Circulation, Vol 61, 143-147, Copyright © 1980 by American Heart Association
AS Abbasi, MW Allen, D DeCristofaro and I Ungar
Sensitivity and specificity of detection of mitral regurgitation was
assessed by range-gated Doppler echocardiography. The degree of mitral
regurgitation was also estimated by the depth and width of the regurgitant
jet detected with Doppler and compared with that assessed by left
ventriculography. Of 47 patients with an adequate Doppler study, 24 had no
mitral regurgitation by ventriculography. All but one were also negative
for mitral regurgitation by Doppler, for a specificity of 96%. Of 23 cases
with mitral regurgitation documented by ventriculography, Doppler detected
mitral regurgitation in 21, for a sensitivity of 92%. Two cases with mitral
regurgitation undiagnosed by Doppler had mild mitral regurgitation due to
papillary muscle dysfunction. All cases with rheumatic mitral regurgitation
were detected. The degree of mitral regurgitation estimated with Doppler
had a high correlation with that determined by ventriculography (r = 0.88,
p less than 0.01).
ARTICLES
Detection and estimation of the degree of mitral regurgitation by range- gated pulsed doppler echocardiography
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