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Which echocardiographic Doppler left ventricular diastolic function measurements are most feasible in the clinical
Shahabuddin Khan1, Renee L Bess, Howard S Rosman
1St. John Hospital and Medical Center, Detroit, Michigan 48236, USA.
Insights
This study assessed the clinical feasibility of various echocardiographic measures for left ventricular diastolic function. Transmitral valve inflow and tissue Doppler imaging demonstrated the highest feasibility in routine echocardiography.
Area of Science:
- Cardiology
- Echocardiography
- Medical Imaging
Background:
- Left ventricular diastolic dysfunction is a significant clinical concern.
- Multiple echocardiographic methods exist to assess diastolic function.
- Clinical feasibility of these methods requires evaluation.
Purpose of the Study:
- To compare the feasibility of different echocardiographic techniques for assessing left ventricular diastolic function.
- To identify the most practical methods for routine clinical use.
Main Methods:
- Eighty inpatients were studied.
- Feasibility was assessed by success rate, sonographer recording time, and inter-reader variability.
- Measurements included transmitral valve inflow, pulmonary vein flow, tissue Doppler imaging, and color M-mode flow propagation velocity.
Main Results:
- Transmitral valve inflow and tissue Doppler imaging showed high success rates and low inter-reader variability.
- Color M-mode flow propagation velocity had lower feasibility.
- Pulmonary vein flow exhibited variable results.
Conclusions:
- Transmitral valve inflow and tissue Doppler imaging are the most feasible echocardiographic measurements for assessing left ventricular diastolic function in a clinical setting.
- These methods are recommended for routine echocardiographic laboratories.
Abstract:
Numerous measures of left ventricular diastolic function are currently in clinical use. To determine which echo-Doppler left ventricular diastolic function measurements are most feasible in the clinical echocardiographic laboratory, the success rate, recording time taken by the sonographer, and inter-reader variability were calculated for transmitral valve inflow, pulmonary vein flow, tissue Doppler imaging, and color M-mode flow propagation velocity in 80 inpatients.
