What does this research mean for the field?

In patients with secundum atrial septal defect, left ventricular function remains normal and does not deteriorate with age, pulmonary hypertension, or right ventricular failure, as abnormal septal motion is compensated for by enhanced wall thickening. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To evaluate left ventricular function in patients with secundum atrial septal defect using computer analysis and cardiac catheterization.

November 1, 1979CirculationOpen Access

Assessment of left ventricular function in secundum atrial septal defect by computer analysis of the M-mode echocardiogram.

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Why the study?

Is left ventricular function preserved in patients with secundum atrial septal defect across different age groups?

Key Points

To evaluate left ventricular function in patients with secundum atrial septal defect using computer analysis and cardiac catheterization.
Assessment of 53 patients with secundum atrial septal defect via echocardiogram and cardiac catheterization.
Patients classified into two age groups: younger and older than 60 years.
Comparative analysis of left ventricular parameters and regional dynamics.
Left ventricular cavity size significantly smaller than normal (p < 0.01).
Abnormal septal motion observed in 86% of patients.
Cardiac index and other measures of function were normal across both age groups.

Structured PICO

Is left ventricular function preserved in patients with secundum atrial septal defect across different age groups?

Population

53 patients with secundum atrial septal defect, divided into two groups (younger and older than 60 years)

Intervention

Computer-assisted analysis of the left ventricular M-mode echocardiogram and cardiac catheterization

Outcome

Left ventricular function parameters including cavity size, septal motion, cardiac index, left ventricular end-diastolic pressure, velocity of circumferential fiber shortening, left ventricular filling rate, and duration of rapid fillingsurrogate

Left ventricular function remains normal in patients with secundum atrial septal defect regardless of age, despite abnormal septal motion and smaller cavity size.

Discussion

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Implication

Supports preserved LV function in secundum ASD across ages; leaves open need for longitudinal outcome data.

Cite This Study

Sutton et al. (1979) studied this question.

synapsesocial.com/papers/6a158cac79ff98d0de4ecc48 https://doi.org/10.1161/01.cir.60.5.1082

Topics

Heart failure HFrEF treatment Mitral valve intervention Hypertension management Echocardiography

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Assessment of left ventricular function in secundum atrial septal defect by computer analysis of the M-mode echocardiogram.

Key Points

Structured PICO

Discussion

Implication

Cite This Study

Topics

Assessment of left ventricular function in secundum atrial septal defect by computer analysis of the M-mode echocardiogram.

Key Points

Structured PICO

Discussion

Implication

Cite This Study

Also Consider

Topics

Also Consider