Echocardiographic assessment of left atrioventricular plane displacement as a complement to left ventricular regional wall motion evaluation in the detection of myocardial dysfunction.
(2002) In International Journal of Cardiovascular Imaging 18(3). p.181-186- Abstract
- AIM: We aimed to find out if abnormal left atrioventricular plane displacement (AVPD) is a sign of myocardial dysfunction, even in patients with normal left ventricular (LV) regional wall motion (RWM). METHODS: We prospectively performed echocardiography in 1350 consecutive patients referred to our echocardiography laboratory. Left AVPD and LV RWM were evaluated in all patients. We prospectively selected all patients with normal LV RWM but impaired left AVPD for further analysis of clinical parameters. RESULTS: Eighty-eight of the 1350 patients had completely normal LV RWM but impaired left AVPD (< or = 10 mm) in at least one region (septal, lateral, posterior, anterior). Of these, 60.2% had prior and/ or acute myocardial infarction,... (More)
- AIM: We aimed to find out if abnormal left atrioventricular plane displacement (AVPD) is a sign of myocardial dysfunction, even in patients with normal left ventricular (LV) regional wall motion (RWM). METHODS: We prospectively performed echocardiography in 1350 consecutive patients referred to our echocardiography laboratory. Left AVPD and LV RWM were evaluated in all patients. We prospectively selected all patients with normal LV RWM but impaired left AVPD for further analysis of clinical parameters. RESULTS: Eighty-eight of the 1350 patients had completely normal LV RWM but impaired left AVPD (< or = 10 mm) in at least one region (septal, lateral, posterior, anterior). Of these, 60.2% had prior and/ or acute myocardial infarction, predominantly non-Q-wave, whereas 33.0% had angina without infarction and 2.3% had hypertension. In 49 (55.7%) patients coronary angiography was performed. All were abnormal. In 4.5% (n = 4) of the patients no obvious reason for the AVPD decrease was found, but was not precluded. CONCLUSION: Almost all patients with abnormal left AVPD and completely normal LV RWM had clinical cardiac disease. Thus, decreased AVPD despite normal LV RWM seems to be a true sign of myocardial dysfunction, predominantly indicating subendocardial dysfunction. In screening for patients with myocardial dysfunction assessment of left AVPD may be useful as a complement to LV RWM evaluation. The prognosis in such patients is currently being evaluated. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/109434
- author
- Willenheimer, Ronnie LU ; Rydberg, Erik LU ; Stagmo, Martin LU ; Gudmundsson, Petri ; Ericsson, Gerd and Erhardt, Leif RW LU
- organization
- publishing date
- 2002
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- atrioventricular plane displacement, visual, myocardial wall motion, subendocardial dysfunction
- in
- International Journal of Cardiovascular Imaging
- volume
- 18
- issue
- 3
- pages
- 181 - 186
- publisher
- Springer
- external identifiers
-
- pmid:12123309
- wos:000176547600004
- scopus:0035997860
- ISSN
- 1875-8312
- DOI
- 10.1023/A:1014664825080
- language
- English
- LU publication?
- yes
- additional info
- The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Cardiology (013242100), Cardiology Research Group (013242120), Emergency medicine/Medicine/Surgery (013240200)
- id
- 0007a73b-a32d-48d6-9620-8a38841fcc3a (old id 109434)
- alternative location
- http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=Retrieve&db=PubMed&list_uids=12123309&dopt=AbstractPlus
- date added to LUP
- 2016-04-01 12:22:13
- date last changed
- 2022-01-27 02:48:41
@article{0007a73b-a32d-48d6-9620-8a38841fcc3a,
abstract = {{AIM: We aimed to find out if abnormal left atrioventricular plane displacement (AVPD) is a sign of myocardial dysfunction, even in patients with normal left ventricular (LV) regional wall motion (RWM). METHODS: We prospectively performed echocardiography in 1350 consecutive patients referred to our echocardiography laboratory. Left AVPD and LV RWM were evaluated in all patients. We prospectively selected all patients with normal LV RWM but impaired left AVPD for further analysis of clinical parameters. RESULTS: Eighty-eight of the 1350 patients had completely normal LV RWM but impaired left AVPD (< or = 10 mm) in at least one region (septal, lateral, posterior, anterior). Of these, 60.2% had prior and/ or acute myocardial infarction, predominantly non-Q-wave, whereas 33.0% had angina without infarction and 2.3% had hypertension. In 49 (55.7%) patients coronary angiography was performed. All were abnormal. In 4.5% (n = 4) of the patients no obvious reason for the AVPD decrease was found, but was not precluded. CONCLUSION: Almost all patients with abnormal left AVPD and completely normal LV RWM had clinical cardiac disease. Thus, decreased AVPD despite normal LV RWM seems to be a true sign of myocardial dysfunction, predominantly indicating subendocardial dysfunction. In screening for patients with myocardial dysfunction assessment of left AVPD may be useful as a complement to LV RWM evaluation. The prognosis in such patients is currently being evaluated.}},
author = {{Willenheimer, Ronnie and Rydberg, Erik and Stagmo, Martin and Gudmundsson, Petri and Ericsson, Gerd and Erhardt, Leif RW}},
issn = {{1875-8312}},
keywords = {{atrioventricular plane displacement; visual; myocardial wall motion; subendocardial dysfunction}},
language = {{eng}},
number = {{3}},
pages = {{181--186}},
publisher = {{Springer}},
series = {{International Journal of Cardiovascular Imaging}},
title = {{Echocardiographic assessment of left atrioventricular plane displacement as a complement to left ventricular regional wall motion evaluation in the detection of myocardial dysfunction.}},
url = {{http://dx.doi.org/10.1023/A:1014664825080}},
doi = {{10.1023/A:1014664825080}},
volume = {{18}},
year = {{2002}},
}