Calculation of aortic valve area by Doppler echocardiography: a direct application of the continuity equation.

Abstract:

:The continuity equation suggests that a ratio of velocities at two different cardiac valves is inversely proportional to the ratio of cross-sectional areas of the valves. To determine whether a ratio of mitral/aortic valve orifice velocities is useful in determining aortic valve area in patients with aortic stenosis, 10 control subjects and 22 patients with predominant aortic stenosis were examined by Doppler echocardiography. The ratio of (mean diastolic mitral velocity)/(mean systolic aortic velocity), (Vm)/(Va), and the ratio of (mitral diastolic velocity-time integral)/(aortic systolic velocity-time integral), (VTm)/(VTa), were determined from Doppler spectral recordings. Aortic valve area determined at catheterization by the Gorlin equation was the standard of reference. High-quality Doppler recordings were obtained in 30 of 32 subjects (94%). Catheterization documented valve areas of 0.5 to 2.6 (mean 1.1) cm2. There was good correlation between Doppler-determined (Vm)/(Va) and Gorlin valve area (r = .90, SEE = 0.23 cm2); a better correlation was noted between (VTm)/(VTa) and Gorlin valve area (r = .93, SEE = 0.18 cm2). The data demonstrate the usefulness of Doppler alone in the determination of aortic valve area in adults with absent or mild aortic or mitral regurgitation and no mitral stenosis. Although the use of mean velocity and velocity-time integral ratios requires accurate measurement of mitral and aortic velocities, it does not require squaring of these velocities or measurement of the cross-sectional area of flow.

journal_name

Circulation

journal_title

Circulation

authors

Richards KL,Cannon SR,Miller JF,Crawford MH

doi

10.1161/01.cir.73.5.964

subject

Has Abstract

pub_date

1986-05-01 00:00:00

pages

964-9

issue

5

eissn

0009-7322

issn

1524-4539

journal_volume

73

pub_type

杂志文章
  • Heat shock treatment enhances graft cell survival in skeletal myoblast transplantation to the heart.

    abstract:BACKGROUND:Graft survival after skeletal myoblast transplantation is affected by various pathological processes caused by environmental stress. Heat shock is known to afford protection of several aspects of cell metabolism and function. We hypothesized that prior heat shock treatment of graft cells would improve their ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.102.suppl_3.iii-216

    authors: Suzuki K,Smolenski RT,Jayakumar J,Murtuza B,Brand NJ,Yacoub MH

    更新日期:2000-11-07 00:00:00

  • Right heart function during left heart assist and the effects of volume loading in a canine preparation.

    abstract::A significant fraction of patients in whom mechanical left ventricular assist devices are implanted for refractory cardiac failure after open heart surgery have had the complication of right heart failure. To evaluate the effects of left ventricular assistance and pressure unloading on right ventricular function, we p...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.70.4.708

    authors: Farrar DJ,Compton PG,Dajee H,Fonger JD,Hill JD

    更新日期:1984-10-01 00:00:00

  • Kinetics of electrophysiologic changes during oral loading of amiodarone and after withdrawal of amiodarone in the unsedated dog.

    abstract::We examined the temporal kinetics of onset and offset of the cardiac electrophysiologic effects of orally administered amiodarone in chronically instrumented, unsedated adult dogs (n = 8). Right atrial (RA), atrioventricular nodal (AVN), and right ventricular (RV) effective refractory period (ERP), and AVN functional ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.72.6.1380

    authors: Tuna IC,Qi AC,Gornick C,Bolman RM 3rd,Benditt DG

    更新日期:1985-12-01 00:00:00

  • Serum antibodies against Chlamydia pneumoniae outer membrane protein cross-react with the heavy chain of immunoglobulin in the wall of abdominal aortic aneurysms.

    abstract:BACKGROUND:Chlamydia pneumoniae (Cp) has been demonstrated in arteries and abdominal aortic aneurysms (AAAs). However, the validity of the methods used is questioned, and antibiotic treatment trials have thus far shown disappointing results. Nevertheless, antibodies against the Cp outer membrane proteins (OMPs) have be...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000127772.58427.7E

    authors: Lindholt JS,Støvring J,Østergaard L,Urbonavicius S,Henneberg EW,Honoré B,Vorum H

    更新日期:2004-05-04 00:00:00

  • Antianginal and antiischemic effects of ivabradine, an I(f) inhibitor, in stable angina: a randomized, double-blind, multicentered, placebo-controlled trial.

    abstract:BACKGROUND:Heart rate reduction should benefit patients with chronic stable angina by improving myocardial perfusion and reducing myocardial oxygen demand. This study evaluated the antianginal and antiischemic effects of ivabradine, a new heart rate-lowering agent that acts specifically on the sinoatrial node. METHODS...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1161/01.cir.0000048143.25023.87

    authors: Borer JS,Fox K,Jaillon P,Lerebours G,Ivabradine Investigators Group.

    更新日期:2003-02-18 00:00:00

  • Early detection of canine myocardial infarction by magnetic resonance imaging in vivo.

    abstract::This study was undertaken to assess the ability of proton magnetic resonance imaging (MRI) to detect myocardial ischemia shortly after coronary artery occlusion. Fifteen dogs were studied before and serially for up to 6 hr after anterior descending or circumflex coronary artery ligation in vivo by gated MRI with a 0.1...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.71.3.587

    authors: Pflugfelder PW,Wisenberg G,Prato FS,Carroll SE,Turner KL

    更新日期:1985-03-01 00:00:00

  • Altered age-related blood pressure pattern in type 1 diabetes.

    abstract:BACKGROUND:Pulse pressure (PP) increases with age as a result of arterial stiffening and is a powerful predictor of cardiovascular disease. Type 1 diabetes is associated with excessive cardiovascular mortality and increased arterial stiffness. We examined whether the age-related blood pressure changes in type 1 diabeti...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000139903.29522.8D

    authors: Rönnback M,Fagerudd J,Forsblom C,Pettersson-Fernholm K,Reunanen A,Groop PH,Finnish Diabetic Nephropathy (FinnDiane) Study Group.

    更新日期:2004-08-31 00:00:00

  • Adenovirus-mediated VEGF(121) gene transfer stimulates angiogenesis in normoperfused skeletal muscle and preserves tissue perfusion after induction of ischemia.

    abstract:BACKGROUND:Administration of angiogenic factors stimulates neovascularization in ischemic tissues. However, there is no evidence that angiogenesis can be induced in normoperfused skeletal muscles. We tested the hypothesis that adenovirus-mediated intramuscular (IM) gene transfer of the 121-amino-acid form of vascular e...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.102.5.565

    authors: Gowdak LH,Poliakova L,Wang X,Kovesdi I,Fishbein KW,Zacheo A,Palumbo R,Straino S,Emanueli C,Marrocco-Trischitta M,Lakatta EG,Anversa P,Spencer RG,Talan M,Capogrossi MC

    更新日期:2000-08-01 00:00:00

  • Efficacy of dopamine, dobutamine, and epinephrine during emergence from cardiopulmonary bypass in man.

    abstract::Hemodynamic effects of dobutamine and dopamine (both 5, 10, 15 microgram/kg/min) and epinephrine (0.04 microgram/kg/min) were studied immediately following cessation of cardiopulmonary bypass in 34 patients with preoperative evidence of left ventricular dysfunction. Significant increases in mean cardiac index were see...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.57.2.378

    authors: Steen PA,Tinker JH,Pluth JR,Barnh;rst DA,Tarhan S

    更新日期:1978-02-01 00:00:00

  • Hemodynamic and exercise performance with pulsatile and continuous-flow left ventricular assist devices.

    abstract:BACKGROUND:Continuous-flow rotary pumps with axial design are increasingly used for left ventricular assist support. The efficacy of this design compared with pulsatile, volume displacement pumps, with respect to characteristics of left ventricular unloading, and exercise performance remains largely unstudied. METHODS...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.106.677898

    authors: Haft J,Armstrong W,Dyke DB,Aaronson KD,Koelling TM,Farrar DJ,Pagani FD

    更新日期:2007-09-11 00:00:00

  • Results of Prevention of REStenosis with Tranilast and its Outcomes (PRESTO) trial.

    abstract:BACKGROUND:Restenosis after percutaneous coronary intervention (PCI) is a major problem affecting 15% to 30% of patients after stent placement. No oral agent has shown a beneficial effect on restenosis or on associated major adverse cardiovascular events. In limited trials, the oral agent tranilast has been shown to de...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1161/01.cir.0000028335.31300.da

    authors: Holmes DR Jr,Savage M,LaBlanche JM,Grip L,Serruys PW,Fitzgerald P,Fischman D,Goldberg S,Brinker JA,Zeiher AM,Shapiro LM,Willerson J,Davis BR,Ferguson JJ,Popma J,King SB 3rd,Lincoff AM,Tcheng JE,Chan R,Granett JR,P

    更新日期:2002-09-03 00:00:00

  • The isovolumic contraction time of the left ventricle. An echographic study.

    abstract::The echographic isovolumic contraction time (ICT) of the left ventricle (LV) was measured in order to assess alterations of LV performance in children with various forms of cardiac disease. The echographic ICT was defined as the interval between coaptation of the anterior and posterior mitral valve leaflets and aortic...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.54.5.751

    authors: Hirschfeld S,Meyer R,Korfhagen J,Kaplan S,Liebman J

    更新日期:1976-11-01 00:00:00

  • Differential effects of a segment of slow conduction on reentrant ventricular tachycardia in the rabbit heart.

    abstract:BACKGROUND:The purpose of this study was to compare differential effects of a segment of slow conduction during ventricular tachycardia (VT) due to depression of the action potential and electrical uncoupling. METHODS AND RESULTS:In 33 Langendorff-perfused rabbit hearts, a ring of anisotropic left ventricular subepica...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.99.7.949

    authors: Haberl K,Allessie M

    更新日期:1999-02-23 00:00:00

  • Endocardial carbon-braid electrodes. A new concept for lower defibrillation thresholds.

    abstract:BACKGROUND:In the treatment of patients with life-threatening ventricular arrhythmia, transvenous implantable cardioverter/defibrillators provide significant advantages over devices requiring a thoracotomy. This study tested the hypothesis that a new carbon-fiber electrode, designed at the Technische Universität in Mun...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.92.6.1627

    authors: Alt EU,Fotuhi PC,Callihan RL,Mestre E,Smith WM,Ideker RE

    更新日期:1995-09-15 00:00:00

  • Continuous 24-hour assessment of the neural regulation of systemic arterial pressure and RR variabilities in ambulant subjects.

    abstract::In this study, we tested the hypothesis that the neural control of circulation in humans undergoes continuous but in part predictable changes throughout the day and night. Dynamic 24-hour recordings were obtained in two groups of ambulant subjects. In 18 hospitalized patients free to move, direct high-fidelity arteria...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.81.2.537

    authors: Furlan R,Guzzetti S,Crivellaro W,Dassi S,Tinelli M,Baselli G,Cerutti S,Lombardi F,Pagani M,Malliani A

    更新日期:1990-02-01 00:00:00

  • Residual Inflammatory Risk on Treatment With PCSK9 Inhibition and Statin Therapy.

    abstract:BACKGROUND:The combination of statin therapy and PCSK9 (proprotein convertase subtilisin/kexin type 9) inhibition markedly lowers low-density lipoprotein cholesterol (LDL-C) and reduces cardiovascular event rates. Whether residual inflammatory risk as measured by on-treatment high sensitivity C-reactive protein (hsCRP)...

    journal_title:Circulation

    pub_type: 杂志文章,随机对照试验

    doi:10.1161/CIRCULATIONAHA.118.034645

    authors: Pradhan AD,Aday AW,Rose LM,Ridker PM

    更新日期:2018-07-10 00:00:00

  • Vascular injury, repair, and restenosis after percutaneous transluminal angioplasty in the atherosclerotic rabbit.

    abstract:BACKGROUND:Several nonatherosclerotic animal models of restenosis exist and are used for the evaluation of the vascular response to angioplasty-induced injury. However, few studies have evaluated the response of an atherosclerotic vessel to angioplasty. The present study examined the radiographic, histological, immunoh...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.92.10.2995

    authors: Wilensky RL,March KL,Gradus-Pizlo I,Sandusky G,Fineberg N,Hathaway DR

    更新日期:1995-11-15 00:00:00

  • Exercise-induced ST-segment depression in patients without restenosis after coronary angioplasty. Relation to preprocedural impaired left ventricular function.

    abstract:BACKGROUND:ST-segment depression during exercise testing is frequently observed in the absence of restenosis after coronary angioplasty. METHODS AND RESULTS:We studied the determinants of this phenomenon in 70 consecutive patients with unstable angina related to a single left anterior descending coronary artery lesion...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.90.1.148

    authors: Beregi JP,Bauters C,McFadden EP,Quandalle P,Bertrand ME,Lablanche JM

    更新日期:1994-07-01 00:00:00

  • Infarct size, myocardial hemorrhage, and recovery of function after mechanical versus pharmacological reperfusion: effects of lytic state and occlusion time.

    abstract:BACKGROUND:Whether myocardial reperfusion obtained with thrombolysis or primary angioplasty is associated with a similar recovery of function and with the same risk of hemorrhagic infarction is unknown. We evaluated the effects of mechanical and pharmacological reperfusion (with or without a plasma lytic state) on infa...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.96.2.659

    authors: Pislaru SV,Barrios L,Stassen T,Jun L,Pislaru C,Van de Werf F

    更新日期:1997-07-15 00:00:00

  • Smoking is associated with epicardial coronary endothelial dysfunction and elevated white blood cell count in patients with chest pain and early coronary artery disease.

    abstract:BACKGROUND:Smoking is a major risk factor for cardiovascular events. One of the potential mechanisms may be related to both coronary endothelial dysfunction and increased inflammatory response. The present study was designed to test the hypothesis that smoking is associated with epicardial coronary endothelial dysfunct...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.106.641654

    authors: Lavi S,Prasad A,Yang EH,Mathew V,Simari RD,Rihal CS,Lerman LO,Lerman A

    更新日期:2007-05-22 00:00:00

  • Exercise performance after pediatric heart transplantation.

    abstract:BACKGROUND:Children awaiting heart transplantation have severe limitations in their ability to exercise. The purpose of this study was to assess exercise capacity after pediatric heart transplantation and to identify factors influencing exercise performance. METHODS AND RESULTS:Progressive cycle ergometry testing was ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Hsu DT,Garofano RP,Douglas JM,Michler RE,Quaegebeur JM,Gersony WM,Addonizio LJ

    更新日期:1993-11-01 00:00:00

  • Proprotein convertase subtilisin kexin type 9 promotes intestinal overproduction of triglyceride-rich apolipoprotein B lipoproteins through both low-density lipoprotein receptor-dependent and -independent mechanisms.

    abstract:BACKGROUND:Proprotein convertase subtilisin kexin type 9 (PCSK9) promotes the degradation of the low-density lipoprotein (LDL) receptor (LDLR), and its deficiency in humans results in low plasma LDL cholesterol and protection against coronary heart disease. Recent evidence indicates that PCSK9 also modulates the metabo...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.113.006720

    authors: Rashid S,Tavori H,Brown PE,Linton MF,He J,Giunzioni I,Fazio S

    更新日期:2014-07-29 00:00:00

  • Elderly patients with acute coronary syndromes managed without revascularization: insights into the safety of long-term dual antiplatelet therapy with reduced-dose prasugrel versus standard-dose clopidogrel.

    abstract:BACKGROUND:Dual antiplatelet therapy in older versus younger patients with acute coronary syndromes is understudied. Low-dose prasugrel (5 mg/d) is recommended for younger, lower-body-weight patients and elderly patients with acute coronary syndromes to mitigate the bleeding risk of standard-dose prasugrel (10 mg/d). ...

    journal_title:Circulation

    pub_type: 杂志文章,随机对照试验

    doi:10.1161/CIRCULATIONAHA.113.002303

    authors: Roe MT,Goodman SG,Ohman EM,Stevens SR,Hochman JS,Gottlieb S,Martinez F,Dalby AJ,Boden WE,White HD,Prabhakaran D,Winters KJ,Aylward PE,Bassand JP,McGuire DK,Ardissino D,Fox KA,Armstrong PW

    更新日期:2013-08-20 00:00:00

  • Q fever endocarditis in Queensland.

    abstract::Thirteen patients with proven Q fever endocarditis and three additional patients with probable endocarditis are reviewed. The most helpful diagnostic test is the demonstration of a high complement fixing antibody titre to Phase 1 antigen of Coxiella burneti. The macroscopic pathology of the aortic valve is described a...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.53.4.680

    authors: Wilson HG,Neilson GH,Galea EG,Stafford G,O'Brien MF

    更新日期:1976-04-01 00:00:00

  • Cholesterol Efflux Capacity, High-Density Lipoprotein Particle Number, and Incident Cardiovascular Events: An Analysis From the JUPITER Trial (Justification for the Use of Statins in Prevention: An Intervention Trial Evaluating Rosuvastatin).

    abstract:BACKGROUND:Recent failures of drugs that raised high-density lipoprotein (HDL) cholesterol levels to reduce cardiovascular events in clinical trials have led to increased interest in alternative indices of HDL quality, such as cholesterol efflux capacity, and HDL quantity, such as HDL particle number. However, no studi...

    journal_title:Circulation

    pub_type: 杂志文章,随机对照试验

    doi:10.1161/CIRCULATIONAHA.116.025678

    authors: Khera AV,Demler OV,Adelman SJ,Collins HL,Glynn RJ,Ridker PM,Rader DJ,Mora S

    更新日期:2017-06-20 00:00:00

  • Plasma HDL cholesterol, triglycerides, and adiposity. A quantitative genetic test of the conjoint trait hypothesis in the San Antonio Family Heart Study.

    abstract:BACKGROUND:The conjoint trait hypothesis proposes that combined low HDL cholesterol (HDL-C) and high triglyceride (TG) levels represent a single, inherited phenotype that adiposity may influence in an unspecified manner. We conducted formal statistical genetic tests of the conjoint trait hypothesis and the relation of ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.92.11.3240

    authors: Mahaney MC,Blangero J,Comuzzie AG,VandeBerg JL,Stern MP,MacCluer JW

    更新日期:1995-12-01 00:00:00

  • Dynamic changes in regulatory T cells are linked to levels of diet-induced hypercholesterolemia.

    abstract:BACKGROUND:Regulatory T cells (Treg) are present in atherosclerotic lesions and can modulate disease. In this study we characterized changes in Treg responses associated with prolonged hypercholesterolemia and lesion progression. METHODS AND RESULTS:Low-density lipoprotein receptor null mice in which Treg express gree...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.110.006411

    authors: Maganto-García E,Tarrio ML,Grabie N,Bu DX,Lichtman AH

    更新日期:2011-07-12 00:00:00

  • Infarct tissue heterogeneity by magnetic resonance imaging identifies enhanced cardiac arrhythmia susceptibility in patients with left ventricular dysfunction.

    abstract:BACKGROUND:The extent of the peri-infarct zone by magnetic resonance imaging (MRI) has been related to all-cause mortality in patients with coronary artery disease. This relationship may result from arrhythmogenesis in the infarct border. However, the relationship between tissue heterogeneity in the infarct periphery a...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章

    doi:10.1161/CIRCULATIONAHA.106.653568

    authors: Schmidt A,Azevedo CF,Cheng A,Gupta SN,Bluemke DA,Foo TK,Gerstenblith G,Weiss RG,Marbán E,Tomaselli GF,Lima JA,Wu KC

    更新日期:2007-04-17 00:00:00

  • Assessment of atherosclerosis in chronic granulomatous disease.

    abstract:BACKGROUND:Patients with chronic granulomatous disease (CGD) experience immunodeficiency because of defects in the phagocyte NADPH oxidase and the concomitant reduction in reactive oxygen intermediates. This may result in a reduction in atherosclerotic injury. METHODS AND RESULTS:We prospectively assessed the prevalen...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.113.006824

    authors: Sibley CT,Estwick T,Zavodni A,Huang CY,Kwan AC,Soule BP,Long Priel DA,Remaley AT,Rudman Spergel AK,Turkbey EB,Kuhns DB,Holland SM,Malech HL,Zarember KA,Bluemke DA,Gallin JI

    更新日期:2014-12-02 00:00:00

  • Thrombin-induced mitogenesis in coronary artery smooth muscle cells is potentiated by thromboxane A2 and involves upregulation of thromboxane receptor mRNA.

    abstract:BACKGROUND:Previous studies have shown that thrombin is a potent though slow-acting mitogen for vascular smooth muscle cells (SMC). Because thrombin generation in vivo is accompanied by platelet activation, it has been suggested that platelet-derived factors might enhance thrombin-induced SMC proliferation. No informat...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.97.6.589

    authors: Zucker TP,Bönisch D,Muck S,Weber AA,Bretschneider E,Glusa E,Schrör K

    更新日期:1998-02-17 00:00:00