Journal article
Two-dimensional echocardiographic estimation of right ventricular ejection fraction in patients with coronary artery disease
Journal of the American College of Cardiology, v 2(5), pp 911-918
Nov 1983
PMID: 6313789
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Abstract
Two-dimensional echocardiographic determination of right ventricular ejection fraction was compared with right ventricular ejection fraction obtained by first pass radionuclide angiography in 39 patients with coronary artery disease. Apical four chamber and two chamber right ventricular views were obtained in 34 (87%) of the 39 patients, while a subcostal four chamber view was obtained in 31 patients (80%). Right ventricular ejection fraction by two-dimensional echocardiography was calculated by the biplane area-length and Simpson's rule methods using two paired orthogonal views and utilizing a computerized light-pen method for tracing the right ventricular endocardium. A good correlation (r = 0.74 to 0.78) was found between radionuclide angiographic and two-dimensional echocardiographic right ventricular ejection fraction for each method used. Patients with acute inferior myocardial infarction had the lowest right ventricular ejection fraction by radionuclide angiography and two-dimensional echocardiography (p < 0.05 compared with patients with right coronary artery obstruction and no infarction). There were no differences in right ventricular ejection fraction between patients with acute and old inferior myocardial infarction by both techniques. No correlation was found between left and right ventricular ejection fraction by radionuclide angiography (r = 0.16).
It is concluded that 1) right ventricular ejection fraction by two-dimensional echocardiography correlates well with radionuclide angiographic measurements and can reliably evaluate right ventricular function in coronary artery disease, 2) patients with inferior myocardial infarction have reduced right ventricular ejection fraction, and 3) changes in left ventricular ejection fraction do not directly influence right ventricular function.
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Details
- Title
- Two-dimensional echocardiographic estimation of right ventricular ejection fraction in patients with coronary artery disease
- Creators
- Ioannis P. Panidis - Cardiovascular Institute of the SouthJian-Fang Ren - Cardiovascular Institute of the SouthMorris N. Kotler - Cardiovascular Institute of the SouthGary Mintz - Cardiovascular Institute of the SouthAbdulmassih Iskandrian - Cardiovascular Institute of the SouthJohn Ross - Cardiovascular Institute of the SouthSally Kane - Cardiovascular Institute of the SouthJulia C Ross - Richard C. Goodwin College of Professional Studies (2001-)
- Publication Details
- Journal of the American College of Cardiology, v 2(5), pp 911-918
- Publisher
- Elsevier
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Richard C. Goodwin College of Professional Studies
- Web of Science ID
- WOS:A1983RN88600016
- Scopus ID
- 2-s2.0-0021088981
- Other Identifier
- 991019184176804721
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- Web of Science research areas
- Cardiac & Cardiovascular Systems