Diastolic Aortic Root Motion in Left Ventricular Hypertrophy

Djalaly, Ahmad; Schiller, Nelson B.; Poehlmann, H. W.; Arnold, Stephen; Gerte, Edward W.

doi:10.1378/chest.79.4.442

Cited by 11 publications

(4 citation statements)

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“…Diminished excursion of the aortic root has been described in dilated cardiomyopathy with elevated filling pressures and in septal wall‐motion abnormalities . Slow diastolic aortic posterior excursion was noted in mitral stenosis and in left ventricular hypertrophy . Rapid exaggerated excursion was described in mitral regurgitation and in atrial septal defect .…”

Section: Discussionmentioning

confidence: 99%

“…8 Slow diastolic aortic posterior excursion was noted in mitral stenosis 9 and in left ventricular hypertrophy. [10][11][12] Rapid exaggerated excursion was described in mitral regurgitation 8 and in atrial septal defect. 13 Each of these studies attributed the motion of the posterior aortic root to either left atrial filling or left ventricular function and did not consider possible confounding effects of right ventricular dysfunction and elevated right ventricular filling pressures.…”

Section: Discussionmentioning

confidence: 99%

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Diminished Aortic Excursion in Chronic Thromboembolic Pulmonary Hypertension

et al. 2013

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Diminished Aortic Excursion in Chronic Thromboembolic Pulmonary Hypertension

et al. 2013

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“…A, X B, Ai represents the maximum left atrial dimension, A2 the left atrial dimension at the beginning of atrial contraction, B, the maximum posterior wall excursion of the aorta, and B2 the posterior wall excursion of the aorta during atrial contraction. Ai X Bi, A2 X B2> and Ai X (Bi -B2) reflect the maximal left atrial volume, the change in left atrial volume during atrial contraction, and the change in left atrial volume during the rapid filling phase, respectively [7][8][9].…”

Section: Measurementsmentioning

confidence: 99%

Left Ventricular Diastolic Performance in Patients with Old Myocardial Infarction

Iwasaka¹,

Naggar²,

Sugiura³

et al. 1991

Am J Noninvas Cardiol

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To study the left ventricular (LV) diastolic performance of patients with old myocardial infarction (MI), the atrial filling fraction (AFF) and the rapid filling fraction (RFF) were determined using the aortic root echocardiogram during isometric handgrip exercise. Patients with old MI were divided into two groups. The LV ejection fraction in group 1 (n = 22) was >40%, in group 2 (n = 29) <40%. Thirty healthy volunteers were studied as the control group. At rest, the AFF values in group 1 (42 ± 9%) and in group 2 (46 ± 10%) were significantly larger than in the controls (36 ± 7%; p < 0.05 and < 0.01). The resting RFF was 56 ± 11% in controls, 47 ± 11 in group 1, and 41 ± 14% in group 2. The value in group 2 was significantly lower than in controls (p < 0.01). During exercise, the changes in AFF were 3.5 ± 1.2, 5.6 ± 1.8, and 10.3 ± 2.0% for controls and groups 1 and 2, respectively. The changes in RFF were –5.0 ± 1.6, –5.8 ± 1.4, and –11.0 ± 2.1% in controls and group 1 and 2 patients, respectively. The changes in AFF and RFF in group 2 were more pronounced than in controls or group 1 patients. Thus, the increased afterload during isometric exercise led to an increase in AFF with a simultaneous decrease in RFF, reflecting that LV performance was restricted in old MI and that the left atrial booster pump action was mobilized especially in old MI patients with a low LV ejection fraction.

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“…However, an M-mode performed in conjunction with two-dimensional imaging continues to provide important supportive or independent information. For example, mitral-septal separation (1), systolic anterior aortic root excursion (2), and diastolic posterior aortic root motion patterns (3,4), provide reliable 'eye ball' indices of global left ventricular systolic and diastolic function. In our laboratory we make a practice of evaluating the M-mode tracing before reviewing the two-dimensional real-time study.…”

Section: Left Ventricular Functionmentioning

confidence: 99%