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Abnormality of Regional Wall Motion of the Left Ventricle in Children with Ventricular Diastolic Overload

Korean Journal of Pediatrics 2004;47(1):49-54.
Published online January 15, 2004.
Abnormality of Regional Wall Motion of the Left Ventricle in Children with Ventricular Diastolic Overload
Yeo Hyang Kim1, Sang Bum Lee2
1Department of Pediatrics, Fatima Hospital, Taegu, Korea
2Department of Pediatrics, College of Medicine, Kyungpook National University, Taegu, Korea
심실 용적 과부하 환아의 좌심실 국소 운동 이상
김여향1, 이상범2
1파티마병원 소아과
2경북대학교 의과대학 소아과학교실
Correspondence: 
Sang Bum Lee, Email: leesb@knu.ac.kr
Abstract
Purpose
: To assess the regional wall motion of the left ventricle in patients with diastolic overloaded lesions of congenital heart diseases with centerline analysis and radial method.
Methods
: This study included 96 children with congenital heart diseases admitted to Kyungpook National University Hospital from January 1998 to December 2002 who received left ventriculograms. The evaluation of the regional wall motion of the left ventricle was done on review mode of 30- degree elongated right anterior oblique projection of left ventriculogram by using cardiac analysis program of the DXC Hiline Digital System(GER, Paris, France).
Results
: Compared with the control group, the left ventricular regional wall motions of patients with right ventricular diastolic overload were significantly decreased at the anterolateral portion and increased at the diaphragmatic portion with the centerline analysis method, but no differences were noted with the radial method.
Conclusion
: We confirmed left ventricular regional wall motion abnormalities in patients with right ventricular diastolic overload lesions of congenital heart diseases with the centerline method in spite of normal ejection fraction.
Key Words: Ventricular diastolic overload, Regional wall motion, Left ventricle


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