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July 1, 1967CirculationOpen Access

The Effects of Mitral Regurgitation on the Pattern of Instantaneous Aortic Blood Flow Clinical and Experimental Observations

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Key result

Severe mitral regurgitation resulted in an abnormal aortic flow pattern characterized by early peak flow and abnormally high forward flow during the first half of ejection.

Why the study?

How does severe mitral regurgitation affect the pattern of instantaneous ascending aortic blood flow?

Population

5 patients with severe, pure mitral regurgitation, and 9 dogs in which mitral regurgitation was produced…

Design

Preclinical

Authors

RERonald C. ElkinsUniversity of Oklahoma Health Sciences CenterAMAndrew G. MorrowNewark Beth Israel Medical CenterJVJohn S. VaskoOhio Dominican University

Discussion

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Implication

Warrants caution interpreting aortic flow in severe mitral regurgitation; leaves open human translation of altered ejection dynamics.

Study Design

Type

Observational (n=14)

Structured PICO

How does severe mitral regurgitation affect the pattern of instantaneous ascending aortic blood flow?

P
Population
5 patients with severe, pure mitral regurgitation, and 9 dogs in which mitral regurgitation was produced experimentally under controlled conditions
I
Intervention
Severe mitral regurgitation (clinical observation and experimental induction)
O
Outcome
Pattern of instantaneous ascending aortic blood flowsurrogate

Severe mitral regurgitation alters aortic flow dynamics by shifting forward ejection to early systole, reflecting the ventricle's inability to sustain forward flow late in systole.

Cite This Study

Elkins et al. (1967) conducted an observational in Severe, pure mitral regurgitation (n=14). Mitral regurgitation was evaluated on Instantaneous ascending aortic blood flow pattern. Severe mitral regurgitation resulted in an abnormal aortic flow pattern characterized by early peak flow and abnormally high forward flow during the first half of ejection.

synapsesocial.com/papers/6a08db951b91a3b1ea5b6910https://doi.org/10.1161/01.cir.36.1.45

Topics

Mitral valve intervention
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Time variation of mitral regurgitant flow in patients with dilated cardiomyopathy.1986 · 21 citations
  2. 2Hemodynamic Effects of Quantitatively Varied Experimental Mitral Regurgitation1957 · 97 citations
  3. 3Myocardial mechanics in aortic and mitral valvular regurgitation: the concept of instantaneous impedance as a determinant of the performance of the intact heart1968 · 194 citations
  4. 4Direct Determinations of Aortic Blood Flow in Patients with Aortic Regurgitation1967 · 58 citations
  5. 5Hemodynamic Effects of Quantitatively Varied Experimental Aortic Regurgitation1957 · 162 citations