Echocardiographic evaluation of mitral stenosis using diastolic posterior left ventricular wall motion.

Abstract

The slope of the posterior left ventricular wall motion in diastole (LVDS) was determined by echocardiography in 25 normal subjects and 21 patients with mitral stenosis. Patients with mitral stenosis had reduced LVDS that was related to the degree of mitral stenosis determined by calculated mitral valve area (r = 0.92). The mitral valve area correlated more closely with the LVDS than with the left atrial emptying index derived from the posterior aortic wall motion. Three patients with mitral stenosis had an increased LVDS after mitral valvotomy or mitral valve replacement. One patient with a stenotic mitral valve prosthesis had reduced LVDS. The results of this study suggest that analysis of the LVDS would be useful in predicting the severity of mitral stenosis and may be beneficial in evaluating patients with suspected prosthetic mitral valve malfunction.

The Genesis of the Opening Snap in Mitral Stenosis: Correlations between Spectral Analysis and Echocardiographic Data

“…The correlation between SDS and PWDS, and the energy content of 80-100 Hz frequency band can be explained by the fact that the reduced MVA is responsi ble for the reduced rate of left ventricular filling and subsequently of the left ventricular wall motion as ob served by Wise [19] and shown by high positive correla tions between MVA and SDS and PWDS in our data.…”

Hemodynamic Significance of Mitral Stenosis: Use of a Simple, Novel Index by 2-Dimensional Echocardiography

“…It is also significantly different for different grades of MS severity, demonstrating high discriminatory ability. Earlier echocardiographic measures of MS severity include slope of the posterior left ventricular wall motion in diastole, 9 left atrial emptying index, 10 ejection fraction slope of the mitral valve motion, 11,12 and rate of diastolic closure of the mitral valve. 13 The advent of 2D and Doppler echocardiography allowed more accurate echocardiographic assessment of MS severity and echocardiography is currently the gold standard method for assessing MS severity.…”