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Color Doppler Assessment of Mitral Regurgitation in Childhood.

Journal of the Korean Pediatric Society 1989;32(6):773-778.
Published online June 30, 1989.
Color Doppler Assessment of Mitral Regurgitation in Childhood.
Jo Sam Koo1, Jae Won Huh1, Yang Dong Park1, Hyun Kee chung1, Ho Joon Kim2
1Department of Pediatrics, Kosin Medical College, Pusan, Korea
2Department of Diagnostic Radiology , Kosin Medical College, Pusan, Korea
실시 2차원 칼라 Doppler 혈류 영상법에 의한 소아 승모판 폐쇄부전의 평가에 관한 연구
구조삼1, 허재원1, 박양동1, 정형기1, 김호준2
1고신대학 의학부 소아과학교실
2고신대학 의학부 진단방사선과학교실
Received: 6 September 1988   • Accepted: 26 October 1988
Sensitivity and specificity of detection of Mitral Regurgitation (MR) was assessed by Color Doppler. The degree of MR was also estimated by the Regurgitant Jet Length and Maximum Regurgitant Jet Area/Left Atrial Area (Max. RJA/LAA)% and compared with that assessed by Left Ventriculography. The following results were obtained: 1) Of 108 patients with an adequate Color Doppler study, 90 han no MR by Ventriculography. All were also negative for MR by Color Doppler, for a specificity of 100%, Of 18 cases with MR documented by Ventriculography, Color Doppler dotected MR in 17, for a sensitivity 94.4%. 2) Semiquantitative grading of severity of MR can be done simply on the basis of Regurgitant Jet Length from the valve orifice with a good correlation with Left Ventirculorgaphy (r=0.955, p<0.001). 3) Assessment by the Max. RJA/LAA% also revealed similar results to the Regurgitant jet len h measurement (r=0.969, p<0.001).
Key Words: Mitral regurgitation, Color doppler, Regurgitant jet length, Mzximum regurgitant jet area/ left atrial area%.

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