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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
1993-1-12
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pubmed:abstractText |
A reliable, convenient measure of right ventricular ejection fraction may be a useful adjunct to evaluate cardiac allograft rejection. The purpose of this investigation was to compare two measures of right ventricular ejection fraction: (1) radionuclide angiography with the first-pass technique and (2) thermodilution with a balloon flotation catheter. The study was performed in 26 heart transplant recipients; hemodynamics, thermodilution cardiac output, and right ventricular ejection fraction were measured. First pass radionuclide angiography was performed either simultaneously (n = 11) or within 4 hours (n = 15) of the thermodilution study. Mean thermodilution right ventricular ejection fraction was 39% +/- 8%, and radionuclide angiography ejection fraction was 47% +/- 9%, which represents a highly significant difference (p < 0.001) in techniques. Linear regression showed no correlation between the two techniques (r = 0.3; p = NS). No differences in results were observed in those studied simultaneously versus less than 4 hours. We conclude that the thermodilution technique underestimates right ventricular ejection fraction in heart transplant recipients and that its usefulness as a tool to screen for systolic dysfunction related to rejection is limited.
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pubmed:commentsCorrections | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
1053-2498
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
11
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1140-6
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:1333800-Female,
pubmed-meshheading:1333800-Heart Catheterization,
pubmed-meshheading:1333800-Heart Transplantation,
pubmed-meshheading:1333800-Humans,
pubmed-meshheading:1333800-Male,
pubmed-meshheading:1333800-Middle Aged,
pubmed-meshheading:1333800-Sodium Pertechnetate Tc 99m,
pubmed-meshheading:1333800-Stroke Volume,
pubmed-meshheading:1333800-Thermodilution,
pubmed-meshheading:1333800-Ventricular Function, Right,
pubmed-meshheading:1333800-Ventriculography, First-Pass
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pubmed:articleTitle |
Thermodilution measures of right ventricular ejection fraction and volumes in heart transplant recipients: a comparison with radionuclide angiography.
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pubmed:affiliation |
Department of Internal Medicine, Ohio State University, Columbus 43210.
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pubmed:publicationType |
Journal Article,
Comparative Study
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