Short deceleration time of mitral inflow E velocity: Prognostic implication with atrial fibrillation versus sinus rhythm

D. G. Hurrell; J. K. Oh; D. W. Mahoney; Jr Miller; J. B. Seward

doi:10.1016/S0894-7317(98)70025-2

Short deceleration time of mitral inflow E velocity: Prognostic implication with atrial fibrillation versus sinus rhythm

D. G. Hurrell, J. K. Oh, D. W. Mahoney, Jr Miller, J. B. Seward

Cardiovascular Medicine

Research output: Contribution to journal › Article › peer-review

47 Scopus citations

Abstract

The present study retrospectively identified 367 patients who had restrictive physiology as defined by deceleration time ≤130 msec; 293 were in sinus rhythm (SR) (194 men and 99 women; mean age 64 ± 14 years) and 74 were in atrial fibrillation (AF) (51 men and 23 women; mean age 72 ± 11 years; p < 0.001). Both groups had similar underlying diagnoses and no significant difference in Doppler indices (E wave, 96 ± 23 vs 99 ± 22 cm/sec in SR and AF, respectively; deceleration time, 116 ± 12 vs 116 ± 13 msec; and left ventricular outflow tract time velocity integral, 14.8 ± 4.8 vs 14.5 ± 4.4 cm). Left ventricular ejection fraction was significantly lower in SR patients (29% ± 16% vs 39% ± 20%; p = 0.0003). There were 120 deaths (41%) in the SR group and 35 (47%) in the AF group (median follow-up for both groups, 2.2 years). Restrictive physiology as defined by Doppler echocardiography (deceleration time ≤130 msec) appears to predict a similar poor prognosis with AF as with SR.

Original language	English (US)
Pages (from-to)	450-457
Number of pages	8
Journal	Journal of the American Society of Echocardiography
Volume	11
Issue number	5
DOIs	https://doi.org/10.1016/S0894-7317(98)70025-2
State	Published - 1998

ASJC Scopus subject areas

Radiology Nuclear Medicine and imaging
Cardiology and Cardiovascular Medicine

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title = "Short deceleration time of mitral inflow E velocity: Prognostic implication with atrial fibrillation versus sinus rhythm",

abstract = "The present study retrospectively identified 367 patients who had restrictive physiology as defined by deceleration time ≤130 msec; 293 were in sinus rhythm (SR) (194 men and 99 women; mean age 64 ± 14 years) and 74 were in atrial fibrillation (AF) (51 men and 23 women; mean age 72 ± 11 years; p < 0.001). Both groups had similar underlying diagnoses and no significant difference in Doppler indices (E wave, 96 ± 23 vs 99 ± 22 cm/sec in SR and AF, respectively; deceleration time, 116 ± 12 vs 116 ± 13 msec; and left ventricular outflow tract time velocity integral, 14.8 ± 4.8 vs 14.5 ± 4.4 cm). Left ventricular ejection fraction was significantly lower in SR patients (29% ± 16% vs 39% ± 20%; p = 0.0003). There were 120 deaths (41%) in the SR group and 35 (47%) in the AF group (median follow-up for both groups, 2.2 years). Restrictive physiology as defined by Doppler echocardiography (deceleration time ≤130 msec) appears to predict a similar poor prognosis with AF as with SR.",

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AU - Oh, J. K.

AU - Mahoney, D. W.

AU - Miller, Jr

AU - Seward, J. B.

PY - 1998

Y1 - 1998

N2 - The present study retrospectively identified 367 patients who had restrictive physiology as defined by deceleration time ≤130 msec; 293 were in sinus rhythm (SR) (194 men and 99 women; mean age 64 ± 14 years) and 74 were in atrial fibrillation (AF) (51 men and 23 women; mean age 72 ± 11 years; p < 0.001). Both groups had similar underlying diagnoses and no significant difference in Doppler indices (E wave, 96 ± 23 vs 99 ± 22 cm/sec in SR and AF, respectively; deceleration time, 116 ± 12 vs 116 ± 13 msec; and left ventricular outflow tract time velocity integral, 14.8 ± 4.8 vs 14.5 ± 4.4 cm). Left ventricular ejection fraction was significantly lower in SR patients (29% ± 16% vs 39% ± 20%; p = 0.0003). There were 120 deaths (41%) in the SR group and 35 (47%) in the AF group (median follow-up for both groups, 2.2 years). Restrictive physiology as defined by Doppler echocardiography (deceleration time ≤130 msec) appears to predict a similar poor prognosis with AF as with SR.

AB - The present study retrospectively identified 367 patients who had restrictive physiology as defined by deceleration time ≤130 msec; 293 were in sinus rhythm (SR) (194 men and 99 women; mean age 64 ± 14 years) and 74 were in atrial fibrillation (AF) (51 men and 23 women; mean age 72 ± 11 years; p < 0.001). Both groups had similar underlying diagnoses and no significant difference in Doppler indices (E wave, 96 ± 23 vs 99 ± 22 cm/sec in SR and AF, respectively; deceleration time, 116 ± 12 vs 116 ± 13 msec; and left ventricular outflow tract time velocity integral, 14.8 ± 4.8 vs 14.5 ± 4.4 cm). Left ventricular ejection fraction was significantly lower in SR patients (29% ± 16% vs 39% ± 20%; p = 0.0003). There were 120 deaths (41%) in the SR group and 35 (47%) in the AF group (median follow-up for both groups, 2.2 years). Restrictive physiology as defined by Doppler echocardiography (deceleration time ≤130 msec) appears to predict a similar poor prognosis with AF as with SR.

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Short deceleration time of mitral inflow E velocity: Prognostic implication with atrial fibrillation versus sinus rhythm

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