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Evaluation of left atrial rhythm with pulsed Doppler echocardiography

The International Journal of Cardiac Imaging volume 1, pages 159–165 (1985)Cite this article

Summary

To evaluate the origin of ectopic atrial rhythms, the beginning of atrioventricular inflow due to left and right atrial ejection was estimated using the pulsed Doppler combined with two-dimensional echocardiography. In ten normal controls, the beginning of transtricuspid flow due to atrial ejection preceded that of transmitral by 0 to 40 msec with an average of 22 msec. In contrast, the beginning of right atrial ejection flow lagged behind that of left atrial by 40 to 80 msec in case 1 and by 20 to 50 msec in case 2 of ectopic atrial rhythm. The significant delay of atrioventricular inflow due to right atrial ejection in these two patients strongly suggests that the ectopic atrial rhythm is of left atrial origin. The pulsed Doppler echocardiography is considered to be a useful clinical tool for noninvasive evaluation of the left atrial rhythm.

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References

  1. Mirowsky M, Neill CA, Taussig JB: Left atrial rhythm in mirror-image dextrocardia and in normally placed malformed hearts. Circulation 27:864–877, 1963.

    Google Scholar 

  2. Cohen J, Scherf D: Considerations on impulse formation in the left atrium and its diagnosis by electrocardiogram. Amer J Cardiol 31:799–801, 1973.

    PubMed  Google Scholar 

  3. Massumi R, Tawakkol AA: Direct study of left atrial P waves. Amer J Cardiol 20:331–340, 1967.

    PubMed  Google Scholar 

  4. Waldo AL, Vitikainen KJ, Kaiser GA, Malm JR, Hoffman BF: The P wave and P-R interval: effects of the site of atrial depolarization. Circulation 42:653–671, 1970.

    PubMed  Google Scholar 

  5. Braunwald E, Fishman AP, and Cournand A: The relationship of dynamic events in cardiac chambers, pulmonary artery and aorta in man. Circ Res 4:100–107, 1956.

    PubMed  Google Scholar 

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Affiliations

  1. The First Department of Internal Medicine, Nagoya University School of Medicine, 65 Tsurumai-cho, Showa-ku, 052-741-2111, Nagoya 466, Japan

    Masatsugu Iwase M.D., Iwao Sotobata, Mitsuhiro Yokota, Shigehito Takagi, Hu Xiao Jung, Shoji Noda, Noaki Kawai & Hiroshi Hayashi

  2. Daido Hospital, Japan

    Kazuhiko Miyaguchi & Jitsuki Tsuzuki

Authors
  1. Masatsugu Iwase M.D.
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  2. Iwao Sotobata
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  3. Mitsuhiro Yokota
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  4. Shigehito Takagi
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  5. Hu Xiao Jung
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  6. Shoji Noda
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  7. Noaki Kawai
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  8. Hiroshi Hayashi
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  9. Kazuhiko Miyaguchi
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  10. Jitsuki Tsuzuki
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Cite this article

Iwase, M., Sotobata, I., Yokota, M. et al. Evaluation of left atrial rhythm with pulsed Doppler echocardiography. Int J Cardiac Imag 1, 159–165 (1985). https://doi.org/10.1007/BF01784201

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  • DOI: https://doi.org/10.1007/BF01784201

Keywords

  • left atrial rhythm
  • pulsed Doppler echocardiography