Ratio of Early Transmitral Velocity to Lateral Mitral Annular Early Diastolic Velocity Has the Best Correlation With Wedge Pressure Following Cardiac Surgery

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概要

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• Background Although previous investigators reported that mitral annular velocity predicts mean pulmonary capillary wedge pressure (PCWP), it is unknown whether the lateral or septal mitral annular velocity more faithfully predicts PCWP after cardiac surgery. Methods and Results To assess the effect of cardiac surgery on the predictive values for PCWP by measuring mitral annular velocity, 52 consecutive patients undergoing cardiac surgery were studied. All patients underwent transthoracic echocardiography and right-sided cardiac catheterization both before and after surgery. The peak early diastolic velocity of transmitral flow (E) was measured by pulsed-wave Doppler and the peak early diastolic velocities of the lateral (LEa) and septal (SEa) mitral annulus by pulsed-wave tissue Doppler imaging. The ratios of E to LEa (E/LEa) and SEa (E/SEa) were calculated. Immediately after echocardiography, PCWP was measured using a balloon-tipped pulmonary artery catheter. After surgery, LEa was significantly increased (6.4±2.7 vs 8.6±3.3 cm/s, p<0.001), but SEa was unchanged (6.0±2.5 vs 5.5±2.3cm/s, p=0.09). E/LEa correlated well with PCWP both before and after surgery (r=0.79 and r=0.69, respectively, p<0.001). Although E/SEa correlated well before surgery (r=0.67, p<0.001), it correlated only weakly after surgery (r=0.44, p<0.01). Conclusions E/LEa has the best correlation with PCWP both before and after cardiac surgery and may be more useful than E/SEa in the noninvasive estimation of PCWP.

• 社団法人日本循環器学会の論文
• 2007-07-20

著者

• Matsuzaki Masunori

  Department of Medicine and Clinical Science, Division of Cardiology, Yamaguchi University Graduate S

• HADANO Yasuyuki

  Department of Medicine and Clinical Sciences, Yamaguchi University Graduate School of Medicine

• TANAKA Takeo

  Department of Medicine and Clinical Sciences, Yamaguchi University Graduate School of Medicine

• Murata Kazuya

  Department of Pharmacy, Nippon Medical School, Tama-Nagayama Hospital

• Akagawa Eizo

  Department Of Medicine And Clinical Science Yamaguchi University Graduate School Of Medicine

• Tanaka Nobuaki

  Department Of Clinical Laboratory Medicine Yamaguchi Grand Medical Center

• Kunichika Hideki

  Department of Cardiovascular Medicine, Yamaguchi University School of Medicine

• Murata Kazuya

  Division Of Laboratory Yamaguchi University Hospital

• Tanaka Nobuaki

  Division Of Cardiology Department Of Medicine And Clinical Science Yamaguchi University Graduate Sch

• Tanaka Takeo

  Department Of Medicine And Clinical Sciences Yamaguchi University Graduate School Of Medicine

• Matsuzaki Masunori

  Department Of Cardiology Kyushu Kousei-nenkin Hospital

• Muro Aiko

  Department of Medicine and Clinical Science, Yamaguchi University Graduate School of Medicine

• Muro Aiko

  Department Of Medicine And Clinical Science Yamaguchi University Graduate School Of Medicine

• Hadano Yasuyuki

  Department Of Medicine And Clinical Sciences Yamaguchi University Graduate School Of Medicine

• Tanaka Nobuaki

  Department Of Clinical Laboratory Yamaguchi University Hospital

• Tanaka Takeo

  Divison Of Cardiology Tokuyama Central Hospital

• Kunichika Hideki

  Department Of Medicine And Clinical Science Yamaguchi University Graduate School Of Medicine

• Kunichika Hideki

  Department Of Cardiovascular Medicine Yamaguchi University School Of Medicine

• Murata Kazuya

  Department Of Medical Bioregulation Division Of Cardiovascular Medicine Yamaguchi University School

• Hadano Yasuyuki

  Division Of Cardiology Tokuyama Central Hospital

• Tanaka Takeo

  Department Of Chemical System Engineering School Of Engineering University Of Tokyo

• Tanaka Nobuaki

  Department Of Cardiology Yamaguchi Grand Medical Center

• Matsuzaki Masunori

  The Depart. Of Int. Med. Yamaguchi Univers. School Of Med.

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