Abnormal intraventricular flow patterns in left ventricular dysfunction determined by color Doppler study

Faustino Pennestri', Luigi M. Biasucci, Gabriele Rinelli, Rocco Mongiardo, Antonella Lombardo, Elisabetta Rossi, Cesare M. Amico, Oscar Aquilina, Francesco Loperfido

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We examined the relation between left ventricular (LV) flow dynamics measured by color Doppler, and either global or regional LV function in 19 normal subjects (group 1), in 55 patients with old myocardial infarction (MI) (29 without [group 2] and 26 with LV aneurysm [group 3]), and in 16 with idiopathic dilated cardiomyopathy (group 4). We calculated by M-mode color Doppler a flow persistence index (FPI) (duration of flow directed in systole toward the apex/LV ejection time). Contrast echocardiography was performed as a control method in 14 patients of the four groups. In normal subjects, rapid systolic inversion of flow toward the aorta was evident (FPI: 0.11 ± 0.16). In all but one patient in group 2, a similar LV flow pattern was observed, but FPI was greater (0.32 ± 0.26). In groups 3 and 4, a paradoxical antegrade LV flow pattern was evident during the entire period of systole (FPI: 1.13 ± 0.42 and 1.28 ± 0.36, respectively). LV flow patterns were reproduced in echo-contrast studies. FPI was related to LV end-diastolic volume (r = 0.77), end-systolic volume (r = 0.82), and ejection fraction (r = -0.84). However, when data were analyzed separately in the different groups, these correlations were significant only in groups 2 and 3. Paradoxical flow pattern is not peculiar to regional LV dysfunction; it also occurs in global LV dysfunction. This LV flow abnormality may develop after MI even in the absence of severe LV dyssynergy or dilation, and is quantitatively related to the degree of LV dysfunction.

Original languageEnglish
Pages (from-to)966-974
Number of pages9
JournalAmerican Heart Journal
Issue number4
Publication statusPublished - 1992

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine


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