A reassessment of the echocardiogram in mitral stenosis.

Abstract:

:Echocardiographic and cardiac catheterization findings were compared in 61 patients with mitral stenosis without other significant lesions in an attempt to determine the clinical usefulness of echocardiography in the assessment of such patients. There was a poor correlation between the E-F slope on the echocardiogram and the calculated mitral valve area (r = 0.51). A review of reported data relating the E-F slope to mitral valve area indicated that echocardiographic assessment of mitral valve area had low sensitivity and specificity. The amplitude of excursion of the anterior leaflet did not differ significantly in patients undergoing valvotomy and those undergoind valve replacement. The data obtained suggest that while the echocardiogram is a reliable method of diagnosing mitral stenosis, the E-F slope is an unreliable index of the severity of the lesion.

journal_name

Circulation

journal_title

Circulation

authors

Cope GD,Kisslo JA,Johnson ML,Behar VS

doi

10.1161/01.cir.52.4.664

subject

Has Abstract

pub_date

1975-10-01 00:00:00

pages

664-70

issue

4

eissn

0009-7322

issn

1524-4539

journal_volume

52

pub_type

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