Abstract
An echocardiographic study of left ventricular diameter was made in 27 patients with aortic regurgitation. Comparison was made with a group of 21 normal subjects and a group of 6 patients with large left ventricles without valvar regurgitation. Total stroke volume, total left ventricular output, and ejection fraction were derived by the method of cubing the left ventricular diameter to give approximate left ventricular volumes at and-diastole and end-systole. The patients were assessed independently and placed into three grades of severity. The eechocardiographic dimensions of patients with mild aortic regurgitation were not significantly different from those of the normal subjects. With increasing severity of aortic regurgitation, there were increases in group values for left ventricular diameter, total stroke volume, and total left ventricular output. The ejection fraction was depressed below the normal range in only one patient with aortic regurgitation. It is concluded that echocardiographic measurement of left ventribular dimensions is of value in assessing the severity of aortic regurgitation.
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- BRAUNWALD E., ROSS J., Jr The ventricular end-diastolic pressure. Appraisal of its value in the recognition of ventricular failure in man. Am J Med. 1963 Feb;34:147–150. doi: 10.1016/0002-9343(63)90049-4. [DOI] [PubMed] [Google Scholar]
- Chatterjee K., Sacoor M., Sutton G. C., Miller G. A. Assessment of left ventricular function by single plane cineangiographic volume analysis. Br Heart J. 1971 Jul;33(4):565–571. doi: 10.1136/hrt.33.4.565. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Cohn L. H., Mason D. T., Ross J., Jr, Morrow A. G., Braunwald E. Preoperative assessment of aortic regurgitation in patients with mitral valve disease. Am J Cardiol. 1967 Feb;19(2):177–182. doi: 10.1016/0002-9149(67)90530-9. [DOI] [PubMed] [Google Scholar]
- Danford H. G., Danford D. A., Mielke J. E., Peterson L. F. Echocardiographic evaluation of the hemodynamic effects of chronic aortic insufficiency with observations on left ventricular performance. Circulation. 1973 Aug;48(2):253–262. doi: 10.1161/01.cir.48.2.253. [DOI] [PubMed] [Google Scholar]
- Feigenbaum H., Zaky A., Nasser W. K. Use of ultrasound to measure left ventricular stroke volume. Circulation. 1967 Jun;35(6):1092–1099. doi: 10.1161/01.cir.35.6.1092. [DOI] [PubMed] [Google Scholar]
- Feild B. J., Russell R. O., Jr, Moraski R. E., Soto B., Hood W. P., Jr, Burdeshaw J. A., Smith M., Maurer B. J., Rackley C. E. Left ventricular size and function and heart size in the year following myocardial infarction. Circulation. 1974 Aug;50(2):331–339. doi: 10.1161/01.cir.50.2.331. [DOI] [PubMed] [Google Scholar]
- Fortun N. J., Hood W. P., Jr, Sherman M. E., Craige E. Determination of left ventricular volumes by ultrasound. Circulation. 1971 Oct;44(4):575–584. doi: 10.1161/01.cir.44.4.575. [DOI] [PubMed] [Google Scholar]
- Frank M. J., Casanegra P., Nadimi M., Migliori A. J., Levinson G. E. Measurement of aortic regurgitation by upstream sampling with continuous infusion of indicator. Circulation. 1966 Apr;33(4):545–557. doi: 10.1161/01.cir.33.4.545. [DOI] [PubMed] [Google Scholar]
- Gibson D. G. Estimation of left ventricular size by echocardiography. Br Heart J. 1973 Feb;35(2):128–134. doi: 10.1136/hrt.35.2.128. [DOI] [PMC free article] [PubMed] [Google Scholar]
- MILLER G. A., KIRKLIN J. W., SWAN H. J. MYOCARDIAL FUNCTION AND LEFT VENTRICULAR VOLUMES IN ACQUIRED VALVULAR INSUFFICIENCY. Circulation. 1965 Mar;31:374–384. doi: 10.1161/01.cir.31.3.374. [DOI] [PubMed] [Google Scholar]
- McDonald I. G. Echocardiographic demonstration of abnormal motion of the interventricular septum in left bundle branch block. Circulation. 1973 Aug;48(2):272–280. doi: 10.1161/01.cir.48.2.272. [DOI] [PubMed] [Google Scholar]
- Pombo J. F., Troy B. L., Russell R. O., Jr Left ventricular volumes and ejection fraction by echocardiography. Circulation. 1971 Apr;43(4):480–490. doi: 10.1161/01.cir.43.4.480. [DOI] [PubMed] [Google Scholar]
- Popp R. L., Harrison D. C. Ultrasonic cardiac echography for determining stroke volume and valvular regurgitation. Circulation. 1970 Mar;41(3):493–502. doi: 10.1161/01.cir.41.3.493. [DOI] [PubMed] [Google Scholar]
- Tyrrell M. J., Ellison R. C., Hugenholtz P. G., Nadas A. S. Correlation of degree of left ventricular volume overload with clinical course in aortic and mitral regurgitation. Br Heart J. 1970 Sep;32(5):683–690. doi: 10.1136/hrt.32.5.683. [DOI] [PMC free article] [PubMed] [Google Scholar]
- ten Cate F. J., Kloster F. E., van Dorp W. G., Meester G. T., Relandt J. Dimensions and volumes of left atrium and ventricle determined by single beam echocardiography. Br Heart J. 1974 Aug;36(8):737–746. doi: 10.1136/hrt.36.8.737. [DOI] [PMC free article] [PubMed] [Google Scholar]

