超声多普勒主动脉瓣反流指数与血管造影主动脉反流严重程度的相关性。

Correlation of echo-Doppler aortic valve regurgitation index with angiographic aortic regurgitation severity.

作者信息

Chen Ming, Luo Huai, Miyamoto Takashi, Atar Shaul, Kobal Sergio, Rahban Masoud, Brasch Andrea V, Makkar Rajendra, Neuman Yoram, Naqvi Tasneem Z, Tolstrup Kirsten, Siegel Robert J

机构信息

Division of Cardiology, Cedars-Sinai Medical Center, Los Angeles, California 90048, USA.

出版信息

Am J Cardiol. 2003 Sep 1;92(5):634-5. doi: 10.1016/s0002-9149(03)00743-4.

DOI:10.1016/s0002-9149(03)00743-4

PMID:12943896

Abstract

We assessed aortic regurgitation (AR) severity by utilizing multiple echo-Doppler variables in comparison with AR severity by aortic root angiography. Patients were divided into 3 groups: mild, moderate, and severe. An AR index (ARI) was developed, comprising 5 echocardiographic parameters: ratio of color AR jet height to left ventricular outlet flow diameter, AR signal density from continuous-wave Doppler, pressure half-time, left ventricular end-diastolic diameter, and aortic root diameter. There was a strong correlation between AR severity by angiography and the calculated echo-Doppler ARI (r = 0.84, p = 0.0001). As validated by aortic angiography, the ARI is an accurate reflection of AR severity.

摘要

我们通过使用多个超声多普勒变量评估主动脉反流（AR）的严重程度，并与主动脉根部血管造影评估的AR严重程度进行比较。患者被分为3组：轻度、中度和重度。开发了一个AR指数（ARI），它包括5个超声心动图参数：彩色AR射流高度与左心室流出道血流直径的比值、连续波多普勒测得的AR信号密度、压力半衰期、左心室舒张末期直径和主动脉根部直径。血管造影评估的AR严重程度与计算得出的超声多普勒ARI之间存在很强的相关性（r = 0.84，p = 0.0001）。经主动脉血管造影验证，ARI能准确反映AR的严重程度。