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Two-dimensional echocardiographic assessment of mitral stenosis.

Publication ,  Journal Article
Nichol, PM; Gilbert, BW; Kisslo, JA
Published in: Circulation
January 1977

A real-time, phased-array, two-dimensional echocardiography system was used to assess mitral valve motion in 30 catheterized patients with pure mitral stenosis. Suitable images for analysis of mitral valve motion were obtained in 25 patients. The valve leaflets were most thickened and immobile at the leaflet tips while maximum mobility was at the leaflet body. Diastolic movement of anterior mitral leaflet toward the septum pulled the posterior mitral leaflet mid-portion inferiorly. Systolic bulging of the mid-portion of the anterior mitral leaflet into the left atrium was seen in 40% (10 of 25). Movement of the anterior mitral leaflet in diastole is primarily due to movement of the whole mitral apparatus in patients with mitral stenosis. The anterior mitral leaflet E to F slopes did not correlate (r=0.38) with the mitral valve area determined at catheterization. Planimetry of the mitral valve area directly from the videotape images compared favorably to the valve area determined at catheterization (r=0.95). Thus, mitral valve area determined by this technique is an accurate noninvasive method for assessing the severity of mitral stenosis.¿

Duke Scholars

Published In

Circulation

DOI

ISSN

0009-7322

Publication Date

January 1977

Volume

55

Issue

1

Start / End Page

120 / 128

Location

United States

Related Subject Headings

  • Myocardium
  • Mitral Valve Stenosis
  • Humans
  • Echocardiography
  • Cardiovascular System & Hematology
  • Cardiac Catheterization
  • 4207 Sports science and exercise
  • 3202 Clinical sciences
  • 3201 Cardiovascular medicine and haematology
  • 1117 Public Health and Health Services
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Nichol, P. M., Gilbert, B. W., & Kisslo, J. A. (1977). Two-dimensional echocardiographic assessment of mitral stenosis. Circulation, 55(1), 120–128. https://doi.org/10.1161/01.cir.55.1.120
Nichol, P. M., B. W. Gilbert, and J. A. Kisslo. “Two-dimensional echocardiographic assessment of mitral stenosis.Circulation 55, no. 1 (January 1977): 120–28. https://doi.org/10.1161/01.cir.55.1.120.
Nichol PM, Gilbert BW, Kisslo JA. Two-dimensional echocardiographic assessment of mitral stenosis. Circulation. 1977 Jan;55(1):120–8.
Nichol, P. M., et al. “Two-dimensional echocardiographic assessment of mitral stenosis.Circulation, vol. 55, no. 1, Jan. 1977, pp. 120–28. Pubmed, doi:10.1161/01.cir.55.1.120.
Nichol PM, Gilbert BW, Kisslo JA. Two-dimensional echocardiographic assessment of mitral stenosis. Circulation. 1977 Jan;55(1):120–128.

Published In

Circulation

DOI

ISSN

0009-7322

Publication Date

January 1977

Volume

55

Issue

1

Start / End Page

120 / 128

Location

United States

Related Subject Headings

  • Myocardium
  • Mitral Valve Stenosis
  • Humans
  • Echocardiography
  • Cardiovascular System & Hematology
  • Cardiac Catheterization
  • 4207 Sports science and exercise
  • 3202 Clinical sciences
  • 3201 Cardiovascular medicine and haematology
  • 1117 Public Health and Health Services