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Estimation of the left ventricle ejection fraction based on the distance from the mitral valve anterior cusp to the interventricular septum.


Authors: R. Frána;  M. Vambera;  F. Toušek
Authors‘ workplace: Nemocnice České Budějovice, a. s. ;  Primář: MUDr. František Toušek ;  Kardiocentrum-Kardiologie
Published in: Prakt. Lék. 2007; 87(7): 414-418
Category: Of different specialties

Overview

The authors present an optional use for a traditional echocardiographic parameter measuring the distance from the mitral valve anterior cusp to the interventricular septum (E-S) to estimate the left ventricle ejection fraction in a cohort of 115 unselected patients undergoing invasive cardiologic investigation. The best correlation to the left ventricle ejection fraction estimated by echocardiography is found by E-S measurement in the five-chamber view (correlation ratio 0.78). Determining the minimum E-S distance is a quick, easy to perform, and reproducible tool in almost all patients presenting for echocardiography in a sample of the general population, having only a minimum of limitations. This tool could be especially useful in emergencies and intensive care. Certain limitations of this tool are addressed in the discussion.

Key words:
E-S distance, left ventricle ejection fraction estimate.


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General practitioner for children and adolescents General practitioner for adults
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