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Normal Echocardiographic Measurements in a Korean Population Study: Part II. Doppler and Tissue Doppler Imaging

  • Choi, Jin-Oh (Division of Cardiology, Department of Medicine, Heart Vascular Stroke Center, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Shin, Mi-Seung (Division of Cardiology, Department of Internal Medicine, Gil Hospital, Gachon University of Medicine and Science) ;
  • Kim, Mi-Jeong (Division of Cardiology, Department of Internal Medicine, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Jung, Hae Ok (Department of Internal Medicine, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Park, Jeong Rang (Division of Cardiology, Department of Internal Medicine, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine) ;
  • Sohn, Il Suk (Department of Cardiology, Kyung Hee University School of Medicine, Kyung Hee University Hospital at Gangdong) ;
  • Kim, Hyungseop (Division of Cardiology, Keimyung University Dongsan Medical Center) ;
  • Park, Seong-Mi (Division of Cardiology, Department of Internal Medicine, Korea University College of Medicine) ;
  • Yoo, Nam Jin (Department of Internal Medicine, Wonkwang University Hospital, Institute of Wonkwang Medical Science) ;
  • Choi, Jung Hyun (Division of Cardiology, Department of Internal Medicine, Pusan National University School of Medicine) ;
  • Kim, Hyung-Kwan (Division of Cardiology, Department of Internal Medicine, Cardiovascular Center, Seoul National University College of Medicine) ;
  • Cho, Goo-Yeong (Division of Cardiology, Department of Internal Medicine, Seoul National University and Cardiovascular Center, Seoul National University Bundang Hospital) ;
  • Lee, Mi-Rae (Division of Cardiology, Department of Medicine, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine) ;
  • Park, Jin-Sun (Department of Cardiology, Ajou University School of Medicine) ;
  • Shim, Chi Young (Division of Cardiology, Severance Cardiovascular Hospital, Yonsei University College of Medicine) ;
  • Kim, Dae-Hee (Department of Cardiology, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Shin, Dae-Hee (Division of Cardiology, Gangneung Asan Hospital, University of Ulsan College of Medicine) ;
  • Shin, Gil Ja (Division of Cardiology, Department of Internal Medicine, Ewha Womans University School of Medicine) ;
  • Shin, Sung Hee (Division of Cardiology, Department of Internal Medicine, Inha University College of Medicine) ;
  • Kim, Kye Hun (Department of Cardiology, Chonnam National University Hospital) ;
  • Park, Jae-Hyeong (Division of Cardiology, Department of Internal Medicine, Chungnam National University Hospital, Chungnam National University School of Medicine) ;
  • Lee, Sang Yeub (Division of Cardiology, Department of Internal Medicine, Chungbuk National University School of Medicine) ;
  • Kim, Woo-Shik (Department of Internal Medicine, Cardiovascular Center, Kyung Hee University Medical Center) ;
  • Park, Seung Woo (Division of Cardiology, Department of Medicine, Heart Vascular Stroke Center, Samsung Medical Center, Sungkyunkwan University School of Medicine)
  • 투고 : 2016.03.31
  • 심사 : 2016.05.10
  • 발행 : 2016.06.27

초록

Background: Hemodynamic and functional evaluation with Doppler and tissue Doppler study as a part of comprehensive echocardiography is essential but normal reference values have never been reported from Korean normal population especially according to age and sex. Methods: Using Normal echOcaRdiographic Measurements in a KoreAn popuLation study subjects, we obtained normal reference values for Doppler and tissue Doppler echocardiography including tricuspid annular velocities according to current guidelines and compared values according to gender and age groups. Results: Mitral early diastolic (E) and late diastolic (A) velocity as well as E/A ratio were significantly higher in women compared to those in men. Conversely, mitral peak systolic and late diastolic annular velocity in both septal and lateral mitral annulus were significantly lower in women compared to those in men. However, there were no significant differences in both septal and lateral mitral early diastolic annular (e') velocity between men and women. In both men and women, mitral E velocity and its deceleration time as well as both E/A and E/e' ratio considerably increased with age. There were no significant differences in tricuspid inflow velocities and tricuspid lateral annular velocities between men and women except e' velocity, which was significantly higher in women compared to that in men. However, changes in both tricuspid inflow and lateral annular velocities according to age were similar to those in mitral velocities. Conclusion: Since there were significant differences in Doppler and tissue Doppler echocardiographic variables between men and women and changes according to age were even more considerable in both gender groups, normal Doppler echocardiographic values should be differentially applied based on age and sex.

키워드

참고문헌

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