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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109
Volume 10, Issue 1, February 2014 pp 144-147
Correlation between Assessment of Left Ventricular End Diastolic Pressure (LVEDP) by Doppler Echocardiography and Cardiac Catheterization in Patients of Coronary Artery Disease
Tungikar Sudhir1, Raul K. M.2, R. Prasad Reddy3
1Associate Professor, Department of Medicine JIIU’s Indian Institute of Medical Science and Research
Warudi, Badnapur, Jalna, Maharashtra, INDIA.
2Professor, Department of Medicine, M.G.M. Medical College, Aurangabad, Maharashtra, INDIA.
3Professor and Head, Department of Cardiology, Mediciti Hospital, Hyderabad, Andhra Pradesh, INDIA.
Academic Editor : Dr. Aher K.R.
Diastolic dysfunction is common in patients with coronary artery disease and contributes to the signs and symptoms of heart failure. Doppler echocardiography is widely used for the noninvasive assessment of diastolic filling of the left ventricle (LV). Combinations of the mitral flow velocity curves with other Doppler parameters like pulmonary venous velocity curves, color M-mode, Tissue Doppler imaging (TDI) of mitral annular motion has been shown to be excellent predictors of diastolic filling in subsets of patients with coronary artery disease. The present study compared these parameters against invasive assessment of left ventricular end diastolic pressure (LVEDP) by cardiac catheterization in 70 prospective cases of coronary artery disease and concluded that EF, E/A, EDT, and IVRT were the best predictors of left ventricular filling pressures in patients with coronary artery disease with either normal or impaired LV function.