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At least 181 records · Page 10Linked to original sources
PubMed1981

Noninvasive assessment and differentiation of left ventricular outflow obstruction with Doppler ultrasound.

Blood flow velocities in the left ventricle and the ascending aorta were recorded noninvasively with Doppler ultrasound. The ultrasound beam was aligned as much as possible to the direction of velocity, using the frequency shift in the audio signal as a guide to obtain velocities as close as possible to those present. From the maximal velocity recorded by continuous-wave Doppler, a peak pressure drop was calculated in 24 patients with aortic valve stenosis and nine with fixed subaortic stenosis. Fourteen patients with aortic stenosis and three with fixed subaortic stenosis were catheterized. In these patients, the correlation between calculated pressure drops and those obtained by pressure recording was good (r = 0.85). The pressure drop can be underestimated by underestimating velocity, but cannot be overestimated. With pulsed Doppler, the level of obstruction can be determined.

Adolescent↗
PubMed1981

Left ventricular outflow obstruction induced by tamponade in hypertrophic cardiomyopathy.

Echocardiographic abnormalities of valvular movement described in patients with pericardial effusions have included systolic anterior motion (SAM) of the mitral valve. Published illustrations have shown, however, "pseudo-SAM" rather than true SAM. We report a patient with asymmetric septal hypertrophy whose echocardiogram during tamponade showed true SAM, which was no longer apparent and could not be provoked following resolution of tamponade. Two prior cardiac catheterizations revealed no intraventricular pressure gradients in either normal or postextrasystolic beats. Tamponade was the only stimulus that provoked signs of obstruction in this patient with asymmetric septal hypertrophy.

Cardiac Tamponade↗