Display options
Cite
Piers LH, Dikkers R, Tio RA, et al. Echocardiographic and electron beam tomographic assessment of stenosis in patients with aortic valve disease: gradient versus valve area. Neth Heart J. 2006;14(10):325-329
Piers, L. H., Dikkers, R., Tio, R. A., van den Berg, M. P., Willems, T. P., Oudkerk, M., & Zijlstra, F. (2006). Echocardiographic and electron beam tomographic assessment of stenosis in patients with aortic valve disease: gradient versus valve area. Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation, 14(10), 325-329.
Piers, L H, et al. "Echocardiographic and electron beam tomographic assessment of stenosis in patients with aortic valve disease: gradient versus valve area." Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation vol. 14,10 (2006): 325-329.
Piers LH, Dikkers R, Tio RA, van den Berg MP, Willems TP, Oudkerk M, Zijlstra F. Echocardiographic and electron beam tomographic assessment of stenosis in patients with aortic valve disease: gradient versus valve area. Neth Heart J. 2006 Oct;14(10):325-329. PMID: 25696558; PMCID: PMC2557317.
Copy Download .nbib Format: NLM
Share it on

Neth Heart J. 2006 Oct;14(10):325-329.

Echocardiographic and electron beam tomographic assessment of stenosis in patients with aortic valve disease: gradient versus valve area.

Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation

L H Piers, R Dikkers, R A Tio, M P van den Berg, T P Willems, M Oudkerk, F Zijlstra

PMID: 25696558 PMCID: PMC2557317

Abstract

BACKGROUND: Transthoracic echocardiography (TTE) is routinely used to evaluate aortic valve stenosis. However, it does not give reliable results in every patient. There is growing interest in electron-beam tomography (EBT) as a noninvasive cardiac imaging technique. The usefulness of EBT to evaluate aortic stenosis has yet to be evaluated.

AIM: To compare EBT with TTE in assessing severity of aortic stenosis.

METHODS: In total 47 patients (18 females, 29 males) underwent a contrast-enhanced EBT scan and TTE within 6±20 days. The calcium score of the aortic valve was determined and the aortic valve area (AVA) was measured by planimetry. A complete TTE study, during which the peak pressure gradient across the aortic valve was measured, was performed in all patients by an experienced sonographer.

RESULTS: There was a significant correlation between AVA assessed by EBT and peak pressure gradient (r=-0.38, p=0.009). The calcium score of the aortic valve assessed by EBT correlated with peak pressure gradient (r=0.48, p=0.001).

CONCLUSION: EBT is a useful noninvasive method to evaluate the severity of aortic stenosis. It holds the possibility of assessing the AVA as well as quantification of the degree of calcification.

Keywords: aortic valve disease; echocardiography; electron-beam tomography

References

  1. J Am Coll Cardiol. 1993 Apr;21(5):1220-5 - PubMed
  2. Circulation. 1998 Nov 3;98(18):1949-84 - PubMed
  3. J Am Coll Cardiol. 1990 Mar 15;15(4):827-32 - PubMed
  4. J Am Coll Cardiol. 1986 Mar;7(3):509-17 - PubMed
  5. Circulation. 2004 Jul 20;110(3):356-62 - PubMed
  6. Lancet. 2003 Apr 12;361(9365):1241-6 - PubMed
  7. Circulation. 1985 Oct;72(4):810-8 - PubMed
  8. N Engl J Med. 2000 Aug 31;343 (9):611-7 - PubMed
  9. J Am Coll Cardiol. 1997 Mar 1;29(3):630-4 - PubMed
  10. Circulation. 1994 Aug;90(2):844-53 - PubMed
  11. N Engl J Med. 1999 Jul 15;341(3):142-7 - PubMed
  12. Am J Cardiol. 1989 May 1;63(15):1107-11 - PubMed
  13. Am J Cardiol. 1991 May 1;67(11):1013-21 - PubMed
  14. Am J Cardiol. 1999 Nov 1;84(9):1044-8 - PubMed
  15. Radiology. 1998 Sep;208(3):807-14 - PubMed
  16. J Heart Valve Dis. 2001 May;10 (3):361-6 - PubMed

Publication Types