Advanced

Correlation of the M-mode atrioventricular plane early diastolic downward slope and systolic parameters. Coupling of LV systolic and early diastolic function.

Winter, Reidar LU ; Gudmundsson, Petri; Ericsson, Gerd and Willenheimer, Ronnie LU (2004) In International Journal of Cardiovascular Imaging2001-01-01+01:00 20(2). p.101-106
Abstract
Background: The early diastolic downward slope (EDS) of the left atrioventricular plane displacement (AVPD) is a parameter of early left ventricular (LV) diastolic filling, particularly useful in revealing pseudonormalisation of the transmitral Doppler early to atrial (E/A) ratio. In recent studies LV early diastolic function seems to be closely linked to LV systolic function. In order to further examine this relationship we studied the correlation between EDS and traditional Doppler parameters of LV diastolic function as well as between EDS and systolic parameters. Methods: LV diastolic function was assessed by echocardiography/Doppler in 62 consecutive patients by measurement of EDS and using a traditional four-grade scale based on a... (More)
Background: The early diastolic downward slope (EDS) of the left atrioventricular plane displacement (AVPD) is a parameter of early left ventricular (LV) diastolic filling, particularly useful in revealing pseudonormalisation of the transmitral Doppler early to atrial (E/A) ratio. In recent studies LV early diastolic function seems to be closely linked to LV systolic function. In order to further examine this relationship we studied the correlation between EDS and traditional Doppler parameters of LV diastolic function as well as between EDS and systolic parameters. Methods: LV diastolic function was assessed by echocardiography/Doppler in 62 consecutive patients by measurement of EDS and using a traditional four-grade scale based on a combination of the E/A ratio, the E-wave deceleration time (Edt), and the systolic/diastolic ratio of the pulmonary venous inflow (S/D). LV systolic function was evaluated by ejection fraction (LVEF) and AVPD. EDS was assessed from AVPD registrations. Results: In univariate analysis of variance (ANOVA), EDS was not significantly related to overall diastolic function, but highly significantly related to both LVEF (p = 0.001) and AVPD (p < 0.0001). Conclusions: EDS was more closely related to LV systolic parameters than to LV diastolic function assessed traditionally by Doppler, using a combination of E/A. Edt and S/D. This relationship between the early filling of the LV and the LV systolic function is in line with some earlier findings. It is suggestive of a relationship between the systolic and early diastolic performance of the LV. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
LV diastolic function, atrioventricular plane, early diastolic slope, LV systolic funcion, M-mode
in
International Journal of Cardiovascular Imaging2001-01-01+01:00
volume
20
issue
2
pages
101 - 106
publisher
Springer
external identifiers
  • pmid:15068140
  • wos:000220429900005
  • scopus:1542498613
ISSN
1875-8312
DOI
10.1023/B:CAIM.0000014049.29239.25
language
English
LU publication?
yes
id
735a2cd2-8a1f-464b-8d9f-b5c1665da7b6 (old id 122821)
alternative location
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=15068140&dopt=Abstract
date added to LUP
2007-07-30 11:01:57
date last changed
2017-01-01 04:44:03
@article{735a2cd2-8a1f-464b-8d9f-b5c1665da7b6,
  abstract     = {Background: The early diastolic downward slope (EDS) of the left atrioventricular plane displacement (AVPD) is a parameter of early left ventricular (LV) diastolic filling, particularly useful in revealing pseudonormalisation of the transmitral Doppler early to atrial (E/A) ratio. In recent studies LV early diastolic function seems to be closely linked to LV systolic function. In order to further examine this relationship we studied the correlation between EDS and traditional Doppler parameters of LV diastolic function as well as between EDS and systolic parameters. Methods: LV diastolic function was assessed by echocardiography/Doppler in 62 consecutive patients by measurement of EDS and using a traditional four-grade scale based on a combination of the E/A ratio, the E-wave deceleration time (Edt), and the systolic/diastolic ratio of the pulmonary venous inflow (S/D). LV systolic function was evaluated by ejection fraction (LVEF) and AVPD. EDS was assessed from AVPD registrations. Results: In univariate analysis of variance (ANOVA), EDS was not significantly related to overall diastolic function, but highly significantly related to both LVEF (p = 0.001) and AVPD (p &lt; 0.0001). Conclusions: EDS was more closely related to LV systolic parameters than to LV diastolic function assessed traditionally by Doppler, using a combination of E/A. Edt and S/D. This relationship between the early filling of the LV and the LV systolic function is in line with some earlier findings. It is suggestive of a relationship between the systolic and early diastolic performance of the LV.},
  author       = {Winter, Reidar and Gudmundsson, Petri and Ericsson, Gerd and Willenheimer, Ronnie},
  issn         = {1875-8312},
  keyword      = {LV diastolic function,atrioventricular plane,early diastolic slope,LV systolic funcion,M-mode},
  language     = {eng},
  number       = {2},
  pages        = {101--106},
  publisher    = {Springer},
  series       = {International Journal of Cardiovascular Imaging2001-01-01+01:00},
  title        = {Correlation of the M-mode atrioventricular plane early diastolic downward slope and systolic parameters. Coupling of LV systolic and early diastolic function.},
  url          = {http://dx.doi.org/10.1023/B:CAIM.0000014049.29239.25},
  volume       = {20},
  year         = {2004},
}