Circulation, Vol 60, 547-555, Copyright © 1979 by American Heart Association
NB Schiller, H Acquatella, TA Ports, D Drew, J Goerke, H Ringertz, NH Silverman, B Brundage, EH Botvinick, R Boswell, E Carlsson and WW Parmley
To evaluate the applicability of two-dimensional echocardiography to left
ventricular volume determination, 30 consecutive patients undergoing
biplane left ventricular cineangiography were studied with a wide-angle (84
degrees), phased-array, two-dimensional echocardiographic system. Two
echographic projections were used to obtain paired, biplane, tomographic
images of the left ventricle. We used the short-axis view (from the
precordial window) as an anolog of the left anterior oblique angiogram, and
the long-axis, two-chamber view (from the apex impulse window) as a right
anterior oblique angiographic equivalent. A modified Simpson's rule formula
was used to calculate systolic and diastolic left ventricular volumes from
the biplane echogram and the biplane angiogram. These methods correlated
well for ejection fraction (r = 0.87) and systolic volume (r = 0.90), but
only modestly for diastolic volume (r = 0.80). These correlations are
noteworthy because 65% of the patients had significant segmental wall
motion abnormalities. The volumes determined from the minor-axis dimensions
of M-mode echograms in 23 of the same patients correlated poorly with
angiography.
ARTICLES
Left ventricular volume from paired biplane two-dimensional echocardiography
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