1167: Relationships Between Mitral Annulus Movement Velocities and Pulmonary Venous Flow Velocity of Atrial Reversal in the Patients with Left Ventricular Diastolic Dysfunction

2009 ◽  
Vol 35 (8) ◽  
pp. S144
Author(s):  
Yi-lin Liu
2020 ◽  
Vol 7 (1) ◽  
pp. 3-6
Author(s):  
AKM Mohiuddin Bhuiyan ◽  
KAM Mahbub Hasan ◽  
Partho Pratim Saha ◽  
HEM Rejwanur Rahman ◽  
Zakia Sultana ◽  
...  

Background: The pattern of pulmonary venous flow due to left ventricular diastolic dysfunction is important among impaired glucose tolerance patients. Objectives: The purpose of the present study was to observe the pulmonary venous flow pattern due to left ventricular diastolic dysfunction among impaired glucose tolerance patients. Methodology: This cross sectional study was carried out in the Department of Cardiology at Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh from July 2005 to June 2007. Impaired glucose tolerance (IGT) patients attending Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorders, Dhaka, Bangladesh were included in this study as group A. The apparently healthy persons without cardiovascular disease were taken as group B. All the study subjects underwent 2D and M-mode echocardiography. Result: Doppler pulmonary inflow parameters of group A and group B showed no statistically' significant difference in peak S-wave (46.42+10.06 vs 51.20±8.34 cm/s, P>0.05), peak D-wave (34.86±8.01 vs 40.48±5.77 cm/s, P>0.05) and S/D, ratio (1.35±0.21 vs 1.20±0.13, P>0.05). Doppler pulmonary inflow parameters were compared between left ventricular diastolic dysfunction present and absent in group A which showed no statistically significant differences in peak S-wave (p>0.01), peak D-wave (p>0.50), S/D ratio (p>0.05). Conclusion: In conclusion the pulmonary venous flow pattern is significantly difference due to left ventricular diastolic dysfunction among impaired glucose tolerance patients. Journal of Current and Advance Medical Research 2020;7(1): 3-6


2016 ◽  
Vol 12 (1) ◽  
pp. 14-18
Author(s):  
Shankar Laudari ◽  
Sachin Dhungel ◽  
Pradip Jung KC ◽  
Guru Prasad ◽  
Rabindra Bhattacharya ◽  
...  

CORRECTION: The conclusion on the PDF of this article was replaced on 17th April 2016. The corrected PDF is now available by clicking on the link below.Background & Objectives: Ectopic Left ventricular diastolic dysfunction is now well established as a cause of left sided heart failure and as a powerful predictor of cardiovascular events. It is attributed mostly to systemic hypertension. The objective of the study was to determine the prevalence of left ventricular diastolic dysfunction in recently diagnosed hypertensives in Nepalese population using echocardiography. Materials & Methods: Two-dimensional echocardiography was performed on 120 newly diagnosed patients of systemic hypertension. Transmitral Doppler indexes of diastolic function, Valsalva maneuver applied to the same mitral inflow pattern, pulsed tissue Doppler of the mitral annulus, deceleration time, isovolumic relaxation time and pulmonary venous flow pattern.Results: The age of the patients in our study ranged from 20 to 84 years with mean age of 50years±14.13 years (standard deviation) and male:female ratio being 1.35:1. Hypertensive patients were highest in age group 45-64 years followed by 25-44 years in both the genders. Majority of the patients had stage 1 hypertension (44.16%) followed by stage 2 HTN in 34.17% and pre-hypertension in 21.67%. The majority of the patients in our study had Grade 1 LVDD (66.67%), 10.83% patients had Grade II LVDD, only 2.50% had non-restrictive Grade III LVDD and none had LVDD-IV. Stage II hypertensives had more LVDD(I+II+III): 39/41-95.12% than stage I hypertensives(39/53-73.58%) and pre-hypertensives (8/26-30.77%). The association between stages of systemic HTN and LVDD was found to be highly statistically significant (p=0.002). Conclusion: Our study showed that left ventricular diastolic dysfunction is a common entity in Nepalese population with systemic hypertension.JCMS Nepal. 2016;12(1):14-18.


2013 ◽  
Vol 40 (9) ◽  
pp. 1572-1577 ◽  
Author(s):  
Zhang Lu ◽  
Qiao Wei ◽  
Zu Ning ◽  
Zhao Qian-Zi ◽  
Shu Xiao-Ming ◽  
...  

Objective.To investigate early cardiac involvement in patients with polymyositis/dermatomyositis (PM/DM), and to evaluate the risk factors for early cardiac impairment.Methods.The study population included 46 patients with PM/DM who did not have overt cardiovascular manifestations and 21 age- and sex-matched healthy controls. Traditional echocardiography and tissue Doppler imaging (TDI) were used to evaluate cardiac function in both groups. Clinical characteristics were recorded. Multivariate logistics regression analysis was applied to investigate risk factors for early cardiac impairment in patients with PM/DM.Results.No significant difference was found between patients and controls by traditional echocardiography. However, compared to controls, PM/DM patients had a significantly lower ratio of early diastolic mitral annulus velocity to late diastolic mitral annulus velocity (Em/Am; 1.23 ± 0.52, 1.79 ± 0.37, respectively; t = −4.485, p < 0.001) and a higher ratio of peak early diastolic transmitral flow velocity to Em (E/Em; 8.26 ± 2.57, 6.76 ± 1.17; t = 3.287, p < 0.05) as found by TDI measurements. There was no significant difference between the TDI variables of patients with PM and DM. The multivariate regression analysis showed that female sex (OR 11.044, 95% CI 1.066–114.357, p = 0.044), late onset (OR 1.157, 95% CI 1.047–1.278, p = 0.004), and duration of disease (OR 1.060, 95% CI 1.008–1.115, p = 0.023) were risk factors for abnormal left ventricular filling pressures.Conclusion.TDI is useful for detecting early cardiac impairment in patients with PM/DM. Left ventricular diastolic dysfunction is an early feature of cardiac involvement. Female sex, late onset, and long course of disease are 3 independent risk factors for predicting left ventricular diastolic dysfunction in patients with PM/DM.


2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
P. M. Kolo ◽  
E. O. Sanya ◽  
A. B. Omotoso ◽  
A. Soladoye ◽  
J. A. Ogunmodede

Contribution of left ventricular diastolic dysfunction to adverse events in patients with cardiovascular diseases is increasingly being recognized and individuals with pedigree for hypertension are thought to exhibit anatomic and or functional changes in their left ventricle before they become hypertensive. This study aimed at characterizing left ventricular diastolic function in normotensive offspring of hypertensive Nigerians. Sixty-five offspring of hypertensive parents aged 15–25 years (subjects) with 65-age and sex-matched offspring of normotensive parents (controls) were studied for early makers of hypertensive cardiovascular disease using Doppler echocardiogram. Mean mitral E velocity was reduced () in the subjects ( cm/s) compared with the controls ( cm/s). Similarly, mean S velocity of pulmonary venous flow was lower () in the subjects than in the controls. Left atrial dimension and mitral E/A ratio in the subjects with left ventricular hypertrophy were higher (, 0.004 respectively) than in the subjects without this abnormality. We concluded that normotensive offspring of hypertensive Nigerians showed early alterations in indexes of left ventricular diastolic filling and these abnormalities were exaggerated in the presence of left ventricular hypertrophy.


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