Right ventricular systolic pressure gradients in aortic valve disease.

Epstein, Eric J.; Doukas, N G; Coulshed, N; Brown, Alan

doi:10.1136/hrt.29.4.490

Cited by 4 publications

(3 citation statements)

References 32 publications

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“…We report here the clinical course of a 62-year-old man with severe aortic stenosis who clinically manifested prein-farction angina in the absence of coronary artery disease, There was hemodynamic evidence of right ventricular failure with an associated Bernheim's effect (6,15). The hemodynamic features of Bernheim's syndrome were observed and documented by cardiac catheterization studies before and after surgical correction.…”

Section: Introductionmentioning

confidence: 92%

“…This leads to an increase in diastolic filling pressure and resistance to outflow of the right ventricle. This has been referred to as the Bernheim's effect (6,15). In 1910, Bernheim introduced the concept of "right ventricular stenosis" as a cause of right ventricular failure in patients with left ventricular disease.…”

Section: Oinieal Findings and Coursementioning

confidence: 99%

“…This leads to an increase in diastolic filling pressure and resistance to outflow of the right ventricle. This has been referred to as the Bernheim's effect (6,15). In 1910, Clin.…”

Section: Oinieal Findings and Coursementioning

confidence: 99%

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Pre‐infarction angina secondary to calcific aortic stenosis with bernheim's effect

Huang

Goodman

Delaney

1978

Clinical Cardiology

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Summary:Pre-infarction angina, in the absence of coronary artery disease, was found in a 62 year-old man with severe calcific aortic stenosis. After application of intraaortic balloon pump counter-pulsation, the condition was stabilized, and coronary arteriograms were safely carried out. Interestingly, an elevated right atrial and right ventricular end-diastolic pressure with an associated Bernheim's effect was demonstrated by cardiac catheterization. The hemodynamics of the right heart returned to normal after surgical correction of the aortic stenosis. The clinical indications for intra-aortic balloon pump counterpulsation in this setting are discussed.

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Section: Introductionmentioning

confidence: 92%

Section: Oinieal Findings and Coursementioning

confidence: 99%