Login to MyKarger

New to MyKarger? Click here to sign up.



Login with Facebook

Forgot your password?

Authors, Editors, Reviewers

For Manuscript Submission, Check or Review Login please go to Submission Websites List.

Submission Websites List

Institutional Login
(Shibboleth or Open Athens)

For the academic login, please select your country in the dropdown list. You will be redirected to verify your credentials.

Diagnostic Cardiology

Echocardiographic Evaluation of Left-Ventricular Diastolic Function in Patients with Chronic Pulmonary Hypertension

Moustapha A. · Kaushik V. · Diaz S. · Kang S-H. · Barasch E.

Author affiliations

Echocardiography Laboratory, Division of Cardiology, Department of Internal Medicine, University of Texas Medical School at Houston and Memorial Hermann Hospital, Houston, Tex., USA

Related Articles for ""

Cardiology 2001;95:96–100

Do you have an account?

Login Information





Contact Information











I have read the Karger Terms and Conditions and agree.



Login Information





Contact Information











I have read the Karger Terms and Conditions and agree.



To view the fulltext, please log in

To view the pdf, please log in

Buy

  • FullText & PDF
  • Unlimited re-access via MyKarger
  • Unrestricted printing, no saving restrictions for personal use
read more

CHF 38.00 *
EUR 35.00 *
USD 39.00 *

Select

KAB

Buy a Karger Article Bundle (KAB) and profit from a discount!

If you would like to redeem your KAB credit, please log in.


Save over 20% compared to the individual article price.
Learn more

Rent/Cloud

  • Rent for 48h to view
  • Buy Cloud Access for unlimited viewing via different devices
  • Synchronizing in the ReadCube Cloud
  • Printing and saving restrictions apply

Rental: USD 8.50
Cloud: USD 20.00


Select

Subscribe

  • Access to all articles of the subscribed year(s) guaranteed for 5 years
  • Unlimited re-access via Subscriber Login or MyKarger
  • Unrestricted printing, no saving restrictions for personal use
read more

Subcription rates


Select

* The final prices may differ from the prices shown due to specifics of VAT rules.

Article / Publication Details

First-Page Preview
Abstract of Diagnostic Cardiology

Published online: June 28, 2001
Issue release date: June 2001

Number of Print Pages: 5
Number of Figures: 1
Number of Tables: 3

ISSN: 0008-6312 (Print)
eISSN: 1421-9751 (Online)

For additional information: https://www.karger.com/CRD

Abstract

Different patterns of left-ventricular (LV) diastolic dysfunction were reported in patients with pulmonary hypertension (PHT). There are no data regarding the relationship between the severity of PHT and LV diastolic dysfunction. In order to determine the severity of PHT at which LV diastolic dysfunction occurs and to identify its pattern, we studied by Doppler echocardiography 120 patients with PHT (57 with severe PHT and 63 with mild or moderate PHT) and compared them with 75 normal controls. Systolic pulmonary artery pressure (SPAP) was measured by tricuspid regurgitant jet method and the usual transmitral LV diastolic indices were recorded. LV diastolic dysfunction of impaired relaxation type is most commonly seen in patients with severe PHT. No differences were observed between patients with mild and moderate PHT regarding LV diastolic function. A SPAP ≧60 mm Hg is needed to induce changes in the LV diastolic filling pattern.

© 2001 S. Karger AG, Basel


References

  1. Tutar E, Kaya A, Gulec S, Ertas F, Erol C, Ozdemir O, Oral D: Echocardiographic evaluation of left ventricular diastolic function in chronic cor pulmonale. Am J Cardiol 1999;83:1414–1417.
  2. Bossone E, Duong-Wagner TH, Paciocco G, Oral H, Ricciardi M, Bach DS, Rubenfire M, Armstrong WF: Echocardiographic features of primary pulmonary hypertension. J Am Soc Echocardiogr 1999;12:655–662.
  3. Nagaya N, Satoh T, Uematsu M, Okano Y, Kyotani S, Nakanishi N, Kunieda T: Shortening of Doppler-derived deceleration time of early diastolic transmitral flow in the presence of pulmonary hypertension through ventricular interaction. Am J Cardiol 1997;79:1502–1506.
  4. Schena M, Clini E, Errera D, Quadri A: Echo-Doppler evaluation of left ventricular impairment in chronic cor pulmonale. Chest 1996;109:1446–1451.
  5. Louie EK, Lin SS, Reynertson SI, Brundage BH, Levitsky S, Rich S: Pressure and volume overloading of the right ventricle have opposite effects on left ventricular ejection fraction. Circulation 1995;92:819–824.
  6. Stojinic BB, Brecker SJ, Xiao HB, Gibson DJ: Left ventricular filling characteristics in pulmonary hypertension: A new mode of ventricular interaction. Br Heart J 1992;68:16–20.
  7. Dittrich HC, Chow LC, Nicod PH: Early improvement in left ventricular diastolic function after relief of chronic right ventricular pressure overload. Circulation 1989;80:823–830.
    External Resources
  8. Louie EK, Rich S, Brundage BH: Doppler echocardiographic assessment of impaired left ventricular filling in patients with right ventricular pressure overload due to primary pulmonary hypertension. J Am Coll Cardiol 1986;8:1298–1306.
    External Resources
  9. Mizushige K, Morita H, Senda S, Matsuo H: Influence of right ventricular pressure overload on left and right ventricular filling in cor pulmonale assessed with Doppler echocardiography. Jpn Circ J 1989;53:1287–1296.
    External Resources
  10. Render ML, Weinstein AS, Blaustein AS: Left ventricular dysfunction in deteriorating patients with chronic obstructive pulmonary disease. Chest 1995;107:162–168.
  11. Kim WH, Otsuji Y, Seward JB, Tei C: Estimation of left ventricular function in right ventricular volume and pressure overload: Detection of early left ventricular dysfunction by Tei index. Jpn Hear J 1999;40:145–154.
  12. Lazar JM, Flores AR, Grandis DJ, Oris JE, Schulman DS: Effects of chronic right ventricular pressure overload on left ventricular diastolic function. Am J Cardiol 1993;72:1179–1182.
  13. Ascah KJ, King ME, Gillam LD, Weyman AD: The effects of right ventricular hemodynamics on left ventricular configuration. Can J Cardiol 1990;6:99–106.
  14. Tanaka H, Tei C, Nakao S, Tahara M, Sakurai S, Kashima T, Kanehisa T: Diastolic bulging of the interventricular septum toward the LV: An echocardiographic manifestation of negative interventricular pressure gradient between left and right ventricles during diastole. Circulation 1980;62:558–563.
    External Resources
  15. Jessup M, Sutton MS, Weber KT, Janicki JS: The effect of chronic pulmonary hypertension on left ventricular size, function, and interventricular septal motion. Am Heart J 1987;113:1114–1122.
    External Resources
  16. Brinker JA, Weiss JL, Lappe DL, Rabson JL, Summer WR, Permutt S, Weisfeldt ML: Leftward septal displacement during right ventricular loading in man. Circulation 1980;61:626–633.
  17. Xie GY, Lin CS, Preston HM, Taylor CG, Kearney K, Sapin PM, Smith MD: Assessment of left ventricular diastolic function after single lung transplantation in patients with severe pulmonary hypertension. Chest 1998;114:477–481.
  18. Gomez A, Unruh H, Mink SN: Altered left ventricular chamber stiffness and isovolumic relaxation in dogs with chronic pulmonary hypertension caused by emphysema. Circulation 1993;87:247–260.
  19. Bhargava V, Sunnerhagen KS: Left ventricular asynchrony in patients with pulmonary hypertension. J Appl Physiol 1990;69:517–522.
  20. Davis KL, Mehlhorn U, Laine GA, Allen SJ: Myocardial edema, left ventricular function, and pulmonary hypertension. J Appl Physiol 1995;78:132–137.
  21. Vitarelli A, Gheorghiade M: Diastolic heart failure: Standard Doppler approach and beyond. Am J Cardiol 1998;81:115G–121G.
  22. Berger M, Haimowitz A, Van Tosh A, Berdoff RL, Goldberg E: Quantitative assessment of pulmonary hypertension in patients with tricuspid regurgitation using continuous wave Doppler ultrasound. J Am Coll Cardiol 1985;6:359–365.
  23. Nishimura RA, Schwartz RS, Tajik AJ, Holmes DR Jr: Noninvasive measurement of left ventricular relaxation by Doppler echocardiography: Validation with simultaneous cardiac catheterization. Circulation 1993;88:146–155.
  24. Myreng Y, Sniseth DA: Assessment of left ventricular relaxation by Doppler echocardiography: Comparison of isovolumic relaxation time and transmitral flow velocities with time constant of isovolumic relaxation. Circulation 1990;81:260–266.

Article / Publication Details

First-Page Preview
Abstract of Diagnostic Cardiology

Published online: June 28, 2001
Issue release date: June 2001

Number of Print Pages: 5
Number of Figures: 1
Number of Tables: 3

ISSN: 0008-6312 (Print)
eISSN: 1421-9751 (Online)

For additional information: https://www.karger.com/CRD


Copyright / Drug Dosage / Disclaimer

Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.