Abstract
The blood speed through prosthetic mitral valves was determined using ultrasound Doppler techniques combined with on-line spectral analysis. Spectral analysis was particularly suitable for maximum velocity estimation due to its superior ability in discriminating between Doppler signals and white background noise. From a simplified Bernoulli equation the corresponding transprosthetic pressure drop was calculated and estimates were compared against pressure gradients obtained by conventional intracardiac catheterization. A close relationship between the ultrasonic- and the manometric transprosthetic pressure gradients was found, but the ultrasonic method tended to systematically underestimate the pressure gradients slightly.
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