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Chem. 285, 1336413371. Niethammer, M. , Carbon, M. , Argyelan, M. , and Eidelberg, D. 2004. Regional metabolism in primary torsion dystonia: effects of penetrance and genotype. Neurology 62, 13841390. Cayrol, C. , Lacroix, C.


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o It can be used to assess the severity of regurgitation when noninvasive test results are inconclusive or discordant with clinical findings regarding the severity of regurgitation or the need for surgery. o Use cardiac catheterization to assess LV function when noninvasive test results are inconclusive or discordant with clinical findings LV dysfuncation and the need for surgery in patients with severe AR. Qualitative assessment Aortic Angiogram: o In mild AR 1+, a small amount of contrast enters the left ventricle during diastole and clears with each systole. o In moderate AR 2+, more contrast enters with each diastole, and faint opacification of the entire LV chamber occurs. o In moderately severe AR 3+, the LV chamber is well opacified and equal in density when compared with the ascending aorta. o In severe AR 4+, complete dense opacification of the LV chamber occurs on the first beat and the left ventricle is more densely opacified than the ascending aorta. Simultaneous aortic and LV pressure tracing signs of severe AR: o Wide pulse pressure may be present. o LV diastolic pressure increases rapidly. o Near quilibration of aortic and LV pressure occurs at diastole. Imaging Studies: M mode features of AR include the following. o Dilatation of the sinuses of Valsalva particularly in patients with Marfan syndrome or bicuspid aortic valve problem.



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