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European Heart Journal 1990 11(Supplement G):79-86; doi:10.1093/eurheartj/11.suppl_G.79
Copyright © 1990 by the European Society of Cardiology.
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© 1990 The European Society of Cardiology

Is pulsed Doppler echocardiography an adequate method to evaluate left ventricular function during filling in hypertensive patients?

B. Diebold, A. Cohen, R. Zelinsky, H. Raffoul, A. Foucher, J.-L. Guermonprez and P. Peronneau

Unité INSERM 256 et Clinique Cardiologique, Hopital Broussais Paris, France

Pulsed Doppler tracings of the mitral inflow are often proposed to describe left ventricular function during filling in hypertensive patients. The tracings are determined by the complex interaction of left atrial pressure and left ventricular relaxation, diastolic compliance and contractility of the left atrium. They strongly depend on preload and, thus, do not allow precise characterization of the left ventricle. In addition, they vary with age, heart rate and the site of measurement. The modifications caused by the presence of hypertensive hypertrophy are not specific: similar changes are seen for example, in the presence of hypertrophic cardiomyopathy or coronary heart disease, but are absent in highly trained athletes in spite of very significant physiologic hypertrophy.

Key Words: Left ventricular hypertrophy • diastolic function • Doppler echocardiology


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