January 12, 1971Acta Medica Scandinavica

Methoxamine Injections in the Diagnosis of Mitral Insufficiency During Routine Right Heart Catheterizations

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Why the study?

Does methoxamine injection during right heart catheterization accurately diagnose mitral insufficiency?

Population

47 patients undergoing routine right heart catheterization

Comparison

Methoxamine injection during routine right heart… vs Comparison between different patient groups

Design

Cohort

Authors

HGH GrendahlUllevål Sykehusapotek AAA. M. AbrahamsenStavanger University Hospital CMCarsten MüllerUniversity Hospital Cologne

Discussion

Member takes

Implication

Limited diagnostic utility of methoxamine Δv/ΔA testing cautions against reliance for mitral insufficiency; leaves open need for validated hemodynamic criteria.

Structured PICO

Does methoxamine injection during right heart catheterization accurately diagnose mitral insufficiency?

Population

47 patients undergoing routine right heart catheterization (24 with mitral valvular disease, 2 with aortic insufficiency, 12 with congenital heart disease, and 9 with no organic heart disease)

Intervention

Methoxamine injection during routine right heart catheterization

Comparator

Comparison between different patient groups (mitral insufficiency vs. other conditions)

Outcome

Rise in v-peak pressure related to the elevation in systemic arterial pressure (Δv/ΔA ratio)surrogate

Methoxamine injection during right heart catheterization has limited diagnostic value for mitral insufficiency due to overlapping hemodynamic responses across different patient groups.

Cite This Study

Grendahl et al. (1971) studied this question.

synapsesocial.com/papers/6a7d3facab1caed3bf749a9a https://doi.org/10.1111/j.0954-6820.1971.tb04382.x

Topics

Mitral valve intervention Congenital heart disease adults

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Implication

Limited diagnostic utility of methoxamine Δv/ΔA testing cautions against reliance for mitral insufficiency; leaves open need for validated hemodynamic criteria.

Methoxamine Injections in the Diagnosis of Mitral Insufficiency During Routine Right Heart Catheterizations

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Topics

Methoxamine Injections in the Diagnosis of Mitral Insufficiency During Routine Right Heart Catheterizations

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Topics

Also Consider