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November 1, 1994HeartOpen Access

Non-smoke spontaneous contrast in left atrium intensified by respiratory manoeuvres: a new transoesophageal echocardiographic observation.

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Why the study?

Do respiratory manoeuvres induce spontaneous contrast in the left atrium during transoesophageal echocardiography?

Population

30 consecutive patients referred for transoesophageal echocardiography

Comparison

Respiratory manoeuvres with and without venous… vs Normal respiration with and without venous…

Design

Cross-sectional

Authors

GCGuy Van CampUniversity of AntwerpBCBernard CosynsAmerican College of CardiologyJVJean-Luc VandenbosscheUniversité Libre de Bruxelles

Discussion

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Overview

May induce false-positive PFO diagnoses on TEE if Valsalva precedes contrast; leaves open standardized sequencing in prospective studies.

Structured PICO

Do respiratory manoeuvres induce spontaneous contrast in the left atrium during transoesophageal echocardiography?

P
Population
30 consecutive patients referred for transoesophageal echocardiography
I
Intervention
Respiratory manoeuvres (cough and Valsalva manoeuvre) with and without venous injection of 10 ml of 5% dextrose
C
Comparator
Normal respiration with and without venous injection of 10 ml of 5% dextrose
O
Outcome
Appearance, frequency, intensity, and timing of contrast in the left atriumsurrogate

Respiratory manoeuvres frequently induce transient contrast in the left atrium independently of venous injections, highlighting the need to perform these manoeuvres before contrast injection to avoid false positive diagnoses of patent foramen ovale.

Cite This Study

Camp et al. (1994) studied this question.

synapsesocial.com/papers/6a855c7ee54a638bbf3d9737https://doi.org/10.1136/hrt.72.5.446
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Also Consider

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  3. 3A Noninvasive Method of Predicting Pulmonary-Capillary Wedge Pressure1992 · 80 citations