Abstract
No other diagnostic techniques than M-mode, two-dimensional, and Doppler echocardiography have had a more profound effect on the pathophysiologic understanding and clinical assessement of the cardiomyopathies. Cardiomyopathies are heart muscles diseases of unknown cause and are divided into dilated (congestive), hypertrophic, and restrictive types [1]. Despite progress in our understanding of the pathophysiology of these disorders has been striking, due in part to the use of Doppler echocardiography, the etiologies of these myocardial diseases remain elusive and our therapeutic approaches unsatisfactory. Nevertheless, the cardiomyopathies continue to be a subject of fascination and frustration. Since both the etiologic and pathophysiologic classification of cardiomyopathies based on clinical findings and haemodynamic evaluation are limited (Table 1), echo/Doppler by providing detailed information on altered structure and function plays a major role in both the diagnosis and follow-up of patients with cardiomyopathy.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsPreview
Unable to display preview. Download preview PDF.
References
Report of the World health Organisation WHO/ISFC (1980) Task force on the definition and classification of cardiomyopathies. Br Heart J 44:672673
Roberts WC (1976) The structural basis of abnormal cardiac function: A look at coronary, hypertensive, valvular, idiopathic myocardial, and pericardial heart disease, pp. 1–56 in: HJ Levine (ed.), Clinical Cardiovascular Physiology. Orlando, Fla.: Grune & Stratton.
Waller BF (1988) Pathology of the cardiomyopathies. J Am Soc Echo 1:4–19.
Ten Cate FJ, Roelandt J (1983) Echocardiography of the cardiomyopathies: Congestive, hypertrophic and restrictive types, pp. 157–172 in J. Roelandt (ed.), The Practice of M-mode and Two-dimensional Echocardiography. The Hague/Boston: Martinus Nijhoff Publishers (Kluwer Academic Publishers) (DICM 23).
Gardin JM, Serie LT, Alkayam U, et al. (1983) Evaluation of dilated cardiomyopathy by pulsed Doppler echocardiography. Am Heart J 10:1057–1065.
Frederick H, Nanda NN, Hsiung M, et al. (1987) Colour Doppler assessment of mitral regurgitation with orthogonal planes. Circulation 75:175–183.
Hatle L, Angelsen B (1985) pp 170–174 in: Doppler Ultrasound in Cardiology: Physical Principles and Clinical Applications, 2nd ed. Philadelphia: Lea & Febiger.
Curry PJ, Seward JB, Chan KL, et al. (1985) Continuous wave Doppler determination of right ventricular pressure: A simultaneous Doppler catheterization study in 127 patients. J Am Coll Cardiol 6:750–756.
Masuyana T. Kodoma K, Kitabatake A, et al. (1986) Continuous wave Doppler echocar diography detection of pulmonary regurgitation and its applications to non-invasive estimation of pulmonary artery pressure. Circulation 74:484–492.
Smith TJ, Kyle RA, Lie JT (1984) Clinical significance of histo-pathologic pattern of cardiac amyloidosis. Mayo Clin Proc 59:547–555.
Roberts WC, Waller BF (1983) Kijack amyloidosis causing kijack dysfunction: Analysis of 54 necropsy patients. Am J Cardiol 52:137–146.
Sequieira-Fiho AG, Cunha LP, Tajik AJ, et al. (1981) M-mode and two-dimensional echocardiographic features in cardiac amyloidosis. Circulation 63:188–196.
Cueto-Garcia L, Reeder GS, Kyle RA, et al. (1985) Echocardiographic findings in systemic amyloidosis: Spectrum of cardiac involvement and relation to survival. J Am Coll Cardiol 6:737–743.
Appleton CP, Hatle LK, Popp RL (1988) Demonstration of restrictive ventricular physiology by Doppler echocardiography. J Am Coll Cardiol 11:757–768.
Appleton CP, Hatle LK, Popp RL (1988) Cardiac tamponade and pericardial effusion: Respiratory variation in transvalcular flow velocities studied by Doppler echocardiography. J Am Coll Cardiol 11:1020–1030.
Seward JB (1988) Restrictive cardiomyopathy: The assessment of definitions and diagnosis. Cur Op Cardiol 3:391–395.
Marron BJ, Sato BN, Roberts WC, et al. (1979) Quantitative analysis of cardiac muscle cell disorganisation in the ventricular septum: Comparison of fetusses and infants with and without congenital heart disease and patients with hypertrophic cardiomyopathy. Circulation 60:685–696.
Marron BJ, Wolfson JK, Ebstein ES, et al. (1986) Intramural (’small vessel’) coronary artery disease in hypertrophic cardiomyopathy. J Am Coll Cardiol 8:545–557.
Ten Cate FJ, Hugenholtz PG, van Dorp WG, et al. (1979) Prevalence of diagnostic abnormalities in patients with genetically transmitted asymmetric septal hypertrophy. Am J Cardiol 43:731.
Maron BJ, Gottdiener JS, Epstein S (1982) Patterns and significance of distribution of left ventricular hypertrophy in assessment of cardiomyopathy. Am J Cardiol 48:418.
DeMaria AN, Bommer W, Lee J, et al. (1980) Value and limitations of two-dimensional echocardiography in assessment of cardiomyopathy. Am J Cardiol 46:1224.
Wigle ED, Sasson Z, Henderson MA, et al. (1985) Hypertrophic cardiomyopathy: The importance of the site and teh extent of hypertrophy. A review. Prog Cardiovasc Dis 28:1–83.
Wigle ED (1987) Hypertrophic cardiomyopathy: A 1987 viewpoint. Circulation 75:311–322.
Stewart WJ, Schiavone WA, Salcedo EE, et al. (1987) Intraoperative Doppler echocardiography in hypertrophic cardiomyopathy: Correlations with the obstructive gradient. J Am Coll Cardiol 10:327–335.
Grimer PF, Mayewski RJ, Mushkin Al, et al. (1981) Selection and interpretation of diagnostic tests and procedures. Ann Int Med 94(suppl):581.
Whiting RB, Powell WJ, Dinsmore RE, Saunders CA (1971) Idiopathic hypertrophic subaortic stenosis in the lederly. N Engl J Med 285:196–200.
Cooper MM, Mclntosh CL, Tucker ER, Clark RE (1987) Operation for hypertrophic subaortic stenosis in the aged. Ann Thorac Surg 44:370–378.
Nair CK, Kudesia V. Hansen D, Thomson W, Pagano T, Ryschon K, Sketch MH (1987) Echocardiographic and electrocardiographic characteristics of patients with hypertrophic cardiomyopathy with and without mitral annular calcium. Am J Cardiol 59:1428–1430.
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1991 Springer Science+Business Media Dordrecht
About this chapter
Cite this chapter
Roelandt, J.R.T.C., ten Cate, F.J., Sutherland, G.R. (1991). Non-invasive evaluation of cardiomyopathies. In: Andries, E., Stroobandt, R. (eds) Hemodynamics in Daily Practice. Developments in Cardiovascular Medicine, vol 111. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-3820-8_12
Download citation
DOI: https://doi.org/10.1007/978-94-011-3820-8_12
Publisher Name: Springer, Dordrecht
Print ISBN: 978-94-010-5698-4
Online ISBN: 978-94-011-3820-8
eBook Packages: Springer Book Archive