Hyperventilation test for diagnosis of left-to-right circulatory shunts.

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Hyperventilation test for diagnosis of left-to-right circulatory shunts.

Pulmonary and systemic arterial carbon dioxide tensions (Pco2) were measured at cardiac catheterization in I.f patients with left-to-right circulatory shunts and in irS patients with valvular heart disease. The measurements were performed under resting conditions and at 5-sec intervals during a 30-sec period of hyperventilation. In both groups the systemic arterial Pco2 fell significantly durin...

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Left-to-Right Shunts

Contrary to the opinion of French pediatrician HenriLouis that isolated ventricular septal defects (VSDs) are universally well tolerated, the subsequent discoveries of Eisenmenger, Abbott, Wood, and others have taught us that the prognosis of left-to-right shunt lesions is not always benign. After more than a century of research, as pediatric cardiologists and congenital heart surgeons, we clai...

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Technetium-99m in the diagnosis of left-to-right shunts.

Radio-isotope techniques for the detection of intracardiac shunts have often employed extemal counting over the praecordium (Prinzmetal, Corday, Spritzler, and Flieg, 1949; Huff, Parrish, and Crockett, 1957; Greenspan, Lester, Marvin, and Amplatz, 1959; Turner, Salazar, and Gorlin, 1960; Shapiro and Sharpe, 1960). However, Folse and Braunwald (1962) counted over the upper lung field and claimed...

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The Diagnosis of Circulatory Shunts

a higher N20 concentration and an earlier sampling period result in a larger arteriovenous N20 difference that increases the sensitivity of the test and further minimizes the importance of possible analytic errors. In addition, a method is described of determining the magnitude of the shunt from the results of a N20 test. The results of 150 N20 tests performed with the improved technic are pres...

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ژورنال

عنوان ژورنال: Heart

سال: 1971

ISSN: 1355-6037

DOI: 10.1136/hrt.33.6.943