Abstract
We compared M-mode echocardiographic and gated equilibrium radionuclide angiography assessement of the left ventricular (LV) dimensions at rest and during isometric exercise in 18 patients with chronic aortic valve incompetence. The two methods showed a satisfactory correlation when comparing LV size at rest and during exercise (LV end-diastolic dimension in echocardiography vs LV end-diastolic volume in radionuclide angiography, r=0.80, P0.01 at rest and r=0.81, P0.01 during exercise; LV end-systolic dimension in echocardiography vs LV end-systolic volume in radionuclide angiography, r=0.81, P0.01 at rest and r=0.75; P0.01 during exercise), but fractional shortening in echocardiography and ejection fraction in radionuclide angiography did not correlate (r=0.27, not significant (NS) at rest and r=0.34, NS during exercise). Thus echocardiography and radionuclide angiography describe LV dimensions at rest and during handgrip exercise in a similar fashion, documenting the concordance of these noninvasive methods to describe LV size in aortic incompetence at rest and during exercise.
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Abdulla A, Frank M, Canedo M, Stefadouros M (1980) Limitations of echocardiography in the assessment of left ventricular function in aortic regurgitation. Circulation 61:148–155
Borer J, Rosing D, Kent K, Bacharach S, Green M, McIntosh C, Morrow A, Epstein S (1979) Left ventricular function at rest and during exercise after aortic valve replacement in patients with aortic regurgitation. Am J Cardiol 44:1297–1305
Byrom E, Pavel DG (1978) Improved computer definition of region of interest using a double-cursor method. J Nucl Med 19:959–960
Gerson M, Engel P, Mantil J, Bucher P, Hertzberg V, Adolpf R (1984) Effects of dynamic and isometric exercise on the radionuclide-determined regurgitant fraction in aortic insufficiency. JACC 3:98–106
Groundstroem K, Huikuri H, Korhonen U, Ikäheimo M, Heikkilä J, Takkunen J (1987) Comparison of echocardiographic and radionuclide methods with contrast angiography assessment of left ventricular function — response to isometric exercise in subjects without definite heart disease. Ann Clin Res 19:187–94
Gumbiner C, Gutgesell H (1983) Response to isometric exercise in children and young adults with aortic regurgitation. Am Heart J 106:540–547
Huikuri H, Ikäheimo M, Linnaluoto M, Takkunen J (1983a) Left ventricular response to isometric exercise in aortic valve diseases and its value in the optimal timing of aortic valve replacement. Acta Med Scand 213:399–404a
Huikuri H, Ikäheimo M, Linnaluoto M, Takkunen J (1983b) Value of isometric exercise testing in the optimal timing of aortic valve replacement in aortic regurgitation. Eur Heart J 4:632–638b
Hutton BF, Cormack J, Fulton RR (1982) A software package for the analysis of gated cardiac blood pool studies. Aust Phys Eng Sci Med 3:128–134
McDonald I, Jelinek M (1980) Serial M-mode echocardiography in severe chronic aortic regurgitation. Circulation 62:1291–1296
Paulsen W, Boughner D, Friesen A, Persaud J (1979) Ventricular response to isometric and isotonic exercise. Echocardiographic assessment. Br Heart J 42:521–527
Paulsen W, Boughner D, Persaud J, Devries L (1981) Aortic regurgitation. Detection of left ventricular dysfunction by exercise echocardiography. Br Heart J 46:380–388
Popescu H, Lessem J, Erjavec M, Fuger G (1984) In vivo labelling of RBC with 99mTc for blood pool imaging using different stannous radiopharmaceticals. Eur J Nucl Med 9:295–299
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Groundstroem, K., Huikuri, H., Korhonen, U. et al. Left ventricular dimensions during isometric exercise in aortic valve incompetence assessed by M-mode echocardiography and gated equilibrium radionuclide angiography. Eur J Nucl Med 15, 204–206 (1989). https://doi.org/10.1007/BF00253796
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DOI: https://doi.org/10.1007/BF00253796