Open AccessRight ventricular apical view—A new window for doppler echocardiography of aortic valve stenosis
Author(s) -
Hust Martin H.,
Metzler Birgit,
Fritz Stephan,
Braun Bernd,
Röcker Kai,
Dickhuth H.H.
Publication year - 1995
Publication title -
clinical cardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.263
H-Index - 72
eISSN - 1932-8737
pISSN - 0160-9289
DOI - 10.1002/clc.4960180608
Subject(s) - medicine , cardiology , stenosis , aortic valve , doppler echocardiography , aortic valve stenosis , diastole , blood pressure
We studied a new Doppler echocardiographic approach in 56 patients with valvular aortic stenosis from the right ventricular apex (AS‐RV) and compared the transvalvular gradients with the results of the standard view from the left ventricular apex (AS‐LV). AS‐RV resulted in good or acceptable velocity curves in 59% of patients. The correlation between the two apical views for the peak/mean gradients were close (r = 0.95/0.96). Using all typical positions for Doppler investigation of aortic stenosis, highest peak gradients were best recorded in five cases by AS‐RV. In one woman with a narrow left ventricular cavum and severe aortic stenosis, only AS‐RV yielded a technically good spectral curve. Thus, in selected patients—probably those with a small left ventricular cavity or an enlarged right ventricle—AS‐RV may be the best window or even the only possibility in Doppler investigation of aortic valve stenosis.