Phasic flow in the left ventricular inflow tract: The importance of Doppler sample volume position

✍ Scribed by Ben J. Delemarre; Hans Bot; Cees A. Visser; Arend J. Dunning

• Publisher: John Wiley and Sons
• Year: 1988
• Tongue: English
• Weight: 539 KB
• Volume: 16
• Category: Article
• ISSN: 0091-2751
• DOI: 10.1002/jcu.1870160403

✦ Synopsis

Variability of Doppler transmitral flow was studied in 42 normal patients (aged 19-68 years). Starting at the mitral annulus level (ANL) in an apical four-chamber view, the sample volume was moved downstream at 1-cm intervals. At all positions, peak early (E) and later atrial mediated (A) diastolic velocity were measured, and the distance from the transducer to the level with the highest E wave (HEL) and highest A wave (HAL) determined. The A/E ratio and time velocity integral (TVI) at ANL, HAL, and HEL were also calculated. Peak E velocity at HEL was 33% higher than at ANL (p less than 0.01) and peak A velocity was 15% higher at HAL than at ANL (p less than 0.01). The A/E ratio was minimal at HEL and maximal at ANL (0.68 +/- 0.28 vs 0.85 +/- 0.32, p less than 0.01), whereas TVI was highest at HEL and lowest at ANL. Thus, inflow parameters vary along the inflow axis. This is of importance for cardiac output measurement. The A/E ratio was more dependent on age than on sample volume position.