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European Heart Journal 1984 5(4):332-337;
Copyright © 1984 by the European Society of Cardiology.
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© 1984 The European Society of Cardiology

Doppler echocardiography in adults with isolated ventricular septal defect

J.E. OTTERSTAD, S. SIMONSEN, K. VATNE* and E. MYHRE

Medical Department B Oslo, Norway
*Radiological Department Rikshospitalet, University Hospital Oslo, Norway

Received 6 June 1983; revised 14 October 1983; .

Requests for reprints to: Dr J. E. Otlerslad.

Abstract

Doppler echocardiography and cardiac catheterization were undertaken in 70 consecutive patients, 31-68 years of age (mean 39), who had isolated congenital ventricular septal defects (VSD), 28 of whom had been operated upon. In 50 patients with invasively proven VSD, 37 had a correct Doppler diagnosis of VSD (group 1) and in 13 a false negative result was obtained (group 2); i.e. a sensitivity of 74%. No false positive Doppler diagnosis was made in the 20 patients without evidence of shunt. Left to right ventricular systolic pressure difference ({delta}P) ranged between 55 and 142 mm Hg, with a mean value of 103 mm Hg in group 1 and 99 mm Hg in group 2. There was good correlation between {delta}P obtained by continuous wave Dopier and catheterisation in 17 group 1 patients with moderate and large shunts (r=0.81, P<0.001). There was no correlation in the remaining 20 patients in group 1 with small shunts (r=0.20, P>0.l).

Doppler echocardiography in the adult with isolated VSD has good sensitivity and excellent specificity. Doppler prediction of {delta}P is reasonably correct in patients with moderate and large shunts, but of no value in patients with small shunts.

Key Words: Doppler echocardiography • ventricular septal defect in adults


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