Skip to main content
British Heart Journal logoLink to British Heart Journal
. 1984 Apr;51(4):416–420. doi: 10.1136/hrt.51.4.416

Comparison of cinefluoroscopy and M mode echocardiography for detecting aortic valve calcification. Correlation with severity of stenosis of non-rheumatic aetiology.

M Dancy, G Leech, A Leatham
PMCID: PMC481523  PMID: 6704261

Abstract

The density of aortic valve calcification was estimated using cinefluoroscopy and M mode echocardiography in 86 patients with pure aortic stenosis. The results were compared with the degree of outflow obstruction measured haemodynamically. Cinefluoroscopic estimates of aortic valve calcification correlated well with the measured aortic valve gradient whereas echocardiographic results were less accurate. Echocardiography gave accurate information about the distribution of calcium within the cusps, but this was not of value in predicting the degree of obstruction. The amount of calcium in the aortic valve as assessed by simple cinefluoroscopy is a useful guide to the severity of aortic stenosis in patients in the middle and older age groups.

Full text

PDF
416

Images in this article

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Batson G. A., Urquhart W., Sideris D. A. Radiological features in aortic stenosis. Clin Radiol. 1972 Apr;23(2):140–144. doi: 10.1016/s0009-9260(72)80076-x. [DOI] [PubMed] [Google Scholar]
  2. Campbell M. Calcific aortic stenosis and congenital bicuspid aortic valves. Br Heart J. 1968 Sep;30(5):606–616. doi: 10.1136/hrt.30.5.606. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Cousins A. L., Eddleman E. E., Jr, Reeves T. J. Prediction of aortic valvular area and gradient by noninvasive techniques. Am Heart J. 1978 Mar;95(3):308–315. doi: 10.1016/0002-8703(78)90361-7. [DOI] [PubMed] [Google Scholar]
  4. DeMaria A. N., Bommer W., Joye J., Lee G., Bouteller J., Mason D. T. Value and limitations of cross-sectional echocardiography of the aortic valve in the diagnosis and quantification of valvular aortic stenosis. Circulation. 1980 Aug;62(2):304–312. doi: 10.1161/01.cir.62.2.304. [DOI] [PubMed] [Google Scholar]
  5. Eddleman E. E., Jr, Frommeyer W. B., Jr, Lyle D. P., Turner M. E., Jr, Bancroft W. H., Jr Critical analysis of clinical factors in estimating severity of aortic valve disease. Am J Cardiol. 1973 Jun;31(6):687–695. doi: 10.1016/0002-9149(73)90001-5. [DOI] [PubMed] [Google Scholar]
  6. Glancy D. L., Freed T. A., O'Brien K. P., Epstein S. E. Calcium in the aortic valve. Roentgenologic and hemodynamic correlations in 148 patients. Ann Intern Med. 1969 Aug;71(2):245–250. doi: 10.7326/0003-4819-71-2-245. [DOI] [PubMed] [Google Scholar]
  7. Gramiak R., Shah P. M. Echocardiography of the normal and diseased aortic valve. Radiology. 1970 Jul;96(1):1–8. doi: 10.1148/96.1.1. [DOI] [PubMed] [Google Scholar]
  8. Gramiak R., Waag R. C., Schenk E. A., Lee P. P., Thomson K., Macintosh P. Ultrasonic detection of myocardial infarction by amplitude analysis. Radiology. 1979 Mar;130(3):713–720. doi: 10.1148/130.3.713. [DOI] [PubMed] [Google Scholar]
  9. KLATTE E. C., TAMPAS J. P., CAMPBELL J. A., LURIE P. R. The roentgenographic manifestations of aortic stenosis and aortic valvular insufficiency. Am J Roentgenol Radium Ther Nucl Med. 1962 Jul;88:57–69. [PubMed] [Google Scholar]
  10. MITCHELL A. M., SACKETT C. H., HUNZICKER W. J., LEVINE S. A. The clinical features of aortic stenosis. Am Heart J. 1954 Nov;48(5):684–720. doi: 10.1016/0002-8703(54)90063-0. [DOI] [PubMed] [Google Scholar]

Articles from British Heart Journal are provided here courtesy of BMJ Publishing Group

RESOURCES