Pulmonary Insufficiency: Difference between revisions

no edit summary
No edit summary
No edit summary
Line 1: Line 1:
==Quantification Pulmonaliklep insufficience<cite>1</cite>==
==Quantification Pulmonaliklep insufficience<cite>1</cite>==


{| class="wikitable" cellpadding="0" cellspacing="0" border="0" width="500px"
{| class="wikitable" cellpadding="0" cellspacing="0" border="0" width="800px"
|-
|-
!
!width="200px"|
!Slight  
!Slight  
!Moderate  
!Moderate  
Line 30: Line 30:
 
 
==Color doppler==
==Color doppler==
With color Doppler , the degree of expansion of the jet flow back into the right ventricle can be used to quantify the degree of pulmonary insufficiency enigzinds it is most commonly used .
With color Doppler, the degree of expansion of the jet flow back into the right ventricle can be used to quantify the degree of pulmonary insufficiency enigzinds it is most commonly used .


==Continuous wave==
==Continuous wave==
Also by continuous wave signal with an impression can be gekeregen on the severity of the pulmonary valve insufficiency.
Also by continuous wave signal with an impression can be gekeregen on the severity of the pulmonary valve insufficiency.


[[Image:PI01.png]]
{| class="wikitable" cellpadding="0" cellspacing="0" border="0" width="800px"
|-
|[[Image:PI01.png|800px]]
|-
|'''A''' ''Minimum insufficiency as seen in normal individuals:'' holodiastolic signal dip by atrial contraction.


A Minimum insufficiency as seen in normal individuals : holodiastolisch signal dip by atrial contraction
'''B''' ''Light insufficiency:'' holodiastolic backflow small reversal following atrial contraction only during inspiration.
B Light insufficiency : holodiastolische backflow small reversal following atrial contraction only during inspiration
C Moderate insufficiency : return of the return current to zero before the end of diastole to late diastolic antegrade flow in the pulmonary artery due to the atrial contraction both in inspiration and in expiration.
D Severe insufficiency : short sharp backflow indicating rapid equilibration of pulmonary and RV diastolic and end-diastolic pressure with mid forward flow in the pulmonary artery .
Source : Mulder B.J.M. , P. G. Pieper , Spitaels S.E.C. Congenital heart disease in adults . Bohn Stafleu of Loghum Houten / Diegem 1999


example
'''C''' ''Moderate insufficiency:'' return of the return current to zero before the end of diastole to late diastolic antegrade flow in the pulmonary artery due to the atrial contraction both in inspiration and in expiration.


[[Image:Pi01.jpg]]
'''D''' ''Severe insufficiency:'' short sharp backflow indicating rapid equilibration of pulmonary and RV diastolic and end-diastolic pressure with mid forward flow in the pulmonary artery.<cite>2</cite>
|}


Moderate pulmonary insufficiency
{| class="wikitable" cellpadding="0" cellspacing="0" border="0"
|-
!
===Example===
[[Image:Pi01.jpg|400px]]
|-
!Moderate pulmonary insufficiency
|}


==References==
==References==
0

edits