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Echocardiographic assessment of left atrioventricular plane displacement as a complement to left ventricular regional wall motion evaluation in the detection of myocardial dysfunction.

Willenheimer, Ronnie LU ; Rydberg, Erik LU ; Stagmo, Martin LU ; Gudmundsson, Petri; Ericsson, Gerd and Erhardt, Leif RW LU (2002) In International Journal of Cardiovascular Imaging2001-01-01+01:00 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)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
atrioventricular plane displacement, visual, myocardial wall motion, subendocardial dysfunction
in
International Journal of Cardiovascular Imaging2001-01-01+01:00
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
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
2007-07-30 13:49:27
date last changed
2017-01-01 05:05:04
@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 (&lt; 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},
  keyword      = {atrioventricular plane displacement,visual,myocardial wall motion,subendocardial dysfunction},
  language     = {eng},
  number       = {3},
  pages        = {181--186},
  publisher    = {Springer},
  series       = {International Journal of Cardiovascular Imaging2001-01-01+01:00},
  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},
  volume       = {18},
  year         = {2002},
}