Right and light ventricular dimensions as determinants of ventricular septal motion.

Abstract:

:Echocardiographic studies were performed in 86 patients with right ventricular volume overload. In 45 of these 86 patients, 58 echocardiograms were performed at different intervals in the postoperative period. For control purposes, 60 normal subjects and 18 patients with right ventricular pressure overload were also examined. The right ventricular end-diastolic dimension (RVED) and the left ventricular end-diastolic dimension (LVED) were measured on the echocardiograms. The RVED/LVED ratio was significantly elevated in patients with right ventricular volume overload. In all groups, a RVED/LVED ratio above 0.65 was usually associated with an abnormal motion of the septum; and on this basis the subjects with abnormal septal motion could clearly be separated from those with normal motion. After surgery, significant reductions of the RVED/LVED ratio were observed in patients whose septal motion reverted to normal. The RVED/LVED ratio remained significantly higher, usually above 0.65, in patients with persistent abnormal septal motion. These findings suggest that the relative sizes of the right and left ventricular cavities are probably major determinants of ventricular septal motion. Abnormal motion may result from a change in the end-diastolic shape of the septum.

journal_name

Chest

journal_title

Chest

authors

Laurenceau JL,Dumesnil JG

doi

10.1378/chest.69.3.388

subject

Has Abstract

pub_date

1976-03-01 00:00:00

pages

388-93

issue

3

eissn

0012-3692

issn

1931-3543

pii

S0012-3692(16)61075-9

journal_volume

69

pub_type

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