The relationship of pulmonary artery wedge pressure to the posterior aortic wall echocardiogram in patients free of obstructive mitral valve disease

Wasserman, Alan G.; Meyer, Jerry F.; Ross, Allan M.

doi:10.1016/0002-8703(80)90662-6

Cited by 9 publications

(2 citation statements)

References 13 publications

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“…In the absence of mitral stenosis a reduced atrial emptying index (indicative of a reduced rate of early diastolic filling) is an expression of impaired left ventricular filling.8' 16 Although the aortic root motion may be influenced by several factors, it seems to be Left ventricular distensibility, often used interchangeably with the term compliance, is the change in volume relative to a change in pressure,'2 a relation that we could not measure non-invasively. Indirect non-invasive tests of distensibility are based on the relative power of the left atrium needed to force the blood into the left ventricle.4'7 However, with severe left ventricular failure, not only atrial failure, but also the raised filling pressure may cause a "paradoxical" decrease of echocardiographic (Caidahl et al, unpublished), Doppler,43 and apexcardiographic" signs of the previously increased atrial contribution to left ventricular filling.…”

Section: Left Ventricular Relaxation and Early Filling Propertiesmentioning

confidence: 97%

Dyspnoea of cardiac origin in 67 year old men: (2). Relation to diastolic left ventricular function and mass. The study of men born in 1913.

Caidahl

Eriksson

Hartford

et al. 1988

Heart

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SUMMARYThe relation of cardiac dyspnoea to diastolic left ventricular dysfunction was examined in a sample of67 year old men from the general population of Gothenburg, Sweden. Forty two men with cardiac dyspnoea and 45 controls were selected from the screened cohort of 644 men. M mode echocardiography, apexcardiography, and phonocardiography were used to evaluate heart sounds, diastolic time intervals, aortic root motion (atrial emptying index); peak rate of change in left ventricular dimension, left atrial and ventricular size; and left ventricular mass. There was a significant relation between dyspnoea grade and left ventricular mass and posterior wall thickness. Dyspnoea grade also correlated significantly with the amplitude of the rapid filling wave and the third heart sound, atrial emptying index and left atrial size, the pulmonary component of the second heart sound, and the dimension of the right ventricle. In mild to moderate dyspnoea fractional shortening was normal, but posterior wall thickness and left atrial dimension were increased. The time from the second heart sound to the 0 point ofthe apexcardiogram, adjusted for heart rate, was significantly prolonged in mild to moderate dyspnoea, but not in severe dyspnoea. There was a significart decrease of rate adjusted isovolumic relaxation time, probably secondary to altered loading conditions, in severe dyspnoea, but not in mild to moderate dyspnoea. When the effect of systolic function was excluded multivariate analyses showed that the relation between dyspnoea grade and left atrial dimension persisted.The finding that diastolic abnormalities of the heart contributed to the generation of cardiac dyspnoea may have implications for treatment.

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Section: Left Ventricular Relaxation and Early Filling Propertiesmentioning

confidence: 97%

Dyspnoea of cardiac origin in 67 year old men: (2). Relation to diastolic left ventricular function and mass. The study of men born in 1913.

Caidahl

Eriksson

Hartford

et al. 1988

Heart

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“…Detailed M‐mode analyses have associated a variety of clinical observations with specific movements of the aortic root, but have been largely limited to left heart disorders with left atrial enlargement. Diminished excursion of the aortic root has been described in dilated cardiomyopathy with elevated filling pressures and in septal wall‐motion abnormalities . Slow diastolic aortic posterior excursion was noted in mitral stenosis and in left ventricular hypertrophy .…”

Section: Discussionmentioning

confidence: 99%

Diminished Aortic Excursion in Chronic Thromboembolic Pulmonary Hypertension

et al. 2013

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Early diastolic motion of the posterior aortic root as an index of left ventricular filling

Ambrose

King

Teichholz

et al. 1983

J of Clinical Ultrasound

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Aortic root motion on M-mode echocardiography is related to left atrial volume change. Early diastolic motion of the aortic root has been quantified by the atrial emptying index. This index has been shown by some investigators to assess early diastolic left ventricular filling, while other investigators report conflicting findings. To evaluate further early diastolic motion of the posterior aortic root, we describe a new echocardiographic parameter-the slope of early diastolic posterior aortic root motion. This parameter appears superior to the atrial emptying index in assessing early diastolic left ventricular filling. Forty-one patients were studied by M-mode echocardiography and were divided into group I (17 patients) with diminished E to F mitral value slopes (<70 mdsec) and group I1 (24 patients) with normal E to F mitral valve slopes (270 mdsec). Patients in group I and group 11 had comparable left atrial sizes and left ventricular dimensions. The aortic root slope and normalized aortic root slope (normalized for left atrial dimension) in group I (3.7 * 1.4 c d s e c and 1.0 * 0.4 sec-', respectively) were significantly less than in group I1 (6.4 * 1.4 c d s e c and 1.9 * 0.6 sec-respectively). The atrial emptying index and atrial emptying index normalized for heart rate were not different between the two groups. When the 41 patients were analyzed according to the presence or absence of left ventricular hypertrophy by echocardiography, only the normalized aortic root slope was significantly different in patients with or without left ventricular hypertrophy. A significant linear correlation (r = 0.84, P < .0005) was found between the aortic root slope or normalized aortic root slope and the E to F slope of the mitral valve. Significant correlations also existed between the aortic root slope and the slope of early diastolic left ventricular rapid filling. Therefore, the slope of early diastolic motion of the posterior aortic root appears to be a useful and easily obtainable echocardiographic parameter to assess early diastolic left ventricular filling. Indexing Words: Aortic root -LV filling -Early diastolic filling Motion of the aortic root on M-mode echocardiography is influenced by left atrial volume change.' Early diastolic posterior motion of the aortic root occurs following mitral valve opening, while late diastolic posterior motion of the aortic root follows atrial systole. Although late diastolic motion of the aortic root appears to be related to late diastolic compliance of the ventricle,293 there is

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The relationship of pulmonary artery wedge pressure to the posterior aortic wall echocardiogram in patients free of obstructive mitral valve disease

Cited by 9 publications

References 13 publications

Dyspnoea of cardiac origin in 67 year old men: (2). Relation to diastolic left ventricular function and mass. The study of men born in 1913.

Dyspnoea of cardiac origin in 67 year old men: (2). Relation to diastolic left ventricular function and mass. The study of men born in 1913.

Diminished Aortic Excursion in Chronic Thromboembolic Pulmonary Hypertension

Early diastolic motion of the posterior aortic root as an index of left ventricular filling

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