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J Am Coll Cardiol, 1999; 33:1655-1661
© 1999 by the American College of Cardiology Foundation
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"overestimation" of catheter gradients by doppler ultrasound in patients with aortic stenosis: a predictable manifestation of pressure recovery

Helmut Baumgartner, MD, FACCa, Thomas Stefenelli, MD, FACCa, Julia Niederberger, MDa, Heinrich Schima, PhD* and Gerald Maurer, MD, FACCa

a Department of Cardiology, Vienna General Hospital, University of Vienna, Vienna, Austria
* Center of Biomedical Research/Ludwig Boltzmann Research Institute of Cardiac Surgery, Vienna General Hospital, University of Vienna, Vienna, Austria



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Figure 1 Differences between peak Doppler and peak catheter gradients versus average peak gradient by Doppler and catheter technique. Mean difference ±2 SD are represented by the dashed lines. Data of patients with a diameter of the ascending aorta ≤3 cm are indicated by filled circles, whereas open circles represent data from patients with a diameter of the aorta >3 cm.

 


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Figure 2 Differences between mean Doppler and mean catheter gradients versus average mean gradient by Doppler and catheter technique. Mean difference ±2 SD are represented by the dashed lines. Data of patients with a diameter of the ascending aorta ≤3 cm are indicated by filled circles, whereas open cicles represent data from patients with a diameter of the aorta >3 cm.

 


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Figure 3 Differences between Doppler predicted (i.e., pressure recovery) and observed Doppler-catheter gradient differences (peak gradient) versus average peak gradient differences by prediction and observation. Mean difference ±2 SD are indicated by the dashed lines.

 


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Figure 4 Differences between Doppler predicted (i.e., pressure recovery) and observed Doppler-catheter gradient differences (mean gradient) versus average mean gradient differences by prediction and observation. Mean difference ±2 SD are indicated by the dashed lines.

 


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Figure 5 Peak Doppler gradients (open circles) and Doppler predicted peak catheter gradients (filled circles) versus observed peak catheter gradients (dashed line = line of identity).

 


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Figure 6 Mean Doppler gradients (open circles) and Doppler predicted mean catheter gradients (filled circles) versus mean catheter gradients (dashed line = line of identity).

 





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