New doppler echocardiographic applications for the study of diastolic function

Mario J. Garcia, James D. Thomas, Allan L. Klein

Research output: Contribution to journalArticle

852 Citations (Scopus)

Abstract

Doppler echocardiography is one of the most useful clinical tools for the assessment of left ventricular (LV) diastolic function. Doppler indices of LV filling and pulmonary venous (PV) flow are used not only for diagnostic purposes but also for establishing prognosis and evaluating the effect of therapeutic interventions. The utility of these indices is limited, however, by the confounding effects of different physiologic variables such as LV relaxation, compliance and filling pressure. Since alterations in these variables result in changes in Doppler indices of opposite direction, it is often difficult to determine the status of a given variable when a specific Doppler filling pattern is observed. Recently, color M-mode and tissue Doppler have provided useful insights in the Study of diastolic function. These new Doppler applications have been shown to provide an accurate estimate of LV relaxation and appear to be relatively insensitive to the effects of preload compensation. This review will focus on the complementary role of Color M-mode and tissue Doppler echocardiography and traditional Doppler indices of LV filling and PV flow in the assessment of diastolic function.

Original languageEnglish (US)
Pages (from-to)865-875
Number of pages11
JournalJournal of the American College of Cardiology
Volume32
Issue number4
DOIs
StatePublished - Oct 1998
Externally publishedYes

Fingerprint

Doppler Echocardiography
Color
Lung
Therapeutic Uses
Left Ventricular Function
Compliance
Pressure
Direction compound

ASJC Scopus subject areas

  • Nursing(all)

Cite this

New doppler echocardiographic applications for the study of diastolic function. / Garcia, Mario J.; Thomas, James D.; Klein, Allan L.

In: Journal of the American College of Cardiology, Vol. 32, No. 4, 10.1998, p. 865-875.

Research output: Contribution to journalArticle

@article{15345e90c3c44e6da41d339b4a091682,
title = "New doppler echocardiographic applications for the study of diastolic function",
abstract = "Doppler echocardiography is one of the most useful clinical tools for the assessment of left ventricular (LV) diastolic function. Doppler indices of LV filling and pulmonary venous (PV) flow are used not only for diagnostic purposes but also for establishing prognosis and evaluating the effect of therapeutic interventions. The utility of these indices is limited, however, by the confounding effects of different physiologic variables such as LV relaxation, compliance and filling pressure. Since alterations in these variables result in changes in Doppler indices of opposite direction, it is often difficult to determine the status of a given variable when a specific Doppler filling pattern is observed. Recently, color M-mode and tissue Doppler have provided useful insights in the Study of diastolic function. These new Doppler applications have been shown to provide an accurate estimate of LV relaxation and appear to be relatively insensitive to the effects of preload compensation. This review will focus on the complementary role of Color M-mode and tissue Doppler echocardiography and traditional Doppler indices of LV filling and PV flow in the assessment of diastolic function.",
author = "Garcia, {Mario J.} and Thomas, {James D.} and Klein, {Allan L.}",
year = "1998",
month = "10",
doi = "10.1016/S0735-1097(98)00345-3",
language = "English (US)",
volume = "32",
pages = "865--875",
journal = "Journal of the American College of Cardiology",
issn = "0735-1097",
publisher = "Elsevier USA",
number = "4",

}

TY - JOUR

T1 - New doppler echocardiographic applications for the study of diastolic function

AU - Garcia, Mario J.

AU - Thomas, James D.

AU - Klein, Allan L.

PY - 1998/10

Y1 - 1998/10

N2 - Doppler echocardiography is one of the most useful clinical tools for the assessment of left ventricular (LV) diastolic function. Doppler indices of LV filling and pulmonary venous (PV) flow are used not only for diagnostic purposes but also for establishing prognosis and evaluating the effect of therapeutic interventions. The utility of these indices is limited, however, by the confounding effects of different physiologic variables such as LV relaxation, compliance and filling pressure. Since alterations in these variables result in changes in Doppler indices of opposite direction, it is often difficult to determine the status of a given variable when a specific Doppler filling pattern is observed. Recently, color M-mode and tissue Doppler have provided useful insights in the Study of diastolic function. These new Doppler applications have been shown to provide an accurate estimate of LV relaxation and appear to be relatively insensitive to the effects of preload compensation. This review will focus on the complementary role of Color M-mode and tissue Doppler echocardiography and traditional Doppler indices of LV filling and PV flow in the assessment of diastolic function.

AB - Doppler echocardiography is one of the most useful clinical tools for the assessment of left ventricular (LV) diastolic function. Doppler indices of LV filling and pulmonary venous (PV) flow are used not only for diagnostic purposes but also for establishing prognosis and evaluating the effect of therapeutic interventions. The utility of these indices is limited, however, by the confounding effects of different physiologic variables such as LV relaxation, compliance and filling pressure. Since alterations in these variables result in changes in Doppler indices of opposite direction, it is often difficult to determine the status of a given variable when a specific Doppler filling pattern is observed. Recently, color M-mode and tissue Doppler have provided useful insights in the Study of diastolic function. These new Doppler applications have been shown to provide an accurate estimate of LV relaxation and appear to be relatively insensitive to the effects of preload compensation. This review will focus on the complementary role of Color M-mode and tissue Doppler echocardiography and traditional Doppler indices of LV filling and PV flow in the assessment of diastolic function.

UR - http://www.scopus.com/inward/record.url?scp=0032192138&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0032192138&partnerID=8YFLogxK

U2 - 10.1016/S0735-1097(98)00345-3

DO - 10.1016/S0735-1097(98)00345-3

M3 - Article

C2 - 9768704

AN - SCOPUS:0032192138

VL - 32

SP - 865

EP - 875

JO - Journal of the American College of Cardiology

JF - Journal of the American College of Cardiology

SN - 0735-1097

IS - 4

ER -