Evaluation of Left Ventricular Diastolic Dysfunction in Patients with Coronary Artery Disease: Correlation between Echocardiographic and Hemodynamic Parameters
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 9
Abstract
In patients with coronary heart disease, evaluation of the left ventricular end diastolic pressure (LVEDP) provides assessment of the hemodynamic severity and aids in assessing the prognosis, and in deciding the proper management and therapeutic interventions. It also helps to distinguish this syndrome from other diseases such as pulmonary disease that can result in dyspnoea. The early diastolic doppler indexes derived from transmitral flow velocity curves correlated significantly with LV filling pressures in patients with systolic dysfunction, but the correlation was weak in patients with preserved systolic function. The difference between the pulmonary venous and mitral A durations correlated well with LVEDP in patients with CAD, irrespective of the systolic function. In this study we found echocardiographic doppler derived transmitral and pulmonary venous flow indices can be used as a safe and noninvasive means of predicting the LV filling pressures in patients with coronary artery disease, especially in patients with LV systolic dysfunction, as an alternative to the invasive measurements obtained during cardiac catheterization.
Authors and Affiliations
Lipika Adhikary
Keywords
Related Articles
- EP ID EP523698
- DOI -
- Views 68
- Downloads 0
Comparison of First Attempt Success Rate between Two Insertion Techniques of Proseal Laryngeal Mask Airway
Background: The Pro Seal laryngeal mask airway (ProSeal LMA) is a relatively new laryngeal mask device designed to improve ventilator characteristics and offer protection against aspiration and gastric insufflation. But...
Ocular Manifestation of Moyamoya Disease- Rare Case Report
Moyamoya disease (MMD) is a distinct entity, mostly found in Japan but cases are reported from many parts of the world. It is an angiopathy involving intracranial distal ends of internal carotid arteries (ICA). It may in...
A Rare Coexistence of Partial Agenesis of Corpus Callosum and Diastematomyelia
Corpus callosal agenesis (partial or complete) is a congenital malformation of the brain that is relatively rare and often associated with other anomalies of the central nervous system like Chiari malformation, Dandy Wal...
Effect of Intravenous Administration of Ketorolac As Preventive Analgesia To Pupil In Eye Surgery With General Anesthesia
Background: NSAID (Non steroid anti inflammatory drug ) inhibit cyclooxygenase enzyme and also inhibition of proinflamation prostaglandin (PG). Ketorolac has recommended for a short time use on post operation, not longer...
A Rare Case of Spontaneous Reduction of Adult Appendicular Intussusception with Acute Appendicitis
Appendiceal intussusception is a very rare disease that is found in only 0.01% of patients who have undergone an appendectomy. The term intussusception is defined as invagination of a segment of the gastrointestinal trac...