RESUMO
OBJECTIVE: To assess right ventricular systolic function using indices derived from tricuspid annular motion, and to compare the results with right ventricular ejection fraction (RVEF) calculated from radionuclide angiography. DESIGN: Pulsed Doppler echocardiography indices were obtained from 10 patients with a normal RVEF (group 1) and from 20 patients whose RVEF was less than 45% (group 2). RESULTS: The patients in the two groups were similar in age, systolic blood pressure, and heart rate. There was a close correlation between the tricuspid annular motion derived indices (D wave integral (DWI), peak velocity of D wave (PVDW), and tricuspid plane systolic excursion (TPSE)) and RVEF (r = 0.72, 0.82, and 0.79, respectively). DWI was significantly higher in group 1 than in group 2. PVDW discriminated adequately between individuals with abnormal and normal right ventricular ejection fraction. The sensitivity and specificity of tricuspid annular motion derived indices were very good. CONCLUSIONS: Indices derived from tricuspid annular motion appear to be important tools for assessing right ventricular systolic function.
Assuntos
Valva Tricúspide/fisiologia , Função Ventricular Direita/fisiologia , Adulto , Idoso , Diástole , Ecocardiografia Doppler/métodos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Angiografia Cintilográfica/métodos , Análise de Regressão , Volume Sistólico/fisiologia , Valva Tricúspide/diagnóstico por imagemRESUMO
Plasma prolactin (PRL) and total estriol levels were measured in normal pregnant women using blood samples collected from different patients at different gestational ages (cross-sectional study) and samples collected from the same patient at different gestational ages (longitudinal study). The cross-sectional study showed that PRL exhibited an ascending curve, with a tendency towards increased sample variability as pregnancy progressed. The longitudinal study showed that the slopes of the curves for the isolated cases differed according to the phase of gestation, in contrast to what was suggested by the cross-sectional study. A positive relationship between estriol and PRL was observed.