PMID- 12373247
OWN - NLM
STAT- MEDLINE
DCOM- 20030204
LR  - 20190916
IS  - 0894-7317 (Print)
IS  - 0894-7317 (Linking)
VI  - 15
IP  - 10 Pt 1
DP  - 2002 Oct
TI  - Left atrial inflow propagation rate: a new transesophageal echocardiographic 
      index of preload.
PG  - 1057-64
AB  - We postulated that the rate of blood propagating into the left atrium from the 
      left upper pulmonic vein would be a useful measure of pulmonary capillary wedge 
      pressure (PCWP). In 23 adult patients who were critically ill (ie, study group) 
      and receiving mechanical ventilation, color M-mode multiplane transesophageal 
      echocardiography was used to measure left atrial inflow propagation rate 
      (LAIF-PR) as a potential index of PCWP measured by right heart catheterization. 
      LAIF-PR was measured in systole and diastole as the slope of the color M-mode 
      signal entering the left atrium from the left upper pulmonic vein. Correlation 
      with PCWP was good for systolic (r = -0.847, P < .0001) and diastolic (r = -0.78, 
      P < .0001) LAIF-PR. The reliability of univariate linear regression equations 
      derived from the study group was tested in 29 subsequent patients (ie, testing 
      group). Measured PCWP was accurately estimated within 5 mm Hg in 85% (22 of 26 
      patients) and 68% (17 of 25 patients) of the testing group by systolic and 
      diastolic LAIF-PR, respectively. Color M-mode transesophageal 
      echocardiography-derived LAIF-PR, particularly in systole, is a promising new 
      index to estimate PCWP in patients who are critically ill.
FAU - Stoddard, Marcus F
AU  - Stoddard MF
AD  - Department of Medicine, Division of Cardiology, University of Louisville, KY 
      40202, USA. mfstod01@gwise.louisville.edu
FAU - Longaker, Rita A
AU  - Longaker RA
FAU - Calzada, Norberto
AU  - Calzada N
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PL  - United States
TA  - J Am Soc Echocardiogr
JT  - Journal of the American Society of Echocardiography : official publication of the 
      American Society of Echocardiography
JID - 8801388
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Atrial Function, Left/*physiology
MH  - Chi-Square Distribution
MH  - *Echocardiography, Transesophageal
MH  - Female
MH  - Heart Atria/diagnostic imaging
MH  - Hemodynamics/physiology
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Observer Variation
MH  - Pulmonary Wedge Pressure/*physiology
MH  - Reproducibility of Results
EDAT- 2002/10/10 04:00
MHDA- 2003/02/05 04:00
CRDT- 2002/10/10 04:00
PHST- 2002/10/10 04:00 [pubmed]
PHST- 2003/02/05 04:00 [medline]
PHST- 2002/10/10 04:00 [entrez]
AID - S0894731702001001 [pii]
AID - 10.1067/mje.2002.121667 [doi]
PST - ppublish
SO  - J Am Soc Echocardiogr. 2002 Oct;15(10 Pt 1):1057-64. doi: 
      10.1067/mje.2002.121667.