Left ventricle dynamics during pulsus alternans: insights from tissue velocity imaging.
A 34-year-old female patient with idiopathic dilated cardiomyopathy presented with hemodynamic pulsus alternans. Mitral annular tissue Doppler velocities showed reciprocal beat-to-beat alterations during systolic ejection and diastolic filling periods. Tissue velocity waves were unaltered during the isovolumic relaxation and contraction periods.
Sengupta
Partho P
PP
Department of Cardiology, GB Pant Hospital, New Delhi. ppsengupta@rediffmail.com
Mohan
Jagdish C
JC
Mukherjee
Samanjay
S
Arora
Ramesh
R
D000328:Adult; D002311:Cardiomyopathy, Dilated / Q000150:complications*; D015150:Echocardiography, Doppler; D005260:Female; D006801:Humans; D011674:Pulse; D013599:Systole / Q000502:physiology; D018487:Ventricular Dysfunction, Left / Q000209:etiology / Q000503:physiopathology*