Atrioventricular Plane Displacement on Echocardiography in Patients with Left Ventricular Systolic Dysfunction

Background: Atrioventricular plane displacement (AVPD) reflects global left ventricular function despite left ventricular asymmetry as it is determined in four different regions of left ventricle. The limitations of agreement between left ventricular ejection fraction (LVEF) and AVPD are not close e...

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Main Authors: Sagar Divekar, Vikrant Khese, Madhusudan Asawa, Deepak S Phalgune, Chandrakant Chavan
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2020-01-01
Series:Journal of the Indian Academy of Echocardiography & Cardiovascular Imaging
Subjects:
Online Access:http://www.jiaecho.org/article.asp?issn=2543-1463;year=2020;volume=4;issue=2;spage=149;epage=153;aulast=Divekar
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spelling doaj-98eb7d397a9e4d75983c840d1c8c43bc2021-08-20T06:09:47ZengWolters Kluwer Medknow PublicationsJournal of the Indian Academy of Echocardiography & Cardiovascular Imaging2543-14632543-14712020-01-014214915310.4103/jiae.jiae_46_19Atrioventricular Plane Displacement on Echocardiography in Patients with Left Ventricular Systolic DysfunctionSagar DivekarVikrant KheseMadhusudan AsawaDeepak S PhalguneChandrakant ChavanBackground: Atrioventricular plane displacement (AVPD) reflects global left ventricular function despite left ventricular asymmetry as it is determined in four different regions of left ventricle. The limitations of agreement between left ventricular ejection fraction (LVEF) and AVPD are not close enough for these two measurements to be interchangeable. There is reason to question whether AVPD provides the same information as LVEF. Aim: The aim of this study was to assess relations of AVPD with LVEF and clinical findings in patients left ventricular failure (LVF). Materials and Methods: One hundred patients aged ≥18 years with coronary artery disease admitted with LVF were included in this cross sectional study. Echocardiographic examination was performed. Left ventricular AVPD was evaluated by M mode, in the four and two chamber views. Primary aim was to compare AVPD with LVEF by echocardiography. Secondary outcome measures were comparison of AVPD with traditional risk factors, clinical features, and pro-B-type natriuretic peptide (BNP) levels. Comparison of qualitative and quantitative variables was done by using Chi-square test/Fisher's exact test and unpaired t-test. Pearson's correlation was used to study correlation. Results: Mean AVPD was significantly lower in patients with severe LVEF as compared to mild, and moderate LVEF. Correlation of AVPD with LVEF, pro BNP, septum, anterior, lateral and posterior wall hypokinesia was 0.895. 0.841, 0.898, 0.911, 0.893 and 0.907 respectively. Conclusions: Mean AVPD was significantly lower in patients with severe LVEF. Mean AVPD positively correlated with LVEF, pro BNP, septum, anterior, lateral and posterior wall hypokinesia.http://www.jiaecho.org/article.asp?issn=2543-1463;year=2020;volume=4;issue=2;spage=149;epage=153;aulast=Divekaratrioventricular plane displacementechocardiographyleft ventricular ejection fraction
collection DOAJ
language English
format Article
sources DOAJ
author Sagar Divekar
Vikrant Khese
Madhusudan Asawa
Deepak S Phalgune
Chandrakant Chavan
spellingShingle Sagar Divekar
Vikrant Khese
Madhusudan Asawa
Deepak S Phalgune
Chandrakant Chavan
Atrioventricular Plane Displacement on Echocardiography in Patients with Left Ventricular Systolic Dysfunction
Journal of the Indian Academy of Echocardiography & Cardiovascular Imaging
atrioventricular plane displacement
echocardiography
left ventricular ejection fraction
author_facet Sagar Divekar
Vikrant Khese
Madhusudan Asawa
Deepak S Phalgune
Chandrakant Chavan
author_sort Sagar Divekar
title Atrioventricular Plane Displacement on Echocardiography in Patients with Left Ventricular Systolic Dysfunction
title_short Atrioventricular Plane Displacement on Echocardiography in Patients with Left Ventricular Systolic Dysfunction
title_full Atrioventricular Plane Displacement on Echocardiography in Patients with Left Ventricular Systolic Dysfunction
title_fullStr Atrioventricular Plane Displacement on Echocardiography in Patients with Left Ventricular Systolic Dysfunction
title_full_unstemmed Atrioventricular Plane Displacement on Echocardiography in Patients with Left Ventricular Systolic Dysfunction
title_sort atrioventricular plane displacement on echocardiography in patients with left ventricular systolic dysfunction
publisher Wolters Kluwer Medknow Publications
series Journal of the Indian Academy of Echocardiography & Cardiovascular Imaging
issn 2543-1463
2543-1471
publishDate 2020-01-01
description Background: Atrioventricular plane displacement (AVPD) reflects global left ventricular function despite left ventricular asymmetry as it is determined in four different regions of left ventricle. The limitations of agreement between left ventricular ejection fraction (LVEF) and AVPD are not close enough for these two measurements to be interchangeable. There is reason to question whether AVPD provides the same information as LVEF. Aim: The aim of this study was to assess relations of AVPD with LVEF and clinical findings in patients left ventricular failure (LVF). Materials and Methods: One hundred patients aged ≥18 years with coronary artery disease admitted with LVF were included in this cross sectional study. Echocardiographic examination was performed. Left ventricular AVPD was evaluated by M mode, in the four and two chamber views. Primary aim was to compare AVPD with LVEF by echocardiography. Secondary outcome measures were comparison of AVPD with traditional risk factors, clinical features, and pro-B-type natriuretic peptide (BNP) levels. Comparison of qualitative and quantitative variables was done by using Chi-square test/Fisher's exact test and unpaired t-test. Pearson's correlation was used to study correlation. Results: Mean AVPD was significantly lower in patients with severe LVEF as compared to mild, and moderate LVEF. Correlation of AVPD with LVEF, pro BNP, septum, anterior, lateral and posterior wall hypokinesia was 0.895. 0.841, 0.898, 0.911, 0.893 and 0.907 respectively. Conclusions: Mean AVPD was significantly lower in patients with severe LVEF. Mean AVPD positively correlated with LVEF, pro BNP, septum, anterior, lateral and posterior wall hypokinesia.
topic atrioventricular plane displacement
echocardiography
left ventricular ejection fraction
url http://www.jiaecho.org/article.asp?issn=2543-1463;year=2020;volume=4;issue=2;spage=149;epage=153;aulast=Divekar
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