Emilsson K, Egerlid R, Magnuson A, Nygren B M
Department of Clinical Physiology, Orebro University Hospital, SE-701 85 Orebro, Sweden.
Clin Physiol Funct Imaging. 2007 Sep;27(5):275-83. doi: 10.1111/j.1475-097X.2007.00748.x.
To compare the systolic, early and late diastolic velocities of the aortic, mitral and tricuspid annuli in healthy subjects and to study the intraobserver and interobserver reproducibility (IIOR) of measuring the velocities at the aortic annulus.
Twenty healthy subjects with mean age 28 years were investigated with quantitative two-dimensional color Doppler tissue imaging and the systolic, early and late diastolic velocities were measured at the aortic, mitral and tricuspid annuli.
The mitral annulus had significant higher systolic velocity and early diastolic velocity than the aortic annulus. The late diastolic velocity was significant lower at the aortic annulus compared with the both other annuli. At the different sites of the annuli the highest systolic velocity and early diastolic velocity were measured at the lateral site of the mitral annulus, whereas the lowest systolic velocity was measured at the septal site of the same annulus. The lowest early diastolic velocity was found at the septal site of the aortic annulus. The highest late diastolic velocity was measured at the lateral site of the tricuspid annulus and the lowest at the lateral site of the aortic annulus.
The mitral annulus has statistical significant higher systolic and early diastolic velocities than the aortic annulus. There are significant differences in velocities between several of the different sites of the annuli. IIOR of measuring the systolic and early diastolic velocities of the aortic annulus is good.
比较健康受试者主动脉瓣环、二尖瓣环和三尖瓣环的收缩期、舒张早期和舒张晚期速度,并研究测量主动脉瓣环速度时的观察者内和观察者间可重复性(IIOR)。
对20名平均年龄28岁的健康受试者进行定量二维彩色多普勒组织成像检查,并测量主动脉瓣环、二尖瓣环和三尖瓣环的收缩期、舒张早期和舒张晚期速度。
二尖瓣环的收缩期速度和舒张早期速度显著高于主动脉瓣环。与其他两个瓣环相比,主动脉瓣环的舒张晚期速度显著更低。在瓣环的不同部位,二尖瓣环外侧部位测量到最高的收缩期速度和舒张早期速度,而在同一瓣环的间隔部位测量到最低的收缩期速度。在主动脉瓣环间隔部位发现最低的舒张早期速度。三尖瓣环外侧部位测量到最高的舒张晚期速度,主动脉瓣环外侧部位测量到最低的舒张晚期速度。
二尖瓣环的收缩期和舒张早期速度在统计学上显著高于主动脉瓣环。瓣环的几个不同部位之间的速度存在显著差异。测量主动脉瓣环收缩期和舒张早期速度的IIOR良好。