[Real-time bidimensional-color Doppler evaluation of patent ductus arteriosus]

Giornale Italiano Di Cardiologia
|January 1, 1986
PubMed

Insights

Real-time Doppler echocardiography effectively visualizes left-to-right shunts in patients with patent ductus arteriosus (PDA). This noninvasive method reliably assesses pulmonary artery pressure and shunt severity.

Area of Science:

  • Cardiovascular imaging
  • Pediatric cardiology
  • Echocardiography

Context:

  • Patent ductus arteriosus (PDA) is a common congenital heart defect.
  • Accurate assessment of shunt severity is crucial for management.
  • Noninvasive methods are preferred for pediatric patients.

Purpose:

  • To evaluate the utility of real-time two-dimensional Doppler echocardiography for assessing left-to-right shunts at the ductal level.
  • To correlate echocardiographic findings with cardiac catheterization data.
  • To assess the noninvasive estimation of pulmonary artery pressure.

Summary:

  • Eleven patients with PDA (1 day to 16 years) and 18 controls underwent Doppler echocardiography.
  • Echocardiography clearly visualized pulmonary flow patterns and ductal jet streams.
  • Colour-coded shunt area correlated with catheterization-derived shunt size.
  • Pharmacologic closure with indomethacin was observed in two infants.
  • Combined Doppler techniques provided reliable noninvasive pulmonary artery pressure assessment.

Impact:

  • Doppler echocardiography offers a reliable, noninvasive tool for evaluating PDA severity.
  • This technique aids in clinical decision-making and treatment monitoring.
  • It reduces the need for invasive procedures like cardiac catheterization in pediatric patients.

Related Concept Videos

Assessing Blood pressure using a doppler ultrasound01:19

Assessing Blood pressure using a doppler ultrasound

To obtain accurate blood pressure measurements in clinical settings, especially when traditional methods are insufficient, healthcare professionals utilize the Doppler ultrasound technique. This method uses high-frequency sound waves to detect blood flow within the arteries, which is crucial for patients with conditions that complicate circulatory system assessment.
Pre-Procedural Guidelines for Doppler Ultrasound Blood Pressure Assessment:
Preparation of Equipment:
Imaging Studies for Cardiovascular System II:Types of Echocardiography01:20

Imaging Studies for Cardiovascular System II:Types of Echocardiography

Echocardiography plays a role in assessing cardiac health and detecting heart conditions, with various types providing critical insights for diagnosis and treatment.
Types of Echocardiography
Transthoracic Echocardiography (TTE)
TTE is the most common type of echocardiogram which involves placing a transducer on the patient's chest, emitting sound waves to create heart images. TTE is invaluable for evaluating the heart's size, structure, and motion, making it particularly useful for diagnosing...
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation01:21

Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation

Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...