Pulsed Doppler diagnosis of tricuspid insufficiency

Pulsed Doppler diagnosis of tricuspid insufficiency

To verify the ability of Pulsed Doppler Echocardiography (PDE) to detect flow abnormalities in tricuspid insufficiency (TI), 27 normal controls and 83 heart patients (pts) were studied. The latter group underwent an invasive diagnostic evaluation. The PDE examination did not reveal any significant s...

Full description

Saved in:
Bibliographic Details
Published in:Giornale italiano di cardiologia Vol. 12; no. 4; p. 270
Main Authors: Sgalambro, A, Recusani, F, Raisaro, A, Cremaschi, R, Tronconi, L
Format: Journal Article
Language:English
Published: Italy 1982
Subjects:
Adolescent
Adult
Aged
Angiography
Cardiac Catheterization
Child
Echocardiography
Electrocardiography
Female
Humans
Male
Middle Aged
Tricuspid Valve Insufficiency - diagnosis
Online Access:Get more information
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:To verify the ability of Pulsed Doppler Echocardiography (PDE) to detect flow abnormalities in tricuspid insufficiency (TI), 27 normal controls and 83 heart patients (pts) were studied. The latter group underwent an invasive diagnostic evaluation. The PDE examination did not reveal any significant systolic flow alteration in the normal controls. However, in the heart patients, a systolic turbulence was recorded within the right atrium both on audio and on graphic system (Time Interval Histogram-TIH) in 28 cases. Angiography showed tricuspid regurgitation in 24 pts. The sensitivity of PDE was 92%, the specificity was 93% and the predictive value was 96%. There were two false negative and four false positive cases. In conclusion, Pulsed Doppler Echocardiography is a highly reliable technique for the qualitative diagnosis of tricuspid insufficiency in patients with acquired heart disease. Left-to-Right shunts, namely left-to-right atrium and left ventricle-to-right atrium, can create flow disturbances that mimic tricuspid insufficiency. No criteria were identified, which correlated well with the angiographic severity of the tricuspid regurgitation.
ISSN:0046-5968