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December 5, 1974New England Journal of Medicine

Study of Left Ventricular Geometry and Function by B-Scan Ultrasonography in Patients with and without Asynergy

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Key result

B-scan ultrasonography area ejection fraction correlated strongly with ventriculographic silhouettes (r=0.92) and biplane volume ejection fraction (r=0.87) for assessing left ventricular function.

Why the study?

Does B-scan ultrasonography accurately assess left ventricular geometry and function compared to biplane cine angiography in patients with cardiac disorders?

Population

25 patients with various cardiac disorders (14 with left ventricular asynergy)

Comparison

B-scan ultrasonography vs Biplane cine angiography of the left ventricle

Design

Cross-sectional

Follow-up

within 24 hours

Authors

LTLouis E. TeichholzHackensack University Medical CenterMCMichael V. CohenEast Tennessee State UniversityESEdmund H. SonnenblickUniversity of Parma

Discussion

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Implication

May support noninvasive LV assessment in cardiac patients; leaves open prospective validation against angiography.

Study Design

Type

Cross-Sectional (n=25)

Structured PICO

Does B-scan ultrasonography accurately assess left ventricular geometry and function compared to biplane cine angiography in patients with cardiac disorders?

P
Population
25 patients with various cardiac disorders (14 with left ventricular asynergy)
I
Intervention
B-scan ultrasonography
C
Comparator
Biplane cine angiography of the left ventricle
O
Outcome
Correlation of area ejection fractions and detection of left ventricular asynergysurrogate

Main Result

Effect estimate: r = 0.92

B-scan ultrasonography provides a safe, noninvasive method that correlates well with angiography for assessing left ventricular geometry and function, even in patients with asynergy.

Cite This Study

Teichholz et al. (1974) conducted a cross-sectional in various cardiac disorders (n=25). B-scan ultrasonography vs. biplane cine angiography was evaluated on Correlation between area ejection fractions determined from B-scan and ventriculographic silhouettes (r = 0.92). B-scan ultrasonography area ejection fraction correlated strongly with ventriculographic silhouettes (r=0.92) and biplane volume ejection fraction (r=0.87) for assessing left ventricular function.

synapsesocial.com/papers/6a0cd0ea17d56fa39a4a532dhttps://doi.org/10.1056/nejm197412052912304

Topics

EchocardiographyHypertrophic cardiomyopathyValvular heart diseaseCongenital heart disease adults
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Also Consider

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

  1. 1Left Ventricular Volumes and Ejection Fraction by Echocardiography1971 · 650 citations
  2. 2Multiscan Echocardiography1973 · 41 citations
  3. 3Ultrasound Measurements of the Left Ventricle1972 · 262 citations
  4. 4Ultrasound measurements of the left ventricle. A correlative study with angiocardiography1972 · 272 citations
  5. 5Subxiphoid echocardiography1973 · 23 citations