The Use of The Handgrip Maneuver to Identify Left-Ventricular Diastolic Function Abnormalities by Doppler-Echocardiography in Patients with Coronary-Artery Disease

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dc.contributor.authorTavlı, T.
dc.contributor.authorCın, V. G.
dc.contributor.authorTavlı, V.
dc.contributor.authorWong, M.
dc.date.accessioned2020-03-26T16:24:35Z
dc.date.available2020-03-26T16:24:35Z
dc.date.issued1995
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractDoppler echocardiography accurately identifies diastolic dysfunction through the assessment of transmitral flow patterns during the application of the handgrip (HG) maneuver. In this study, 45 normal control patients (mean age 46 +/- 9, group A) and 13 patients with coronary artery disease (CAD) (mean age 51 +/- 6, group B) were involved. The effects of handgrip maneuver on transmitral flow patterns were studied by Doppler echocardiography. Group B patients had higher peak late diastolic filling velocities (A), lower peak early (E) to late diastolic filling velocity ratios (E /A) and longer isovolumic relaxation times (TVRT) compared to group A. On the other hand, systolic blood pressure (SBP), heart rate (HR) and peak E velocity (E) did not change significantly (p > 0.05) in either group, at rest. During the supine handgrip maneuver, NR (mean +/- standard error of mean, +21 +/- 13%, p < 0.05) and SBP (+21 +/- 9%, p < 0.05) increased significantly in both group A and group B (+20 +/- 13%, p < 0.05, +22 +/- 15%, p < 0.05, respectively). In group B, E/A ratio (-28 +/- 7%) decreased significantly (p < 0.05) compared to group A (-20 +/- 6%), as a consequence of significantly increased peak ii velocity in group B (+7 +/- 5%) compared to group A (+6 +/- 3%, p < 0.05). Deceleration time decreased significantly in both groups (-10 +/- 6% vs -9 +/- 6%, p < 0.05). Isovolumic relaxation time (TVRT) significantly increased in both groups (+18 +/- 7% vs +16 +/- 6%, p < 0.001). Peak E/A ratios were >1.0 in all patients of both groups in the supine position. This parameter remained greater than 1.0 only in group A during the HG maneuver. Therefore HG was effective in identifying diastolic function abnormalities in patients with CAD.en_US
dc.identifier.citationTavlı, T., Cın, V. G., Tavlı, V., Wong, M., (1995). The Use of The Handgrip Maneuver to Identify Left-Ventricular Diastolic Function Abnormalities by Doppler-Echocardiography in Patients with Coronary-Artery Disease. Japanese Heart Journal, 36(1). 23-28.
dc.identifier.endpage28en_US
dc.identifier.issn0021-4868en_US
dc.identifier.issue1en_US
dc.identifier.pmid7760511en_US
dc.identifier.startpage23en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12395/16312
dc.identifier.volume36en_US
dc.identifier.wosWOS:A1995QM25800003en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherJAPAN HEART JOURNAL, SECOND DEPT OF INTERNAL MEDen_US
dc.relation.ispartofJapanese Heart Journalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectDiastolic Functionen_US
dc.subjectDoppler Echocardiographyen_US
dc.subjectHandgripen_US
dc.subjectManeuveren_US
dc.subjectCoronary Artery Diseaseen_US
dc.titleThe Use of The Handgrip Maneuver to Identify Left-Ventricular Diastolic Function Abnormalities by Doppler-Echocardiography in Patients with Coronary-Artery Diseaseen_US
dc.typeArticleen_US

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