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June 1, 1969Circulation

Sound Spectrographic Diagnosis of Aortic Ball Variance

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Key result

Contour sound spectrograms detected aortic ball variance, showing peak frequencies <1,300 cycles/sec in 11 of 12 affected patients compared to >1,300 cycles/sec in 24 of 25 controls.

Why the study?

Does contour sound spectrography accurately detect aortic ball variance in patients with Starr-Edwards aortic prostheses?

Population

37 patients with cardiac valve prostheses, including 12 with operation-confirmed ball variance and 25…

Comparison

Contour sound spectrography vs Control patients without ball variance

Design

Case-control

Authors

JHJohn C. HylenOregon Health & Science UniversityFKFrank E. KlosterOregon National Primate Research CenterRHRodney H. HerrOregon National Primate Research Center

Discussion

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Implication

May support noninvasive detection of Starr-Edwards ball variance; leaves open prospective validation before any practice change.

Study Design

Type

Case-Control (n=37)

Structured PICO

Does contour sound spectrography accurately detect aortic ball variance in patients with Starr-Edwards aortic prostheses?

P
Population
37 patients, including 12 with surgically confirmed aortic ball variance and 25 controls, evaluated using contour sound spectrograms.
E
Exposure
Contour sound spectrography
C
Comparator
Control patients without ball variance
O
Outcome
Peak frequency of the aortic opening sound at the second right intercostal spacesurrogate

Main Result

Absolute Event Rate: 91.7% vs 4%

Sound spectrography provides reliable objective evidence of aortic ball variance in patients with Starr-Edwards Model 1000 series prostheses by detecting decreased peak frequencies of the aortic opening sound.

Limitations

  • Diagnosis of aortic ball variance in patients with triple valve replacement remains difficult because of the nearly synchronous tricuspid closing and aortic opening sounds.
  • Diagnosis in patients with triple valve replacement remains difficult because of nearly synchronous tricuspid closing and aortic opening sounds.

Cite This Study

Hylen et al. (1969) conducted a case-control in Aortic ball variance (n=37). Aortic ball variance vs. Controls was evaluated on Peak frequency of the aortic opening sound below 1,300 cycles/sec. Contour sound spectrograms detected aortic ball variance, showing peak frequencies <1,300 cycles/sec in 11 of 12 affected patients compared to >1,300 cycles/sec in 24 of 25 controls.

synapsesocial.com/papers/6aa2a6b8a35797cf0e7f5f8dhttps://doi.org/10.1161/01.cir.39.6.849
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Also Consider

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

  1. 1Successful Replacement of Defective Ball of a Prosthetic Aortic Valve1968 · 19 citations
  2. 2Death Due to Migration of the Ball From an Aortic-Valve Prosthesis1965 · 42 citations
  3. 3Death Due to Swelling of Ball Component of Aortic Ball-Valve Prosthesis1967 · 38 citations
  4. 4Cardiac Catheterization Studies after Combined Tricuspid, Mitral, and Aortic Valve Replacement1966 · 41 citations
  5. 5Total Cardiac Valve Replacement Using SCDK-Cutter Prosthesis1966 · 55 citations