Usefulness of pulmonary venous flow pattern and maximal mosaic jet area detected by transesophageal echocardiography in assessing the severity of mitral regurgitation

Lai Ling-Ping, Shyu Kou-Gi, Chen Jin-Jer, Ma Huey-Ming, Hwang Juey-Jen, Yi-Heng Li, Wang Tzong-Luen, Lin Jer-Ming, Ko Yu-Lin, Lin Jiunn-Lee, Kuan Peiliang, Lien Wen-Pin

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Abstract

Pulmonary venous flow pattern detected by transesophageal echocardiography (TEE) has been reported to be a good marker of mitral regurgitation (MR) severity. In 89 patients with MR detected by TEE, both pulmonary venous flow pattern and maximal mosaic jet area were recorded for evaluating the severity of MR. Cardiac catheterization was performed in all patients for grading the severity of MR. Systolic reversed flow in pulmonary veins was a good marker for angiographic grade 3 or 4 MR with a sensitivity of 97% (33 of 34) and specificity of 95% (52 of 55). Maximal mosaic jet area had a good correlation with the grading of MR (r = 0.79). When a maximal mosaic jet area of >6 cm2 was used to detect grade 3 or 4 MR, the sensitivity and specificity were lower than those of the systolic reversed flow (sensitivity 82 vs 97%, p = 0.073; specificity 80 vs 95%, p = 0.013). The accuracy of systolic reversed flow was not influenced by the cardiac rhythm or jet eccentricity. However, the sensitivity of maximal mosaic jet area was lower in patients with an eccentric jet than in patients with a central jet (67 vs 95%, p = 0.046). In conclusion, systolic reversed flow in pulmonary veins detected by TEE is better than the maximal mosaic jet area in detecting grade 3 or 4 MR, especially in patients with eccentric jet.

Original languageEnglish
Pages (from-to)1310-1313
Number of pages4
JournalThe American Journal of Cardiology
Volume72
Issue number17
DOIs
Publication statusPublished - 1993 Dec 1

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Transesophageal Echocardiography
Mitral Valve Insufficiency
Lung
Pulmonary Veins
Cardiac Catheterization
Sensitivity and Specificity

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine

Cite this

Ling-Ping, Lai ; Kou-Gi, Shyu ; Jin-Jer, Chen ; Huey-Ming, Ma ; Juey-Jen, Hwang ; Li, Yi-Heng ; Tzong-Luen, Wang ; Jer-Ming, Lin ; Yu-Lin, Ko ; Jiunn-Lee, Lin ; Peiliang, Kuan ; Wen-Pin, Lien. / Usefulness of pulmonary venous flow pattern and maximal mosaic jet area detected by transesophageal echocardiography in assessing the severity of mitral regurgitation. In: The American Journal of Cardiology. 1993 ; Vol. 72, No. 17. pp. 1310-1313.
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title = "Usefulness of pulmonary venous flow pattern and maximal mosaic jet area detected by transesophageal echocardiography in assessing the severity of mitral regurgitation",
abstract = "Pulmonary venous flow pattern detected by transesophageal echocardiography (TEE) has been reported to be a good marker of mitral regurgitation (MR) severity. In 89 patients with MR detected by TEE, both pulmonary venous flow pattern and maximal mosaic jet area were recorded for evaluating the severity of MR. Cardiac catheterization was performed in all patients for grading the severity of MR. Systolic reversed flow in pulmonary veins was a good marker for angiographic grade 3 or 4 MR with a sensitivity of 97{\%} (33 of 34) and specificity of 95{\%} (52 of 55). Maximal mosaic jet area had a good correlation with the grading of MR (r = 0.79). When a maximal mosaic jet area of >6 cm2 was used to detect grade 3 or 4 MR, the sensitivity and specificity were lower than those of the systolic reversed flow (sensitivity 82 vs 97{\%}, p = 0.073; specificity 80 vs 95{\%}, p = 0.013). The accuracy of systolic reversed flow was not influenced by the cardiac rhythm or jet eccentricity. However, the sensitivity of maximal mosaic jet area was lower in patients with an eccentric jet than in patients with a central jet (67 vs 95{\%}, p = 0.046). In conclusion, systolic reversed flow in pulmonary veins detected by TEE is better than the maximal mosaic jet area in detecting grade 3 or 4 MR, especially in patients with eccentric jet.",
author = "Lai Ling-Ping and Shyu Kou-Gi and Chen Jin-Jer and Ma Huey-Ming and Hwang Juey-Jen and Yi-Heng Li and Wang Tzong-Luen and Lin Jer-Ming and Ko Yu-Lin and Lin Jiunn-Lee and Kuan Peiliang and Lien Wen-Pin",
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Ling-Ping, L, Kou-Gi, S, Jin-Jer, C, Huey-Ming, M, Juey-Jen, H, Li, Y-H, Tzong-Luen, W, Jer-Ming, L, Yu-Lin, K, Jiunn-Lee, L, Peiliang, K & Wen-Pin, L 1993, 'Usefulness of pulmonary venous flow pattern and maximal mosaic jet area detected by transesophageal echocardiography in assessing the severity of mitral regurgitation', The American Journal of Cardiology, vol. 72, no. 17, pp. 1310-1313. https://doi.org/10.1016/0002-9149(93)90303-T

Usefulness of pulmonary venous flow pattern and maximal mosaic jet area detected by transesophageal echocardiography in assessing the severity of mitral regurgitation. / Ling-Ping, Lai; Kou-Gi, Shyu; Jin-Jer, Chen; Huey-Ming, Ma; Juey-Jen, Hwang; Li, Yi-Heng; Tzong-Luen, Wang; Jer-Ming, Lin; Yu-Lin, Ko; Jiunn-Lee, Lin; Peiliang, Kuan; Wen-Pin, Lien.

In: The American Journal of Cardiology, Vol. 72, No. 17, 01.12.1993, p. 1310-1313.

Research output: Contribution to journalArticle

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T1 - Usefulness of pulmonary venous flow pattern and maximal mosaic jet area detected by transesophageal echocardiography in assessing the severity of mitral regurgitation

AU - Ling-Ping, Lai

AU - Kou-Gi, Shyu

AU - Jin-Jer, Chen

AU - Huey-Ming, Ma

AU - Juey-Jen, Hwang

AU - Li, Yi-Heng

AU - Tzong-Luen, Wang

AU - Jer-Ming, Lin

AU - Yu-Lin, Ko

AU - Jiunn-Lee, Lin

AU - Peiliang, Kuan

AU - Wen-Pin, Lien

PY - 1993/12/1

Y1 - 1993/12/1

N2 - Pulmonary venous flow pattern detected by transesophageal echocardiography (TEE) has been reported to be a good marker of mitral regurgitation (MR) severity. In 89 patients with MR detected by TEE, both pulmonary venous flow pattern and maximal mosaic jet area were recorded for evaluating the severity of MR. Cardiac catheterization was performed in all patients for grading the severity of MR. Systolic reversed flow in pulmonary veins was a good marker for angiographic grade 3 or 4 MR with a sensitivity of 97% (33 of 34) and specificity of 95% (52 of 55). Maximal mosaic jet area had a good correlation with the grading of MR (r = 0.79). When a maximal mosaic jet area of >6 cm2 was used to detect grade 3 or 4 MR, the sensitivity and specificity were lower than those of the systolic reversed flow (sensitivity 82 vs 97%, p = 0.073; specificity 80 vs 95%, p = 0.013). The accuracy of systolic reversed flow was not influenced by the cardiac rhythm or jet eccentricity. However, the sensitivity of maximal mosaic jet area was lower in patients with an eccentric jet than in patients with a central jet (67 vs 95%, p = 0.046). In conclusion, systolic reversed flow in pulmonary veins detected by TEE is better than the maximal mosaic jet area in detecting grade 3 or 4 MR, especially in patients with eccentric jet.

AB - Pulmonary venous flow pattern detected by transesophageal echocardiography (TEE) has been reported to be a good marker of mitral regurgitation (MR) severity. In 89 patients with MR detected by TEE, both pulmonary venous flow pattern and maximal mosaic jet area were recorded for evaluating the severity of MR. Cardiac catheterization was performed in all patients for grading the severity of MR. Systolic reversed flow in pulmonary veins was a good marker for angiographic grade 3 or 4 MR with a sensitivity of 97% (33 of 34) and specificity of 95% (52 of 55). Maximal mosaic jet area had a good correlation with the grading of MR (r = 0.79). When a maximal mosaic jet area of >6 cm2 was used to detect grade 3 or 4 MR, the sensitivity and specificity were lower than those of the systolic reversed flow (sensitivity 82 vs 97%, p = 0.073; specificity 80 vs 95%, p = 0.013). The accuracy of systolic reversed flow was not influenced by the cardiac rhythm or jet eccentricity. However, the sensitivity of maximal mosaic jet area was lower in patients with an eccentric jet than in patients with a central jet (67 vs 95%, p = 0.046). In conclusion, systolic reversed flow in pulmonary veins detected by TEE is better than the maximal mosaic jet area in detecting grade 3 or 4 MR, especially in patients with eccentric jet.

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