[The index of left and right diastolic ventricular filling with 2D Doppler echocardiography in normal children].
Cross-sectional echocardiographic and Doppler studies were performed to study early and late diastolic inflow velocities transmitral and transtricuspid. The study group consisted of 50 normal subjects. Age varied from 5 hours to 17 years (x: 22 m). The measurements made were E/A ratio, isovolumetric relaxation time of the left ventricle, acceleration and deceleration time. Transmitral E/A ratio is higher than 1 since newborn period, increasing with age (newborn: 1.25 +/- 0.27 over 2 years of age: 1.79 +/- 0.35), and related to increase of "E" wave velocity (newborn: 0.67 +/- 0.09.m/s and over 2 years of age: 0.98 +/- 0.21 m/s). There is also a higher acceleration time (newborn: 50 +/- 10 m/s) and over 6 years of age 130 +/- 30 m/sec; isovolumetric relaxation time of the left ventricle (newborn: 60 +/- 10 msec vs. over 6 years of age: 80 +/- 20 msec). The E/A transtricuspid ratio is lower than 1 in the newborn (0.71 +/- 0.08) and (0.97 +/- 0.32) in infants less than 6 months of age; it is higher than 1 between 6 months and 2 years (1.17 +/- 0.33) and increasing in the group of six years of age and older (1.5 +/- 0.28), due to the higher velocity of "E" (newborn 0.47 +/- 0.07 m/s in relation to 6 years and older group (0.77 +/- 0.08 m/s). There is also an increase of acceleration time with aging (newborn: 50 +/- 10 msec and over six: 70 +/- 10 msec) and deceleration time (newborn: 60 +/- 10 msec and over six: 120 +/- 40 msec). The "A" wave velocities have been similar in the tricuspid and transmitral inflow, with progressive increasing since newborn period up to 2 years of age and decreasing over 6 years of age.
Departamento Cardiovascular, Unidad Funcional, Hospitales de Niños Pedro de Elizalde y Ricardo Gutiérrez, Capital Federal, Argentina.
A M
AM
de Dios
J E
JE
Flores
E A
EA
Fischman
C
C
Martinoli
B
B
Zarlenga
E A
EA
Kreutzer
D000293:Adolescent; D000375:Aging / Q000502:physiology; D001783:Blood Flow Velocity; D002648:Child; D002675:Child, Preschool; D003971:Diastole; D015150:Echocardiography, Doppler / Q000295:instrumentation / Q000379:methods / Q000706:statistics & numerical data; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D012016:Reference Values; D016277:Ventricular Function, Left; D016278:Ventricular Function, Right
Indice de llenado diastólico ventricular izquierdo y derecho con ecocardiografía 2-D Doppler en niños normales.