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pubmed-article:1333800pubmed:abstractTextA 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.lld:pubmed
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pubmed-article:1333800pubmed:authorpubmed-author:HaasG JGJlld:pubmed
pubmed-article:1333800pubmed:authorpubmed-author:BinkleyP FPFlld:pubmed
pubmed-article:1333800pubmed:authorpubmed-author:StarlingR CRClld:pubmed
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pubmed-article:1333800pubmed:pagination1140-6lld:pubmed
pubmed-article:1333800pubmed:dateRevised2006-11-15lld:pubmed
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pubmed-article:1333800pubmed:articleTitleThermodilution measures of right ventricular ejection fraction and volumes in heart transplant recipients: a comparison with radionuclide angiography.lld:pubmed
pubmed-article:1333800pubmed:affiliationDepartment of Internal Medicine, Ohio State University, Columbus 43210.lld:pubmed
pubmed-article:1333800pubmed:publicationTypeJournal Articlelld:pubmed
pubmed-article:1333800pubmed:publicationTypeComparative Studylld:pubmed
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