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LA Dimensions (la + dimension)
Selected AbstractsMitral Valve Prolapse in Marfan Syndrome: An Old Topic RevisitedECHOCARDIOGRAPHY, Issue 4 2009Cynthia C. Taub M.D. Background: The echocardiographic features of mitral valve prolapse (MVP) in Marfan syndrome have been well described, and the incidence of MVP in Marfan syndrome is reported to be 40,80%. However, most of the original research was performed in the late 1980s and early 1990s, when the diagnostic criteria for MVP were less specific. Our goal was to investigate the characteristics of MVP associated with Marfan syndrome using currently accepted diagnostic criteria for MVP. Methods: Between January 1990 and March 2004, 90 patients with definitive diagnosis of Marfan syndrome (based on standardized criteria with or without genetic testing) were referred to Massachusetts General Hospital for transthoracic echocardiography. Patients' gender, age, weight, height, and body surface area at initial examination were recorded. Mitral valve thickness and motion, the degree of mitral regurgitation and aortic regurgitation, and aortic dimensions were quantified blinded to patients' clinical information. Results: There were 25 patients (28%) with MVP, among whom 80% had symmetrical bileaflet MVP. Patients with MVP had thicker mitral leaflets (5.0 ± 1.0 mm vs. 1.8 ± 0.5 mm, P < 0.001), more mitral regurgitation (using a scale of 1,4, 2.2 ± 1.0 vs. 0.90 ± 0.60, P < 0.0001), larger LVEDD, and larger dimensions of sinus of Valsalva, sinotubular junction, aortic arch, and descending aorta indexed to square root body surface area, when compared with those without MVP. When echocardiographic features of patients younger than 18 years of age and those of patients older than 18 were compared, adult Marfan patients had larger LA dimension (indexed to square root body surface area), larger sinotubular junction (indexed to square root body surface area), and more mitral regurgitation and aortic regurgitation. Conclusions: The prevalence of MVP in Marfan syndrome is lower than previously reported. The large majority of patients with MVP have bileaflet involvement, and those with MVP have significantly larger aortic root diameters, suggesting a diffuse disease process. [source] ORIGINAL INVESTIGATIONS: Comparison of Left Atrial Dimensions by Transesophageal and Transthoracic EchocardiographyECHOCARDIOGRAPHY, Issue 10 2005Harshinder Singh M.D. Transesophageal echocardiography (TEE) is an established cardiovascular diagnostic technique. Left atrial (LA) size, as measured by transthoracic echocardiography (TTE), is associated with cardiovascular disease and is a risk factor for atrial fibrillation, stroke, death, and the success of cardioversion. Assessment of LA size has not been as well validated on TEE as on TTE. We determined LA size measurements in four standard views in 122 patients undergoing TEE and TTE at the same setting. In this study, we found that measurement of LA dimensions by TEE suffers from significant limitations in all views except the basal long-axis view (mid-esophageal level) with transducer plane at 120,150 degrees. This view had the best correlation with transthoracic LA measurements: r = 0.79 for TEE long axis (CI 0.71,0.85), P <.0001. (ECHOCARDIOGRAPHY, Volume 22, November 2005) [source] Predictive Capability of Left Atrial Size Measured by CT, TEE, and TTE for Recurrence of Atrial Fibrillation Following Radiofrequency Catheter AblationPACING AND CLINICAL ELECTROPHYSIOLOGY, Issue 5 2010SACHIN S. PARIKH M.D. Background: Recurrence of atrial fibrillation (AF) after radiofrequency catheter ablation (RFCA) has been well established and is in part related to left atrial (LA) size. The purpose of this study was to assess the predictive capability of LA diameter (LAD) and LA volume (LAV) by echocardiography and computed tomography (CT) to determine success in patients undergoing RFCA of AF. Methods: Eighty-eight patients with paroxysmal or persistent AF who had undergone RFCA and had a prior transthoracic echocardiogram (TTE), transesophageal echocardiogram (TEE), and CT were enrolled in the study. TTE LADs and LV ejection fraction as well as TEE LADs and LAVs in three views were recorded. CT LAVs were also recorded. Clinical parameters prior to ablation as well as at 1-year follow-up were assessed. Results: A total of 40 (45%) patients with paroxysmal AF and 48 (55%) patients with persistent AF were analyzed. Paroxysmal AF patients had a RFCA success rate of 88% at 1 year with persistent AF patients having a 52% success rate (P < 0.001). A CT-derived LAV , 117 cc was associated with an odds ratio (OR) for recurrence of 4.8 (95% confidence interval [CI]=[1.4,16.4], P = 0.01) while a LAV ,130 cc was associated with an OR for recurrence of 22.0 (95% CI =[2.5,191.0], P = 0.005) after adjustment for persistent AF. Conclusions: LA dimensions and AF type are highly predictive of AF recurrence following RFCA. LAV by CT has significant predictive benefit over standard LADs in severely enlarged atria even after adjustment for AF type. (PACE 2010; 532,540) [source] Hydrodynamics of gas,solid fluidization in tapered bedsTHE CANADIAN JOURNAL OF CHEMICAL ENGINEERING, Issue 3 2009J. S. N. Murthy Abstract Gas,solid fluidization has a wide range of industrial applications like catalytic reactions, combustion, gasification, etc. In a number of these applications, there is particle size reduction during the operation leading to severe entrainment and limitation of operating velocity. The various problems associated with particles of different sizes or changing particles sizes could be overcome by adopting tapered beds in fluidization operation. In the present investigation, the fluidization phenomenon in tapered beds has been critically assessed through experimental investigations using particles of different sizes and materials and wide range of apex angles of the vessels. The effect of particle size and apex angle on the fluidization behaviour is clearly brought out which has not been reported so far in literature. The importance of compressive force existing in tapered beds is highlighted. In addition, correlations for all hydrodynamic characteristics, viz. critical fluidization velocity, minimum velocity for full fluidization, maximum velocity for defluidization, peak pressure drop, fluctuation ratio, compressive force, and hysteresis have been developed some of which are proposed for the first time. La fluidisation gaz-solide revêt un vaste éventail d'applications industrielles comme les réactions catalytiques, la combustion, la gazéification, etc. Pour un certain nombre deces applications, il y a une réduction granulométrique durant l'activité menant à un entraînement età une limitation intenses de la vitesse de fonctionnement. Les divers problèmes liés aux particules de dimensions différentes ou aux dimensions de particules changeantes pourraient être surmontésen adoptant les lits coniques dans les activités de fluidisation. Dans le cadre de la présente étude, lephénomène de fluidisation dans les lits coniques a été évalué de façon critique au moyen devérifications expérimentales employant des particules de dimensions et de matières différentes et d'un vaste éventail d'angles de sommet de fluidiseurs. L'effet de la dimension des particules et del'angle des sommets sur le comportement de la fluidisation est nettement mis en évidence, ce quin'a pas été soulevé à venir jusqu'ici dans la documentation. L'importance de la force decompression qui existe dans les lits coniques est mise en évidence. De plus, les corrélations relativement à l'ensemble des caractéristiques hydrodynamiques, c.-à-d. la vitesse de fluidisation critique, la vitesse minimale de fluidisation complète, la vitesse maximale de défluidisation, la chute des pics de pression, le taux de fluctuation, la force de compression et l'hystérésis, ont été élaborées, certaines d'entre elles étant avancées pour la première fois. [source] Behaviour of a Moving Droplet under Electrowetting Actuation: Numerical SimulationTHE CANADIAN JOURNAL OF CHEMICAL ENGINEERING, Issue 1 2006K. Mohseni Abstract Numerical simulation of droplet transport in microchannels under electrostatic actuation is investigated. Volume-of-Fluid (VOF) technique is employed, in which electrowetting effects are implemented through Lippmann's relation in the form of modified contact angles at the boundary. A velocity of about 35 mm/s is achieved with the actuation of 40 V. The droplet flow under electrowetting actuation is characterized for the majority of the process parameters such as actuation voltage, channel dimension, electrode size, and resultant velocity. On étudie la simulation numérique du transport de gouttelettes dans des microcanaux lors d'une actuation électrostatique. On emploie la technique des volumes de fluide (VOF), dans laquelle les effets de l'électromouillage sont introduits dans la relation de Lippmann sous la forme d'angles de contact modifiés à la frontière. Une vitesse d'environ 35 mm/s est atteinte avec une actuation de 40 V. L'écoulement des gouttelettes dans l'actuation électromouillante est caractérisé pour la majorité des paramètres de procédé, tels que le voltage d'actuation, la dimension des canaux, la taille des électrodes et la vitesse résultante. [source] | ||||||||||