6AAps_IEiQTuZBcn5MlpVTnFWfsklyl9DnXkldyQRZSCqpEuSRs6w69s9E3_Ue0w6FxWUA7ThFT1ofMjrGxbZZwGOfwGNCN1-Qi2DbhzSlX5P1x-7Z5zvcvT7vNwz53vOJjXitFhUdeaw7egwehsBI0CK0o2OAFr21ZeYQgtaoZK0E6AObR21pTLfmK3B9_h9h_T5hG0zXJYdvaL-ynZBRVpZRKz-D6CLrYpxQxmCE2nY0_Bqj5s2QomNmSEdyAmS3Ni7vT9VR36P_5kxb-CxEvYbk</recordid><startdate>197101</startdate><enddate>197101</enddate><creator>Diamond, M A</creator><creator>Dillon, J C</creator><creator>Haine, C L</creator><creator>Chang, S</creator><creator>Feigenbaum, H</creator><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>197101</creationdate><title>Echocardiographic features of atrial septal defect</title><author>Diamond, M A ; Dillon, J C ; Haine, C L ; Chang, S ; Feigenbaum, H</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c373t-b8804de3b931dd1d148e740f49801afd43ba67de1f598b22615c112dedab90953</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1971</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Diagnosis, Differential</topic><topic>Ductus Arteriosus, Patent - diagnosis</topic><topic>Echocardiography</topic><topic>Female</topic><topic>Heart Septal Defects, Atrial - diagnosis</topic><topic>Heart Septal Defects, Ventricular - diagnosis</topic><topic>Humans</topic><topic>Hypertension, Pulmonary</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Pulmonary Heart Disease - diagnosis</topic><topic>Tricuspid Valve Stenosis - diagnosis</topic><topic>Ultrasonography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Diamond, M A</creatorcontrib><creatorcontrib>Dillon, J C</creatorcontrib><creatorcontrib>Haine, C L</creatorcontrib><creatorcontrib>Chang, S</creatorcontrib><creatorcontrib>Feigenbaum, H</creatorcontrib><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>Circulation (New York, N.Y.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Diamond, M A</au><au>Dillon, J C</au><au>Haine, C L</au><au>Chang, S</au><au>Feigenbaum, H</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Echocardiographic features of atrial septal defect</atitle><jtitle>Circulation (New York, N.Y.)</jtitle><addtitle>Circulation</addtitle><date>1971-01</date><risdate>1971</risdate><volume>43</volume><issue>1</issue><spage>129</spage><epage>135</epage><pages>129-135</pages><issn>0009-7322</issn><eissn>1524-4539</eissn><abstract>Echocardiographic studies were performed on 39 adult patients with atrial septal defects. Findings were compared with those from normal subjects, patients with other congenital left-to-right shunts (ventricular septal defect and patent ductus arteriosus), patients with uncomplicated right ventricular pressure overload (pulmonic stenosis and pulmonary hypertension), and patients with pulmonary hypertension complicated by tricuspid regurgitation. Two echocardiographic features were assessed: 1) a right ventricular dimension, or RVD Index, representing the distance between the right ventricular epicardial echoes and echoes from the right side of the interventricular septum divided by the patient's body surface area, and 2) motion of the interventricular septum.
The increased RVD Index and abnormal septal motion observed in the patients with atrial septal defects provided an ultrasound complex that could clearly separate these patients from normal individuals, those with ventricular septal defect and patent ductus arteriosus, and those with uncomplicated right ventricular pressure overload. However, patients with tricuspid regurgitation could not be differentiated from the group with atrial septal defects, indicating that this echocardiographic complex reflected a volume overload of the right ventricle.</abstract><cop>United States</cop><pmid>5540846</pmid><doi>10.1161/01.CIR.43.1.129</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adolescent Adult Diagnosis, Differential Ductus Arteriosus, Patent - diagnosis Echocardiography Female Heart Septal Defects, Atrial - diagnosis Heart Septal Defects, Ventricular - diagnosis Humans Hypertension, Pulmonary Male Middle Aged Pulmonary Heart Disease - diagnosis Tricuspid Valve Stenosis - diagnosis Ultrasonography |
title | Echocardiographic features of atrial septal defect |
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