ASSESSMENT OF DIASTOLIC FUNCTION BY COMBINED TRNSMITRAL AND PULMONARY VENOUS FLOW VELOCITY CURVES
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2014, Vol 3, Issue 14
Abstract
[b]BACKGROUND:[/b] Several clinical studies have reported that 30% to 50% of patients with congestive heart failure have preserved left ventricular systolic function and isolated diastolic dysfunction. Detection of diastolic dysfunction is important factor in cardiac evaluation of hypertensives. [b]MATERIAL AND METHODS[/b]: retrospective study carried out in Medicine department, SIMS, Shimoga for one year from Jan 2013 to Jan 2014. 50 patients who are hypertensive without any abnormality were studied general and systemic examination done, 2d echocardiography done in which transmitral flow velocity (E/A) and pulmonary venous A duration- mitral A duration (∆d) is measured. [b]RESULT:[/b] 32% of subjects were newly diagnosed hypertensives in our study. 56% of cases had normal diastolic function as defined by E/A ratio (>1), 18% of cases in our study with normal E/A ratio were found to have pseudonormal pattern of diastolic function. LVDD of 62% is found in this study. [b]CONCLUSION:[/b] The abnormal diastolic function as assessed by abnormal E/A ratio was seen in 44% of cases. Abnormal ∆d was found in 18% of cases out of 56% who had normal E/A ratio. These cases are said to have ‘pseudonormal’ pattern of diastolic function. The current study demonstrated that the presence of LV diastolic dysfunction in hypertensive patients is actually greater than previously reported by studies that analyzed transmitral flow velocity curves alone. To avoid overlooking patients with diastolic dysfunction, the combined analysis of transmitral and pulmonary venous flow velocity curves is recommended.
Authors and Affiliations
Nagabhushana S, Ranganatha M, Amith Kumar, Virupakshappa
Keywords
Related Articles
- EP ID EP153756
- DOI 10.14260/jemds/2014/2363
- Views 75
- Downloads 0
A COMPARISON OF PAP SMEAR, COLPOSCOPY AND COLPOSCOPY DIRECTED BIOPSY IN EVALUATION OF UNHEALTHY CERVIX
[b]OBJECTIVES[/b]: To obtain Colposcopic directed biopsy from suspicious and abnormal areas on the cervix, to correlate the findings in women with unhealthy cervix by Papsmear, Colposcopy and Histopathological...
DYSLIPIDAEMIA IN CKD PATIENTS AND ITS CORRELATION WITH SEVERITY OF RENAL DYSFUNCTION
BACKGROUND Chronic kidney disease (CKD) is a significant global health problem with significant morbidity and mortality. Dyslipidaemia along with an abnormal apolipoprotein profile and composition is a common complicatio...
ASCARIASIS ENCEPHALOPATHY
PRESENTATION OF CASE A 5-year-old girl presented with complaints of fever for 2 days, no documentation, no diurnal variation, not associated with chills and rigors. Complaints of seizure for 1 day, 3 episodes, in the for...
RISK FACTORS OF PRIMARY LUNG CANCER AMONG FEMALES
BACKGROUND Lung cancer is fast emerging to be a leading cause of cancer mortality, both in developing and developed countries alike. Despite the fact that tobacco smoke is a predominant cause, its increasing incidences a...
DESCRIPTIVE STUDY OF GESTATIONAL DIABETES MELLITUS AND ITS OUTCOME IN A CENTRAL INDIAN HOSPITAL
BACKGROUND Gestational diabetes mellitus is one of the common complications of pregnancy. It has implications for both mother and the baby. Untreated GDM leads to increased perinatal morbidity and mortality. For the moth...