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Left Ventricular Outflow Tract Peak Velocity

MedGen UID:
926357
•Concept ID:
C4288825
•
Finding

Definition

The measurement of the maximum rate of blood flow measured in the left ventricular outflow tract during systole. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVLeft Ventricular Outflow Tract Peak Velocity

Professional guidelines

PubMed

Usefulness of dobutamine-induced changes of the two-dimensional longitudinal deformation predict clinical and neurohumoral improvement in men after levosimendan treatment in acutely decompensated chronic heart failure.
Paraskevaidis IA, Bistola V, Ikonomidis I, Parissis JT, Papadopoulos C, Filippatos G, Kremastinos DT
Am J Cardiol 2008 Nov 1;102(9):1225-9. Epub 2008 Sep 4 doi: 10.1016/j.amjcard.2008.06.060. PMID: 18940297
Left ventricular myocardial perfusion and function in systemic sclerosis before and after diltiazem treatment.
Geirsson AJ, Danielsen R, Pétursson E
Scand J Rheumatol 1996;25(5):317-20. doi: 10.3109/03009749609104064. PMID: 8921925

Recent clinical studies

Etiology

The Accuracy of Velocity-Time Integral Variation and Peak Velocity Variation of the Left Ventricular Outflow Tract in Predicting Fluid Responsiveness in Postoperative Patients Mechanically Ventilated at Low Tidal Volumes.
Xie J, Wan J, Xu L, Zhang Y, Chen J
J Cardiothorac Vasc Anesth 2023 Jun;37(6):911-918. Epub 2023 Feb 9 doi: 10.1053/j.jvca.2023.02.009. PMID: 36931906
Age-related changes in left ventricular vortex and energy loss patterns: from newborns to adults.
Becker KC, Cohen J, Nyce JD, Yau JL, Uppu SC, Sengupta PP, Srivastava S
Am J Physiol Heart Circ Physiol 2023 May 1;324(5):H624-H629. Epub 2023 Mar 10 doi: 10.1152/ajpheart.00002.2023. PMID: 36897746
The Usefulness of Computed Tomography in Predicting Left Ventricular Outflow Tract Obstruction After Neonatal Arch Repair.
Kim DH, Choi ES, Kwon BS, Yun TJ, Yang DH, Park CS
Semin Thorac Cardiovasc Surg 2023 Spring;35(1):127-137. Epub 2022 Mar 10 doi: 10.1053/j.semtcvs.2021.12.017. PMID: 35278666
Automated Spectral Doppler Profile Tracing.
Gosling AF, Thalappillil R, Ortoleva J, Datta P, Cobey FC
J Cardiothorac Vasc Anesth 2020 Jan;34(1):72-76. Epub 2019 Jun 15 doi: 10.1053/j.jvca.2019.06.018. PMID: 31416674
Left ventricular function in patients with hypertrophic cardiomyopathy and its relation to myocardial fibrosis and exercise tolerance.
Maragiannis D, Alvarez PA, Ghosn MG, Chin K, Hinojosa JJ, Buergler JM, Shah DJ, Nagueh SF
Int J Cardiovasc Imaging 2018 Jan;34(1):121-129. Epub 2017 Jul 26 doi: 10.1007/s10554-017-1214-z. PMID: 28748418

Diagnosis

Sitting maneuver to uncover latent left ventricular outflow tract obstruction in patients without hypertrophic cardiomyopathy.
Sekine A, Watanabe T, Nakabo A, Ichiryu H, Endo S, Hayashi M, Naruse G, Nakayama J, Takada A, Fujimoto S, Ozawa N, Inada T, Nohisa Y, Kikuchi R, Kanamori H, Okura H
J Cardiol 2024 Jun;83(6):401-406. Epub 2023 Nov 22 doi: 10.1016/j.jjcc.2023.11.006. PMID: 38000537
Fully Automated Artificial Intelligence Assessment of Aortic Stenosis by Echocardiography.
Krishna H, Desai K, Slostad B, Bhayani S, Arnold JH, Ouwerkerk W, Hummel Y, Lam CSP, Ezekowitz J, Frost M, Jiang Z, Equilbec C, Twing A, Pellikka PA, Frazin L, Kansal M
J Am Soc Echocardiogr 2023 Jul;36(7):769-777. Epub 2023 Mar 22 doi: 10.1016/j.echo.2023.03.008. PMID: 36958708
The Accuracy of Velocity-Time Integral Variation and Peak Velocity Variation of the Left Ventricular Outflow Tract in Predicting Fluid Responsiveness in Postoperative Patients Mechanically Ventilated at Low Tidal Volumes.
Xie J, Wan J, Xu L, Zhang Y, Chen J
J Cardiothorac Vasc Anesth 2023 Jun;37(6):911-918. Epub 2023 Feb 9 doi: 10.1053/j.jvca.2023.02.009. PMID: 36931906
Increased systolic vorticity in the left ventricular outflow tract is associated with abnormal aortic flow formations in Tetralogy of Fallot.
Schäfer M, Barker AJ, Morgan GJ, Jaggers J, Stone ML, Browne LP, Ivy DD, Mitchell MB
Int J Cardiovasc Imaging 2020 Apr;36(4):691-700. Epub 2020 Jan 6 doi: 10.1007/s10554-019-01764-w. PMID: 31907684
Left ventricular function in patients with hypertrophic cardiomyopathy and its relation to myocardial fibrosis and exercise tolerance.
Maragiannis D, Alvarez PA, Ghosn MG, Chin K, Hinojosa JJ, Buergler JM, Shah DJ, Nagueh SF
Int J Cardiovasc Imaging 2018 Jan;34(1):121-129. Epub 2017 Jul 26 doi: 10.1007/s10554-017-1214-z. PMID: 28748418

Therapy

Comparison of cardiac function between left bundle branch pacing and right ventricular outflow tract septal pacing in the short-term: A registered controlled clinical trial.
Liu Q, Yang J, Bolun Z, Pei M, Ma B, Tong Q, Yin H, Zhang Y, You L, Xie R
Int J Cardiol 2021 Jan 1;322:70-76. Epub 2020 Aug 27 doi: 10.1016/j.ijcard.2020.08.048. PMID: 32860843
Increased systolic vorticity in the left ventricular outflow tract is associated with abnormal aortic flow formations in Tetralogy of Fallot.
Schäfer M, Barker AJ, Morgan GJ, Jaggers J, Stone ML, Browne LP, Ivy DD, Mitchell MB
Int J Cardiovasc Imaging 2020 Apr;36(4):691-700. Epub 2020 Jan 6 doi: 10.1007/s10554-019-01764-w. PMID: 31907684
Histopathology of the right ventricular outflow tract and the relation to hemodynamics in patients with repaired tetralogy of Fallot.
Chowdhury UK, Jha A, Ray R, Kalaivani M, Hasija S, Kumari L, Chauhan A
J Thorac Cardiovasc Surg 2019 Oct;158(4):1173-1183.e5. Epub 2019 Apr 26 doi: 10.1016/j.jtcvs.2019.03.118. PMID: 31133352
Incidence, predictors, and midterm clinical outcomes of left ventricular obstruction after transcatheter aortic valve implantation.
Tsuruta H, Hayashida K, Yashima F, Yanagisawa R, Tanaka M, Arai T, Minakata Y, Itabashi Y, Murata M, Kohsaka S, Maekawa Y, Takahashi T, Yoshitake A, Shimizu H, Fukuda K
Catheter Cardiovasc Interv 2018 Oct 1;92(4):E288-E298. Epub 2018 Jan 23 doi: 10.1002/ccd.27508. PMID: 29359402
Biphasic left ventricular outflow and its mechanism in hypertrophic obstructive cardiomyopathy.
Conklin HM, Huang X, Davies CH, Sahn DJ, Shively BK
J Am Soc Echocardiogr 2004 Apr;17(4):375-83. doi: 10.1016/j.echo.2003.12.012. PMID: 15044873

Prognosis

The Accuracy of Velocity-Time Integral Variation and Peak Velocity Variation of the Left Ventricular Outflow Tract in Predicting Fluid Responsiveness in Postoperative Patients Mechanically Ventilated at Low Tidal Volumes.
Xie J, Wan J, Xu L, Zhang Y, Chen J
J Cardiothorac Vasc Anesth 2023 Jun;37(6):911-918. Epub 2023 Feb 9 doi: 10.1053/j.jvca.2023.02.009. PMID: 36931906
The Usefulness of Computed Tomography in Predicting Left Ventricular Outflow Tract Obstruction After Neonatal Arch Repair.
Kim DH, Choi ES, Kwon BS, Yun TJ, Yang DH, Park CS
Semin Thorac Cardiovasc Surg 2023 Spring;35(1):127-137. Epub 2022 Mar 10 doi: 10.1053/j.semtcvs.2021.12.017. PMID: 35278666
Histopathology of the right ventricular outflow tract and the relation to hemodynamics in patients with repaired tetralogy of Fallot.
Chowdhury UK, Jha A, Ray R, Kalaivani M, Hasija S, Kumari L, Chauhan A
J Thorac Cardiovasc Surg 2019 Oct;158(4):1173-1183.e5. Epub 2019 Apr 26 doi: 10.1016/j.jtcvs.2019.03.118. PMID: 31133352
Left ventricular function in patients with hypertrophic cardiomyopathy and its relation to myocardial fibrosis and exercise tolerance.
Maragiannis D, Alvarez PA, Ghosn MG, Chin K, Hinojosa JJ, Buergler JM, Shah DJ, Nagueh SF
Int J Cardiovasc Imaging 2018 Jan;34(1):121-129. Epub 2017 Jul 26 doi: 10.1007/s10554-017-1214-z. PMID: 28748418
Long mitral valve leaflets determine left ventricular outflow tract obstruction during exercise in hypertrophic cardiomyopathy.
Henein M, Arvidsson S, Pilebro B, Backman C, Mörner S, Lindqvist P
Int J Cardiol 2016 Jun 1;212:47-53. Epub 2016 Mar 16 doi: 10.1016/j.ijcard.2016.03.041. PMID: 27031819

Clinical prediction guides

Sitting maneuver to uncover latent left ventricular outflow tract obstruction in patients without hypertrophic cardiomyopathy.
Sekine A, Watanabe T, Nakabo A, Ichiryu H, Endo S, Hayashi M, Naruse G, Nakayama J, Takada A, Fujimoto S, Ozawa N, Inada T, Nohisa Y, Kikuchi R, Kanamori H, Okura H
J Cardiol 2024 Jun;83(6):401-406. Epub 2023 Nov 22 doi: 10.1016/j.jjcc.2023.11.006. PMID: 38000537
The Usefulness of Computed Tomography in Predicting Left Ventricular Outflow Tract Obstruction After Neonatal Arch Repair.
Kim DH, Choi ES, Kwon BS, Yun TJ, Yang DH, Park CS
Semin Thorac Cardiovasc Surg 2023 Spring;35(1):127-137. Epub 2022 Mar 10 doi: 10.1053/j.semtcvs.2021.12.017. PMID: 35278666
Histopathology of the right ventricular outflow tract and the relation to hemodynamics in patients with repaired tetralogy of Fallot.
Chowdhury UK, Jha A, Ray R, Kalaivani M, Hasija S, Kumari L, Chauhan A
J Thorac Cardiovasc Surg 2019 Oct;158(4):1173-1183.e5. Epub 2019 Apr 26 doi: 10.1016/j.jtcvs.2019.03.118. PMID: 31133352
Incidence, predictors, and midterm clinical outcomes of left ventricular obstruction after transcatheter aortic valve implantation.
Tsuruta H, Hayashida K, Yashima F, Yanagisawa R, Tanaka M, Arai T, Minakata Y, Itabashi Y, Murata M, Kohsaka S, Maekawa Y, Takahashi T, Yoshitake A, Shimizu H, Fukuda K
Catheter Cardiovasc Interv 2018 Oct 1;92(4):E288-E298. Epub 2018 Jan 23 doi: 10.1002/ccd.27508. PMID: 29359402
Left ventricular function in patients with hypertrophic cardiomyopathy and its relation to myocardial fibrosis and exercise tolerance.
Maragiannis D, Alvarez PA, Ghosn MG, Chin K, Hinojosa JJ, Buergler JM, Shah DJ, Nagueh SF
Int J Cardiovasc Imaging 2018 Jan;34(1):121-129. Epub 2017 Jul 26 doi: 10.1007/s10554-017-1214-z. PMID: 28748418

Recent systematic reviews

Improving accuracy in diagnosing aortic stenosis severity: An in-depth analysis of echocardiographic measurement error through literature review and simulation study.
Velders BJJ, Groenwold RHH, Ajmone Marsan N, Kappetein AP, Wijngaarden RAFLV, Braun J, Klautz RJM, Vriesendorp MD
Echocardiography 2023 Sep;40(9):892-902. Epub 2023 Jul 31 doi: 10.1111/echo.15664. PMID: 37519290

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