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ARTICLE |

The Echocardiogram in Right Ventricular Overload FREE

William D. McCann, MD; Norris B. Harbold, Jr., MD; Emilio R. Giuliani, MD
[+] Author Affiliations

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JAMA. 1972;221(11):1243-1245. doi:10.1001/jama.1972.03200240025006
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Echocardiography was used to evaluate interventricular septal motion in 17 patients with congenital cardiac defects that produced either left-to-right shunts at the atrial or tricuspid insufficiency. Fourteen patients had abnormal septal motion: 12 had type A and 2 had type B motion. Two previously unreported causes for abnormal interventricular septal motion (total anomalous pulmonary venous return and partial anomalous pulmonary venous return) were found to produce echocardiographic findings identical to those found in patients with atrial septal defect. Three patients with significant left-to-right shunt at atrial level had normal septal motion. When abnormal septal motion is present, it is suggestive of right ventricular overload. However, such motion is not specific enough to differentiate among the defects that produce right ventricular volume overload or to distinguish a patient with an abnormal volume overload from one with normal volume.

REFERENCES

Segal BL, Likoff W, Kingsley B:  Echocardiography: Clinical application in combined mitral stenosis and mitral regurgitation . Amer J Cardiol 19:42-49, 1967;.
Popp RL, Wolfe SB, Hirata T, et al:  Estimation of right and left ventricular size by ultrasound: A study of the echoes from the interventricular septum . Amer J Cardiol 24:523-530, 1969;.
Feigenbaum H, Zaky A, Grabhorn LL:  Cardiac motion in patients with pericardial effusion: A study using reflected ultrasound . Circulation 34:611-619, 1966;.
Feigenbaum H, Popp RL, Chio JN, et al:  Left ventricular wall thickness measured by ultrasound . Arch Intern Med 121:391-395, 1968;.
Hirata T, Wolfe SB, Popp RL, et al:  Estimation of left atrial size using ultrasound . Amer Heart J 78:43-52, 1969;.
Diamond MA, Dillon JC, Haine CL, et al:  Echocardiographic features of atrial septal defect . Circulation 43:129-135, 1971;.

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Segal BL, Likoff W, Kingsley B:  Echocardiography: Clinical application in combined mitral stenosis and mitral regurgitation . Amer J Cardiol 19:42-49, 1967;.
Popp RL, Wolfe SB, Hirata T, et al:  Estimation of right and left ventricular size by ultrasound: A study of the echoes from the interventricular septum . Amer J Cardiol 24:523-530, 1969;.
Feigenbaum H, Zaky A, Grabhorn LL:  Cardiac motion in patients with pericardial effusion: A study using reflected ultrasound . Circulation 34:611-619, 1966;.
Feigenbaum H, Popp RL, Chio JN, et al:  Left ventricular wall thickness measured by ultrasound . Arch Intern Med 121:391-395, 1968;.
Hirata T, Wolfe SB, Popp RL, et al:  Estimation of left atrial size using ultrasound . Amer Heart J 78:43-52, 1969;.
Diamond MA, Dillon JC, Haine CL, et al:  Echocardiographic features of atrial septal defect . Circulation 43:129-135, 1971;.
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