Noninvasive estimation of pulmonary capillary wedge pressure and cardiac output by the analysis of pulmonary venous flow velocity patterns in patients

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1 Noninvasive estimation of pulmonary capillary wedge pressure and cardiac output by the analysis of pulmonary venous flow velocity patterns in patients with acute congestive heart failure Jung-Myung Lee, Tohru Masuyama, Kazunori Nariyama, Hiroshi Takahashi, Masatugu Hori, Kouji Nakamura, Takenobu Kamada. Department of Internal Medicine, Kaizuka Municipal Hospital. The First Department of Internal Medicine, Osaka University School of Medicine. Key words

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7 1) Dougherty AH, et al : Congestive heart failure with normal systolic function. Am J Cardiol 1984 ; 54 : ) Forrester JS, et al : Medical therapy of acute myocardial infarction by application of hemodynamic subsets. N Engl J Med 1976 ; 295 : ) Keren G, Sherez J, Megidish R, et al : Pulmonary venous flow pattern. Its relationship to

8 cardiac dynamics. A pulsed Doppler echocardiographic study. Circulation 1985 ; 71 : ) Masuyama T, Lee JM, Yamamoto K, et al : Analysis of pulmonary venous flow velocity pattern in hypertensive hearts : Its complementary value in the interpretation of mitral flow velocity pattern. Am Heart J 1992 ; 124 : ) Masuyama T, Lee JM, Tamai M, et al : Pulmonary venous flow velocity pattern as assessed with transthoracic pulsed Doppler echocardiography in subjects without cardiac disease. Am J Cardiol 1991 ; 67 : ) Masuyama T, Yamamoto K, Uematsu M, et al : Contributors to characteristic mitral flow velocity pattern in congestive heart failure. From clinical observations back to experimental validations. Jpn Circ J 1992 ; ) Stoddard MF, Pearson AC, Kern MJ, et al : Influence of alteration in preload on the pattern of left ventricular diastolic filling as assessed by Doppler echocardiography in humans. Circulation 1989 ; 79 : ) Vanoverschelde JJ, Raphael DA, Robert AR, et al : Left ventricular filling in dilated cardiomyopathy : relation to functional class and hemodynamics. J Am Coll Cardiol 1990 ; 15 : ) Masuyama T, St Goar FG, Alderman EL, et al : Effects of nitroprusside on transmitral flow velocity patterns in extreme heart failure : a combined hemodynamic and Doppler echocardiographic study of varying loading conditions. J Am Coll Cardiol 1990 ; 16 : ) Mulvagh S, Quinones MA, Kleiman NS, et al : Estimation of ventricular end-diastolic pressure from Doppler transmitral flow velocity in cardiac patients independent of systolic performance. J Am Coll Cardiol 1992 ; 20 : ) Yamamoto K, Masuyama T, Tanouchi J, et al : Importance of left ventricular minimum pressure as a determinant of trasmitral flow velocity pattern in the presence of left ventricular systolic dysfunction. J Am Coll Cardiol 1993 ; 21 : ) Kuecherer HF, Muhiudeen IA, Kusumoto FM, et al : Estimation of mean left atrial pressure from transesophageal pulsed Doppler echocardiography of pulmonary venous flow. Circulation 1990 ; 82 : ) Nishimura RA, Abel MD, Hatle LK, et al : Relation of pulmonary vein to mitral flow velocities by transesophageal Doppler echocardiography. Effect of different loading conditions. Circulation 1990 ; 81 : ) Nakatani S, Yoshitomi H, Tamai J, et al : Noninvasive estimation of left ventricular enddiastolic pressure using transthoracic Dopplerdetermined pulmonary venous atrial flow reversal. Circulation 1991 ; 84 (Suppl II) : (abstract) 15) Masuyama T, Kodama K, Kitabatake A, et al : Continuous-wave Doppler echocardiographic detection of pulmonary regurgitation and its application to noninvasive estimation of pulmonary artery pressure. Circulation 1986 ; 74 : ) von Bibra H, Becher H, Firchke C, et al : SHU 508 for contrast color Doppler of left ventricular chambers. improved evaluation of mitral regurgitation. Circulation 1991 ; 84 (Suppl II) : (abstract) 17) Nakatani S, Imanishi T, Terasawa A, et al : Clinical application of transpulmonary contrast-enhanced Doppler technique in the assessment of severity of aortic stenosis. J Am Coll Cardiol 1992 ; 20 : ) Castello R, Pearson AC, Lenzen P, et al : Effect of mitral regurgitation on pulmonary venous velocities derived from transesophageal echocardiography color-guided pulsed Doppler imaging. J Am Coll Cardiol 1991 ; 7 : ) Castello R, Pearson AC, Lenzen P, et al : Evaluation of pulmonary venous flow by transesophageal echocardiography in subjects with a normal heart : comparison with trasthracic echocardiography. J Am Coll Cardiol 1991 ; 18 : ) Klein AL, Tajik AJ : Doppler assessment of pulmonary venous flow in healthy subjects and in patients with heart disease. J Am Soc Echocardiogr 1991 ; 4 :

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