Mitral Inflow and Mitral Annular Motion Velocities in Patients with Mitral Annular Calcification: Evaluation by Pulsed Doppler Echocardiography and Pulsed Doppler Tissue Imaging

Soeki, Takeshi; Fukuda, Nobuo; Shinohara, Hisanori; Sakabe, Koichi; Onose, Yukiko; Sawada, Yoko; Tamura, Yoshiyuki

doi:10.1053/euje.2001.0137

Cited by 41 publications

(24 citation statements)

References 21 publications

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“…In addition, patients assessed early during hospitalisation were more likely to have severe valvular disease. These patients may have a higher degree of mitral annular calcification, which may increase E velocity25 or decrease e’ velocity1925. Furthermore, during the first days of recompensation, clearing of B-lines may not promptly follow E/e’ reduction, as opposed to discharge, when haemodynamic congestion estimated by tissue Doppler imaging reaches a steady-state.…”

Section: Discussionmentioning

confidence: 99%

Prognostic value of pulmonary congestion assessed by lung ultrasound imaging during heart failure hospitalisation: A two-centre cohort study

Coiro

Porot²,

Rossignol

et al. 2016

Sci Rep

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Pulmonary congestion assessed at discharge by lung ultrasonography predicts poor prognosis in heart failure (HF) patients. We investigated the association of B-lines with indices of hemodynamic congestion [BNP, E/e’, pulmonary systolic arterial pressure (PAPs)] in HF patients, and their prognostic value overall and according to concomitant atrial fibrillation (AF), reduced (≤40%) ejection fraction (EF), and timing of quantification during hospitalisation for heart failure (HHF). In 110 HHF patients, B-lines were highly discriminative of BNP >400 pg/ml (AUC ≥ 0.80 for all), and moderately discriminative of PAPs >50 mmHg (AUC = 0.68, 0.56 to 0.80); conversely, B-lines poorly discriminated average E/e’ ≥ 15, except at discharge. B-line count significantly predicted mid-term recurrent HHF or death (overall and in subgroups), regardless of AF status, EF, and timing of quantification during HHF (all p for interaction >0.10). regardless, B-lines ≥30 at discharge were most predictive of outcome (HR = 7.11, 2.06–24.48; p = 0.002) while B-lines ≥45 early during HHF were most predictive of outcome (HR = 9.20, 1.82–46.61; p = 0.007). Lung ultrasound was able to identify patients with high BNP levels, but not with increased E/e’, also showing a prognostic role regardless of AF status, EF or timing of quantification; best B-line cut-off appears to vary according to the timing of quantification during hospitalization.

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Section: Discussionmentioning

confidence: 99%

Prognostic value of pulmonary congestion assessed by lung ultrasound imaging during heart failure hospitalisation: A two-centre cohort study

Coiro

Porot²,

Rossignol

et al. 2016

Sci Rep

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“…The subjects in this study did not include patients with regional wall motion abnormalities on the lateral side nor those with marked mitral annular calcification. However, in such patients, different results should be expected (25). …”

Section: Simultaneous E/e= In Atrial Fibrillationmentioning

confidence: 96%

Clinical Utility of Single-Beat E/e′ Obtained by Simultaneous Recording of Flow and Tissue Doppler Velocities in Atrial Fibrillation With Preserved Systolic Function

Kusunose

Yamada

Nishio

et al. 2009

JACC: Cardiovascular Imaging

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The single-beat lateral E/e' correlated with plasma BNP level and PCWP in AF patients with preserved systolic function. In addition, the single-beat lateral E/e' (>or=11) was a good predictor of elevated PCWP (>or=15 mm Hg). Dual Doppler echocardiography offers an advantage of providing the single-beat lateral E/e' correctly even in AF patients, for the evaluation of left ventricular diastolic function.

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“…Mitral stenosis due to annular calcification is reported to be quite rare [5][6][7][8][9][10][11][12][13]. However, we have noted a number of patients undergoing routine echocardiography who have a significant resting gradient across the mitral valve (MV) with the only apparent etiology being MAC.…”

Section: Introductionmentioning

confidence: 96%

Mitral annular calcification as a cause of mitral valve gradients

Muddassir

Pressman

2007

International Journal of Cardiology

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Mitral Inflow and Mitral Annular Motion Velocities in Patients with Mitral Annular Calcification: Evaluation by Pulsed Doppler Echocardiography and Pulsed Doppler Tissue Imaging

Abstract: Patients with severe mitral annular calcification have higher mitral inflow velocities due to mitral annular restriction and lower mitral annular velocities caused by decreased mitral annular motion and abnormal left ventricular relaxation.

Cited by 41 publications

References 21 publications

Prognostic value of pulmonary congestion assessed by lung ultrasound imaging during heart failure hospitalisation: A two-centre cohort study

Prognostic value of pulmonary congestion assessed by lung ultrasound imaging during heart failure hospitalisation: A two-centre cohort study

Clinical Utility of Single-Beat E/e′ Obtained by Simultaneous Recording of Flow and Tissue Doppler Velocities in Atrial Fibrillation With Preserved Systolic Function

Mitral annular calcification as a cause of mitral valve gradients

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