Doppler estimation of left ventricular filling pressure in sinus tachycardia. A new application of tissue doppler imaging.

Abstract:

BACKGROUND:Doppler echocardiography is frequently used to predict filling pressures in normal sinus rhythm, but it is unknown whether it can be applied in sinus tachycardia, with merging of E and A velocities. Tissue Doppler imaging (TDI) can record the mitral annular velocity. The early diastolic velocity (Ea) behaves as a relative load-independent index of left ventricular relaxation, which corrects the influence of relaxation on the transmitral E velocity. METHODS AND RESULTS:We evaluated 100 patients 64+/-12 years old with simultaneous Doppler and invasive hemodynamics. Mitral inflow was classified into 3 patterns: complete merging of E and A velocities (pattern A), discernible velocities with A dominance (B), or E dominance (C). The Doppler data were analyzed at the mitral valve tips for E, acceleration and deceleration times of E, and isovolumic relaxation time. In patterns B and C, the A velocity, E/A ratio, and atrial filling fraction were derived. Pulmonary venous flow velocities were also measured, and TDI was used to acquire Ea and Aa. Weak significant relations were observed between pulmonary capillary wedge pressure (PCWP) and sole parameters of mitral flow, pulmonary venous flow, and annular measurements. These were better for patterns A and C. E/Ea ratio had the strongest relation to PCWP [r=0.86, PCWP=1.55+1.47(E/Ea)], irrespective of the pattern and ejection fraction. This equation was tested prospectively in 20 patients with sinus tachycardia. A strong relation was observed between catheter and Doppler PCWP (r=0.91), with a mean difference of 0.4+/-2.8 mm Hg. CONCLUSIONS:The ratio of transmitral E velocity to Ea can be used to estimate PCWP with reasonable accuracy in sinus tachycardia, even with complete merging of E and A velocities.

journal_name

Circulation

journal_title

Circulation

authors

Nagueh SF,Mikati I,Kopelen HA,Middleton KJ,Quiñones MA,Zoghbi WA

doi

10.1161/01.cir.98.16.1644

subject

Has Abstract

pub_date

1998-10-20 00:00:00

pages

1644-50

issue

16

eissn

0009-7322

issn

1524-4539

journal_volume

98

pub_type

临床试验,杂志文章
  • Role of the sympathetic nervous system in the genesis of ventricular arrhythmia.

    abstract::Activation of the sympathetic nervous system is an important factor in the genesis of ventricular arrhythmias in patients with impaired ventricular function. Such patients have an appropriate substrate that is capable of generating rhythm abnormalities, which may be related to enhanced automaticity, triggered automati...

    journal_title:Circulation

    pub_type: 杂志文章,评审

    doi:

    authors: Podrid PJ,Fuchs T,Candinas R

    更新日期:1990-08-01 00:00:00

  • Defining the transmurality of a chronic myocardial infarction by ultrasonic strain-rate imaging: implications for identifying intramural viability: an experimental study.

    abstract:BACKGROUND:In a correlative functional/histopathologic study, we investigated the regional deformation characteristics of both chronic nontransmural and transmural infarctions before and after a dobutamine challenge. METHODS AND RESULTS:After stenosing copper-coated stent implantation to produce circumflex artery endo...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.0000050146.66577.4b

    authors: Weidemann F,Dommke C,Bijnens B,Claus P,D'hooge J,Mertens P,Verbeken E,Maes A,Van de Werf F,De Scheerder I,Sutherland GR

    更新日期:2003-02-18 00:00:00

  • Mechanisms underlying the antiarrhythmic and arrhythmogenic actions of quinidine in a Purkinje fiber-ischemic gap preparation of reflected reentry.

    abstract::The effects of therapeutic levels of quinidine were studied in an ischemic gap preparation of reflected reentry. The preparation consisted of a Purkinje fiber mounted in a three-compartment chamber. A narrow central compartment was perfused with a solution prepared to mimic the extracellular milieu at a site of ischem...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.73.6.1342

    authors: Shen XT,Antzelevitch C

    更新日期:1986-06-01 00:00:00

  • Effect of baseline or changes in adrenergic activity on clinical outcomes in the beta-blocker evaluation of survival trial.

    abstract:BACKGROUND:Adrenergic activation is thought to be an important determinant of outcome in subjects with chronic heart failure (CHF), but baseline or serial changes in adrenergic activity have not been previously investigated in a large patient sample treated with a powerful antiadrenergic agent. METHODS AND RESULTS:Sys...

    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.0000141297.50027.A4

    authors: Bristow MR,Krause-Steinrauf H,Nuzzo R,Liang CS,Lindenfeld J,Lowes BD,Hattler B,Abraham WT,Olson L,Krueger S,Thaneemit-Chen S,Hare JM,Loeb HS,Domanski MJ,Eichhorn EJ,Zelis R,Lavori P

    更新日期:2004-09-14 00:00:00

  • Trends in Mortality From Ischemic Heart Disease and Cerebrovascular Disease in Europe: 1980 to 2009.

    abstract:BACKGROUND:Trends in cardiovascular mortality across Europe demonstrate significant geographical variation, and an understanding of these trends has a central role in global public health. METHODS AND RESULTS:Ischemic heart disease and cerebrovascular disease age-standardized death rates (as per International Classifi...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.115.018931

    authors: Hartley A,Marshall DC,Salciccioli JD,Sikkel MB,Maruthappu M,Shalhoub J

    更新日期:2016-05-17 00:00:00

  • Eliminating bradyarrhythmias after orthotopic heart transplantation.

    abstract:BACKGROUND:Bradycardia and sinus node dysfunction are common causes of early postoperative morbidity in orthotopic heart transplant recipients and frequently require the use of chronotropic drugs or permanent pacemakers. Several causes have been postulated, including surgical trauma to the sinus node and its blood supp...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Rothman SA,Jeevanandam V,Combs WG,Furukawa S,Hsia HH,Eisen HJ,Buxton AE,Miller JM

    更新日期:1996-11-01 00:00:00

  • Critical role of endogenous thrombospondin-1 in preventing expansion of healing myocardial infarcts.

    abstract:BACKGROUND:Matricellular proteins are extracellular matrix proteins that do not contribute directly to tissue integrity but are capable of modulating cell function. We hypothesized that the matricellular protein thrombospondin (TSP)-1, a potent inhibitor of angiogenesis and activator of transforming growth factor (TGF-...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.104.510354

    authors: Frangogiannis NG,Ren G,Dewald O,Zymek P,Haudek S,Koerting A,Winkelmann K,Michael LH,Lawler J,Entman ML

    更新日期:2005-06-07 00:00:00

  • Double-blind placebo-controlled trial of digoxin in symptomatic paroxysmal atrial fibrillation.

    abstract:BACKGROUND:Digoxin is commonly prescribed in symptomatic paroxysmal atrial fibrillation (AF) but has never been evaluated in this condition. METHODS AND RESULTS:From a multicenter registry, 43 representative patients with frequent symptomatic AF episodes were recruited into a randomized, double-blind crossover compari...

    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.99.21.2765

    authors: Murgatroyd FD,Gibson SM,Baiyan X,O'Nunain S,Poloniecki JD,Ward DE,Malik M,Camm AJ

    更新日期:1999-06-01 00:00:00

  • Sweetened beverage consumption, incident coronary heart disease, and biomarkers of risk in men.

    abstract:BACKGROUND:Sugar-sweetened beverage consumption is associated with weight gain and risk of type 2 diabetes mellitus. Few studies have tested for a relationship with coronary heart disease (CHD) or intermediate biomarkers. The role of artificially sweetened beverages is also unclear. METHODS AND RESULTS:We performed an...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.111.067017

    authors: de Koning L,Malik VS,Kellogg MD,Rimm EB,Willett WC,Hu FB

    更新日期:2012-04-10 00:00:00

  • Reentrant ventricular arrhythmias in the late myocardial infarction period. 9. Electrophysiologic-anatomic correlation of reentrant circuits.

    abstract::We studied isochronal maps of ventricular activation during ventricular arrhythmias induced by programmed premature stimulation in dogs 3-5 days after ligation of the left anterior descending coronary artery. The entire epicardial surface and selective intramural sites were recorded using a computerized multiplexing t...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.67.1.11

    authors: Mehra R,Zeiler RH,Gough WB,El-Sherif N

    更新日期:1983-01-01 00:00:00

  • Intracardiac, intravascular, two-dimensional, high-frequency ultrasound imaging of pulmonary artery and its branches in humans and animals.

    abstract::Intravascular ultrasound imaging is a promising new method for assessing vascular morphology. We evaluated the capability of intravascular ultrasound to quantify pulmonary artery (PA) morphology in vitro and explored the feasibility of in vivo PA imaging in animals and humans. In the in vitro study of 15 PA segments, ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.81.6.2007

    authors: Pandian NG,Weintraub A,Kreis A,Schwartz SL,Konstam MA,Salem DN

    更新日期:1990-06-01 00:00:00

  • Late survival and symptoms after repair of tetralogy of Fallot.

    abstract::The long-term results of 414 patients who underwent repair of tetralogy of Fallot between 1967 and 1977 were studied and correlated with the results of others. There were nine late deaths (8-year actuarial survival 95.8%). Six of the deaths wee directly related to the malformation or its treatment. Eight patients (2.4...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.65.2.403

    authors: Katz NM,Blackstone EH,Kirklin JW,Pacifico AD,Bargeron LM Jr

    更新日期:1982-02-01 00:00:00

  • Pulselessness After Initiation of Cardiopulmonary Resuscitation for Bradycardia in Hospitalized Children.

    abstract:BACKGROUND:Cardiopulmonary resuscitation (CPR) is initiated in hospitalized children with bradycardia and poor perfusion. However, their rate of progression to pulseless cardiac arrest despite CPR and the differences in survival compared with initially pulseless arrest are unknown. We examined the prevalence and predic...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.118.039048

    authors: Khera R,Tang Y,Girotra S,Nadkarni VM,Link MS,Raymond TT,Guerguerian AM,Berg RA,Chan PS,American Heart Association’s Get With the Guidelines-Resuscitation Investigators.

    更新日期:2019-07-30 00:00:00

  • A Population-Based Study of Abdominal Aortic Aneurysm Treatment in Finland 2000 to 2014.

    abstract:BACKGROUND:In the event of rupture of an abdominal aortic aneurysm (AAA), mortality is very high. AAA prevalence and incidence of ruptures have been reported to be decreasing. The treatment of AAA has also undergone a change in recent decades with a shift toward endovascular aneurysm repair (EVAR). Our aim was to evalu...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1161/CIRCULATIONAHA.117.028259

    authors: Laine MT,Laukontaus SJ,Sund R,Aho PS,Kantonen I,Albäck A,Venermo M

    更新日期:2017-10-31 00:00:00

  • Impact of pulmonary valve replacement on arrhythmia propensity late after repair of tetralogy of Fallot.

    abstract:BACKGROUND:Chronic pulmonary regurgitation after repair of tetralogy of Fallot (TOF) may lead to right ventricular dilatation, which may be accompanied by ventricular tachycardia and sudden death. We aimed to examine the effects of pulmonary valve replacement (PVR) on (1) certain electrocardiographic markers predictive...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.103.20.2489

    authors: Therrien J,Siu SC,Harris L,Dore A,Niwa K,Janousek J,Williams WG,Webb G,Gatzoulis MA

    更新日期:2001-05-22 00:00:00

  • Effect of time of day on prehospital care and outcomes after out-of-hospital cardiac arrest.

    abstract:BACKGROUND:More than 300 000 out-of-hospital cardiac arrests (OHCA) occur each year in the United States. The relationship between time of day and OHCA outcomes in the prehospital setting is unknown. Any such association may have important implications for emergency medical services resource allocation. METHODS AND RE...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.113.002058

    authors: Wallace SK,Abella BS,Shofer FS,Leary M,Agarwal AK,Mechem CC,Gaieski DF,Becker LB,Neumar RW,Band RA

    更新日期:2013-04-16 00:00:00

  • Fish oil treatment decreases superoxide anions in the myocardium and coronary arteries of atherosclerotic monkeys.

    abstract:BACKGROUND:This experiment sought to determine the effects of fish oil on superoxide anion production in the myocardium and coronary arteries of atherosclerotic monkeys. Recent evidence indicates that dietary supplementation with fish oil preserves normal vasomotion of atherosclerotic coronary arteries and reduces dama...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.91.4.1123

    authors: Supari F,Ungerer T,Harrison DG,Williams JK

    更新日期:1995-02-15 00:00:00

  • Effects of the beta 1-adrenergic receptor partial agonist xamoterol on left ventricular diastolic function. An evaluation after 1-6 years of oral therapy.

    abstract::Acute intravenous administration of the new beta 1-adrenergic receptor partial agonist xamoterol lowers left ventricular end-diastolic pressure and improves the isovolumic indexes of inotropic state and relaxation. To determine if these hemodynamic changes were maintained after prolonged administration, the dose-respo...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Pouleur H,Etienne J,Van Mechelen H,Gurné O,Rousseau MF

    更新日期:1990-02-01 00:00:00

  • Transvenous cardiac pacing. Technics for optimal electrode positioning and prevention of coronary sinus placement.

    abstract::Optimal electrode position for long-term transvenous cardiac pacing is in the apex of the right ventricle. Intracardiac electrograms, surface electrocardiograms, frontal fluoroscopy, lateral roentgenograms, and pacing threshold levels were studied in two groups of patients: One group was comprised of five patients wit...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.42.4.701

    authors: Gulotta SJ

    更新日期:1970-10-01 00:00:00

  • Short-term effect of atrial fibrillation on atrial contractile function in humans.

    abstract:BACKGROUND:Conversion of chronic atrial fibrillation (AF) is associated with atrial stunning, but the short-term effect of a brief episode of AF on left atrial appendage (LAA) emptying velocity is unknown. The purpose of this study was to determine whether a short episode of AF affects left atrial function and whether ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.99.23.3024

    authors: Daoud EG,Marcovitz P,Knight BP,Goyal R,Man KC,Strickberger SA,Armstrong WF,Morady F

    更新日期:1999-06-15 00:00:00

  • Lack of JunD promotes pressure overload-induced apoptosis, hypertrophic growth, and angiogenesis in the heart.

    abstract:BACKGROUND:The Jun family of activator protein 1 (AP-1) transcription factors (c-Jun, JunB, and JunD) is involved in fundamental biological processes such as proliferation, apoptosis, tumor angiogenesis, and hypertrophy. The role of individual AP-1 transcription factors in the stressed heart is not clear. In the presen...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.104.518472

    authors: Hilfiker-Kleiner D,Hilfiker A,Kaminski K,Schaefer A,Park JK,Michel K,Quint A,Yaniv M,Weitzman JB,Drexler H

    更新日期:2005-09-06 00:00:00

  • Carotid endarterectomy based on duplex scanning without preoperative arteriography.

    abstract::Between July 1985 and September 1987, 25 patients underwent 26 carotid endarterectomies based on an abnormal duplex scan (B-mode ultrasonography and pulsed-Doppler sound spectral analysis) indicative of severe stenosis or ulceration. Arteriography was not performed because of severe unstable angina requiring coronary ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Marshall WG Jr,Kouchoukos NT,Murphy SF,Pelate C

    更新日期:1988-09-01 00:00:00

  • Determinants of left ventricular early-diastolic lengthening velocity: independent contributions from left ventricular relaxation, restoring forces, and lengthening load.

    abstract:BACKGROUND:Peak early-diastolic mitral annulus velocity (e') by tissue Doppler imaging has been introduced as a clinical marker of diastolic function. This study investigates whether lengthening load (early-diastolic load) and restoring forces are determinants of e' in addition to rate of left ventricular (LV) relaxati...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.108.791681

    authors: Opdahl A,Remme EW,Helle-Valle T,Lyseggen E,Vartdal T,Pettersen E,Edvardsen T,Smiseth OA

    更新日期:2009-05-19 00:00:00

  • Molecular genetics of lipoprotein disorders.

    abstract::These types of studies lay the foundation for understanding the human apolipoproteins at the genetic level. In addition, through a few specific examples, we have already shown evidence at the DNA level that lesions in apolipoprotein genes can play a role in human atherosclerosis. This work is in its infancy, but we ho...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.69.6.1190

    authors: Breslow JL

    更新日期:1984-06-01 00:00:00

  • Atherogenic dyslipidemia in HIV-infected individuals treated with protease inhibitors. The Swiss HIV Cohort Study.

    abstract:BACKGROUND:Administration of protease inhibitors (PIs) to HIV-infected individuals has been associated with hyperlipidemia. In this study, we characterized the lipoprotein profile in subjects receiving ritonavir, indinavir, or nelfinavir, alone or in combination with saquinavir. METHODS AND RESULTS:Plasma lipoprotein ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.100.7.700

    authors: Périard D,Telenti A,Sudre P,Cheseaux JJ,Halfon P,Reymond MJ,Marcovina SM,Glauser MP,Nicod P,Darioli R,Mooser V

    更新日期:1999-08-17 00:00:00

  • Fibroblast growth factor receptor-1 signaling induces osteopontin expression and vascular smooth muscle cell-dependent adventitial fibroblast migration in vitro.

    abstract:BACKGROUND:Increased expression of osteopontin (OPN), fibroblast growth factors (FGFs), and their type-1 receptor (FGFR-1) is associated with neointima formation and atherosclerosis. This study tested the hypothesis that ligand activation of FGFR-1 stimulates OPN expression in rat aortic smooth muscle cells (RASMCs), e...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.0000024113.26985.cc

    authors: Li G,Oparil S,Kelpke SS,Chen YF,Thompson JA

    更新日期:2002-08-13 00:00:00

  • Sudden Cardiac Arrest Survivorship: A Scientific Statement From the American Heart Association.

    abstract::Cardiac arrest systems of care are successfully coordinating community, emergency medical services, and hospital efforts to improve the process of care for patients who have had a cardiac arrest. As a result, the number of people surviving sudden cardiac arrest is increasing. However, physical, cognitive, and emotiona...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIR.0000000000000747

    authors: Sawyer KN,Camp-Rogers TR,Kotini-Shah P,Del Rios M,Gossip MR,Moitra VK,Haywood KL,Dougherty CM,Lubitz SA,Rabinstein AA,Rittenberger JC,Callaway CW,Abella BS,Geocadin RG,Kurz MC,American Heart Association Emergency Cardiovasc

    更新日期:2020-03-24 00:00:00

  • Long-term fate of bypass grafts: the Coronary Artery Surgery Study (CASS) and Montreal Heart Institute experiences.

    abstract::Both the Veterans Administration Cooperative Study and the European Coronary Surgery Study have provided only brief accounts of graft patency rates in their surgically treated patients. In the Veterans Administration Cooperative Study, at an average of 1 year after operation, 69% of the grafts were patent among 208 pa...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,评审

    doi:

    authors: Bourassa MG,Fisher LD,Campeau L,Gillespie MJ,McConney M,Lespérance J

    更新日期:1985-12-01 00:00:00

  • Spontaneous variability of complex ventricular arrhythmias detected by long-term electrocardiographic recording.

    abstract::Variations in the frequency of complex ventricular arrhythmias were evaluated by consecutive 24-hour long-term electrocardiographic recordings over 4 days using a two-channel recorder and computer-assisted analysis system with a weighted relative mean error of 7.5 +/ 5% (SD). Twenty patients (mean age 58 +/- 9 years ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.61.4.690

    authors: Michelson EL,Morganroth J

    更新日期:1980-04-01 00:00:00

  • Plasma brain natriuretic peptide to detect preclinical ventricular systolic or diastolic dysfunction: a community-based study.

    abstract:BACKGROUND:Preclinical systolic or diastolic dysfunction is associated with increased morbidity and mortality. We postulated that plasma brain natriuretic peptide (BNP) might serve as a biomarker for preclinical ventricular dysfunction (PCVD) but that the discriminatory values for BNP may vary with age and sex. METHOD...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000130845.38133.8F

    authors: Redfield MM,Rodeheffer RJ,Jacobsen SJ,Mahoney DW,Bailey KR,Burnett JC Jr

    更新日期:2004-06-29 00:00:00