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KMID : 0390619930010020220
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Journal of Cardiovascular Ultrasound
1993 Volume.1 No. 2 p.220 ~ p.228
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Incidence of Tricuspid Regurgitation in Children with Heart Disease :
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김우정
김명성/이상락/권태찬/강진무
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Abstract
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Background :
@EN Although tricuspid vale regurgitation can be due to organic disease of the tricuspid vale, it is generally a functional disorder, and frequently occurs after valvular disease of the left heart or in association with congenital heart disease.
Real
time, 2-dimensoal, colorcoded. Doppler flow imaging system has proved useful for detecting defecting tricuspid regurgitation. The aim of this study is to compare the incidence of tricuspid regurgitation between children with congenital heart
disease and
normal children.
@ES Method :
@EN Real time. 2-dimensional. Color-coded Doppler Echocardiography was performed to evaluate the tricuspid regurgitation in 231 cases (113 with congenital heart disease. 30 with Kawasaki disease. 88 with normal subjects) The duration of systolic
turbulence of tricuspid regurgitation in the right atrium was evaluated by continuous wave Doppler method. The distance of systolic turbulence within the right atrium from the tricuspid plane was evaluated by pulsed and color Doppler method.
@ES Results :
@EN The following results were obtained.
Incidence of tricuspid regurgitation in congenital heart disease was 40.7%. Kawasaki diseases 20.2%, and normal subjects 26.1%.
Incidence of tricuspid regurgitation in each disease was as follows.
100% in Ebstin anomaly.
83. 3% in atrioventricular septal defects.
73.3% in patent ductus arteriosus.
66.7% in pulmonary stenosis.
50. 0% in atrial septal defects.
21.2%in ventricular septal defects.
Incidence of severe tricuspid regurgitation based on the distance reached more than half by the abnormal signals from the tricuspid orifice toward the posterior wall was as follows.
100% in atrioventricular septal defects.
100%in Ebstein anomaly.
66. 7% in atrial septal defects.
67. 6% in patent ductus arteriosus.
68. 0% in pulmonary stenosis Tetralogy of Fallot
69. 3% in normal subjects.
@ES Conclusion :
@EM The incidence and severity of tricuspid regurgitation were significantly higher in patients with congenital heart disease than in normal children Further and follow up examination of normal children's tricuspid regurgitation is needed.
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KEYWORD
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