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Evaluation of Pulmonary and Systemic Blood Flow by Doppler Echocardiography in Pediatric Congenital Heart Disease.

Journal of the Korean Pediatric Society 1988;31(8):1014-1020.
Published online August 31, 1988.
Evaluation of Pulmonary and Systemic Blood Flow by Doppler Echocardiography in Pediatric Congenital Heart Disease.
Jae Hong Park, Chun Dong Kim, Jin Gon Jun
Department of Peditrics, College of Medicine, Youngnam University, Taegu, Korea
선천성 섬질환 환아에서의 Doppler 심초음파도를 이용한 혈류량 측정에 관한 연구
박재홍, 김춘동, 전진곤
영남대학교 의과대학 소아과학교실
Received: 25 January 1988   • Accepted: 29 February 1988
Abstract
This study was designed to assess the accuracy of pulmonary (Qp) and systemic blood flow (Qs) and the ratio of pulmonary to systemic blood flow (Qp/Qs) measured by non-invasive range-gated pulsed Doppler echocardiography. Thirty five children with congenital heart disease, aged 4 months to 15 years, admitted for cardiac operation to this hospital, were studied. Cardiac outputs were measured by 2-dimensional range-gated pulsed Doppler echocardiography simultaneously with Fick method during cardiac catheterization. High correlations were found between the estimates of Qp (r=0.80, y=1.10x=2.93, p<0.001), Qs (r= 0.95, y=0.92x+2.20, p< 0.001) and Qp/Qs ratio (r=0.86, y=1.22x+0.40, p< 0.001) by Doppler and Fick method. The results indicate that cardiac output and Qp/Qs ratio of the patients with congenital heart disease can be relatively accurately measured by non-invasive range-gated pulsed Doppler echocar- diography.
Key Words: Doppler echocardiography, Congenital heart disease, Cardiac output


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