Novel ultrasound contrast agent dilution method for the assessment of ventricular ejection fraction.

AIMS: Left ventricular (LV) ejection fraction is an important determinant of prognosis in heart failure. We evaluated the accuracy of a novel algorithm for LV ejection fraction quantification based on indicator dilution curve (IDC) principles using ultrasound contrast as indicator, and compared the...

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Publicado en:European Journal of Echocardiography Vol. 9; no. 4; pp. 489 - 494
Autores principales: Jansen A, Mischi M, Bracke F, van Dantzig JM, Peels K, Lamfers E, van Hemel N, Korsten H
Formato: Journal Article
Publicado: Oxford University Press / USA Jul2008
Acceso en línea:Ver este registro en EBSCOhost
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      jtl: European Journal of Echocardiography
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      dt: Jul2008
      vid: 9
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      pub: Oxford University Press / USA
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        10.1016/j.euje.2007.07.007
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        atl: Novel ultrasound contrast agent dilution method for the assessment of ventricular ejection fraction.
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        au:
          Jansen A
          Mischi M
          Bracke F
          van Dantzig JM
          Peels K
          Lamfers E
          van Hemel N
          Korsten H
        affil: Department of Cardiology, Catharina Hospital, Michelangelolaan 2/P.O. Box 1350, 5602 ZA Eindhoven, The Netherlands. annemieke.jansen@cze.nl
      sug:
        subj:
          Cardiovascular System Physiology
          Contrast Media
          Heart Diseases Ultrasonography
          Phospholipids Diagnostic Use
          Stroke Volume
          Sulfur Compounds Diagnostic Use
          Aged
          Algorithms
          Echocardiography
          Female
          Male
          Middle Age
          Aged: 65+ years
          Middle Aged: 45-64 years
          Female
          Male
      ab: AIMS: Left ventricular (LV) ejection fraction is an important determinant of prognosis in heart failure. We evaluated the accuracy of a novel algorithm for LV ejection fraction quantification based on indicator dilution curve (IDC) principles using ultrasound contrast as indicator, and compared the results with contrast enhanced biplane LV ejection fraction assessment. Method A diluted ultrasound contrast bolus (SonoVue) was injected intravenously in 31 patients (19 male, age 65 +/- 11) with known or suspected heart disease. A total of 68 recordings were made. The developed algorithm used the left atrium and LV IDC for LV ejection fraction measurement. Biplane enhanced LV ejection fraction measurements with pure ultrasound contrast (SonoVue) were determined in multiple four- and two-chamber recordings as reference. RESULTS: The mean LV ejection fraction measured by biplane and IDC method was 33 +/- 17% and 35 +/- 18%, respectively. A correlation coefficient r = 0.93 was observed between the two methods. Bland-Altman analysis demonstrated a slight LV ejection fraction overestimation with IDC (mean 1.9 +/- 6.3%). CONCLUSION: A new fast method for LV ejection fraction assessment based on IDC principles is described and comparison with contrast enhanced biplane LV ejection fraction quantification shows accurate results.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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