{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T04:11:20Z","timestamp":1793247080312,"version":"4.5.0"},"reference-count":27,"publisher":"Elsevier BV","issue":"3","license":[{"start":{"date-parts":[[2019,3,1]],"date-time":"2019-03-01T00:00:00Z","timestamp":1551398400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2019,3,1]],"date-time":"2019-03-01T00:00:00Z","timestamp":1551398400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"name":"Clinical and Translational Science"},{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"publisher","award":["UL1 TR000135"],"award-info":[{"award-number":["UL1 TR000135"]}],"id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","onlinejase.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of the American Society of Echocardiography"],"published-print":{"date-parts":[[2019,3]]},"DOI":"10.1016\/j.echo.2018.10.011","type":"journal-article","created":{"date-parts":[[2018,12,28]],"date-time":"2018-12-28T09:41:42Z","timestamp":1545990102000},"page":"333-340","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":47,"title":["Accuracy of Jet Direction on Doppler Echocardiography in Identifying the Etiology of Mitral Regurgitation in Obstructive Hypertrophic Cardiomyopathy"],"prefix":"10.1016","volume":"32","author":[{"given":"Dustin","family":"Hang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hartzell V.","family":"Schaff","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rick A.","family":"Nishimura","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian D.","family":"Lahr","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin D.","family":"Abel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph A.","family":"Dearani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steve R.","family":"Ommen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.echo.2018.10.011_bib1","doi-asserted-by":"crossref","first-page":"856","DOI":"10.1161\/01.CIR.98.9.856","article-title":"Mechanism of mitral regurgitation in hypertrophic cardiomyopathy: mismatch of posterior to anterior leaflet length and mobility","volume":"98","author":"Schwammenthal","year":"1998","journal-title":"Circulation"},{"key":"10.1016\/j.echo.2018.10.011_bib2","doi-asserted-by":"crossref","first-page":"1680","DOI":"10.1161\/01.CIR.92.7.1680","article-title":"Hypertrophic cardiomyopathy. Clinical spectrum and treatment","volume":"92","author":"Wigle","year":"1995","journal-title":"Circulation"},{"key":"10.1016\/j.echo.2018.10.011_bib3","doi-asserted-by":"crossref","first-page":"1225","DOI":"10.1056\/NEJM196612012752204","article-title":"Mitral regurgitation in idiopathic hypertrophic subaortic stenosis","volume":"275","author":"Dinsmore","year":"1966","journal-title":"N Engl J Med"},{"key":"10.1016\/j.echo.2018.10.011_bib4","doi-asserted-by":"crossref","first-page":"2733","DOI":"10.1093\/eurheartj\/ehu284","article-title":"2014 ESC guidelines on diagnosis and management of hypertrophic cardiomyopathy: the Task Force for the Diagnosis and management of hypertrophic cardiomyopathy of the European Society of Cardiology (ESC)","volume":"35","author":"Elliott","year":"2014","journal-title":"Eur Heart J"},{"key":"10.1016\/j.echo.2018.10.011_bib5","doi-asserted-by":"crossref","first-page":"e153","DOI":"10.1016\/j.jtcvs.2011.10.020","article-title":"2011 ACCF\/AHA guideline for the diagnosis and treatment of hypertrophic cardiomyopathy: a report of the American College of Cardiology Foundation\/American Heart Association Task Force on Practice Guidelines","volume":"142","year":"2011","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.echo.2018.10.011_bib6","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1016\/S0894-7317(98)70121-X","article-title":"Hypertrophic cardiomyopathy with obstruction: important diagnostic clue provided by the direction of the mitral regurgitation jet","volume":"11","author":"Yeo","year":"1998","journal-title":"J Am Soc Echocardiogr"},{"key":"10.1016\/j.echo.2018.10.011_bib7","doi-asserted-by":"crossref","first-page":"1271","DOI":"10.1213\/ANE.0000000000000407","article-title":"Mitral valve repair failure diagnosed with a sudden change in jet direction from posterior to anterior: inconsistent with systolic anterior motion","volume":"119","author":"Kaminski","year":"2014","journal-title":"Anesth Analg"},{"key":"10.1016\/j.echo.2018.10.011_bib8","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1016\/0735-1097(92)90135-A","article-title":"Transesophageal Doppler echocardiography in obstructive hypertrophic cardiomyopathy: clarification of pathophysiology and importance in intraoperative decision making","volume":"20","author":"Grigg","year":"1992","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.echo.2018.10.011_bib9","doi-asserted-by":"crossref","first-page":"2219","DOI":"10.1016\/S0735-1097(00)01019-6","article-title":"Mitral regurgitation in hypertrophic obstructive cardiomyopathy: relationship to obstruction and relief with myectomy","volume":"36","author":"Yu","year":"2000","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.echo.2018.10.011_bib10","doi-asserted-by":"crossref","first-page":"1127","DOI":"10.1016\/S0735-1097(84)80169-2","article-title":"Septal myomectomy and mitral valve replacement for idiopathic hypertrophic subaortic stenosis: short-and long-term follow-up","volume":"3","author":"Fighali","year":"1984","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.echo.2018.10.011_bib11","first-page":"I35","article-title":"Mitral valve replacement and septal myomectomy in hypertrophic cardiomyopathy. Ten-year follow-up in 80 patients","volume":"78","author":"Krajcer","year":"1988","journal-title":"Circulation"},{"key":"10.1016\/j.echo.2018.10.011_bib12","first-page":"I57","article-title":"Septal myotomy-myomectomy versus mitral valve replacement in hypertrophic cardiomyopathy. Ten-year follow-up in 185 patients","volume":"80","author":"Krajcer","year":"1989","journal-title":"Circulation"},{"key":"10.1016\/j.echo.2018.10.011_bib13","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1016\/j.echo.2017.01.007","article-title":"Recommendations for noninvasive evaluation of native valvular regurgitation: a report from the American Society of Echocardiography developed in collaboration with the Society for Cardiovascular Magnetic Resonance","volume":"30","author":"Zoghbi","year":"2017","journal-title":"J Am Soc Echocardiogr"},{"key":"10.1016\/j.echo.2018.10.011_bib14","doi-asserted-by":"crossref","first-page":"633","DOI":"10.1016\/0002-8703(87)90701-0","article-title":"An integrated mechanism for systolic anterior motion of the mitral valve in hypertrophic cardiomyopathy based on echocardiographic observations","volume":"113","author":"Jiang","year":"1987","journal-title":"Am Heart J"},{"key":"10.1016\/j.echo.2018.10.011_bib15","doi-asserted-by":"crossref","first-page":"1087","DOI":"10.1161\/01.CIR.66.5.1087","article-title":"Muscular subaortic stenosis: the temporal relationship between systolic anterior motion of the anterior mitral leaflet and the pressure gradient","volume":"66","author":"Pollick","year":"1982","journal-title":"Circulation"},{"key":"10.1016\/j.echo.2018.10.011_bib16","doi-asserted-by":"crossref","first-page":"1497","DOI":"10.1016\/j.jacc.2016.07.735","article-title":"Mitral Regurgitation in patients with hypertrophic obstructive cardiomyopathy: implications for concomitant valve procedures","volume":"68","author":"Hong","year":"2016","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.echo.2018.10.011_bib17","doi-asserted-by":"crossref","first-page":"258","DOI":"10.1016\/0002-9149(81)90605-6","article-title":"Abnormal mitral valve coaptation in hypertrophic obstructive cardiomyopathy: proposed role in systolic anterior motion of mitral valve","volume":"48","author":"Shah","year":"1981","journal-title":"Am J Cardiol"},{"key":"10.1016\/j.echo.2018.10.011_bib18","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1016\/0033-0620(68)90021-2","article-title":"Surgery in muscular subaortic stenosis","volume":"11","author":"Wigle","year":"1968","journal-title":"Prog Cardiovasc Dis"},{"key":"10.1016\/j.echo.2018.10.011_bib19","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1016\/j.pcad.2006.08.001","article-title":"Pathophysiology and treatment of hypertrophic cardiomyopathy","volume":"49","author":"Sherrid","year":"2006","journal-title":"Prog Cardiovasc Dis"},{"key":"10.1016\/j.echo.2018.10.011_bib20","doi-asserted-by":"crossref","first-page":"238","DOI":"10.1053\/j.optechstcvs.2012.04.002","article-title":"Transaortic extended septal myectomy for hypertrophic cardiomyopathy","volume":"17","author":"Schaff","year":"2012","journal-title":"Oper Techn Thorac Cardiovasc Surg"},{"key":"10.1016\/j.echo.2018.10.011_bib21","doi-asserted-by":"crossref","first-page":"423","DOI":"10.1016\/S0022-5223(19)41066-0","article-title":"Hypertrophic subaortic stenosis. Operative methods utilized to relieve left ventricular outflow obstruction","volume":"76","author":"Morrow","year":"1978","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.echo.2018.10.011_bib22","doi-asserted-by":"crossref","first-page":"575","DOI":"10.1016\/0003-4975(94)92268-3","article-title":"Extended myectomy for hypertrophic obstructive cardiomyopathy","volume":"58","author":"Messmer","year":"1994","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.echo.2018.10.011_bib23","doi-asserted-by":"crossref","first-page":"582","DOI":"10.1093\/ejcts\/ezx398","article-title":"Does septal thickness influence outcome of myectomy for hypertrophic obstructive cardiomyopathy?","volume":"53","author":"Nguyen","year":"2018","journal-title":"Eur J Cardiothorac Surg"},{"key":"10.1016\/j.echo.2018.10.011_bib24","doi-asserted-by":"crossref","first-page":"727","DOI":"10.1016\/j.athoracsur.2009.05.052","article-title":"What is the best surgical treatment for obstructive hypertrophic cardiomyopathy and degenerative mitral regurgitation?","volume":"88","author":"Wan","year":"2009","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.echo.2018.10.011_bib25","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/0033-0620(85)90024-6","article-title":"Hypertrophic cardiomyopathy. The importance of the site and the extent of hypertrophy. A review","volume":"28","author":"Wigle","year":"1985","journal-title":"Prog Cardiovasc Dis"},{"key":"10.1016\/j.echo.2018.10.011_bib26","doi-asserted-by":"crossref","first-page":"689","DOI":"10.1016\/0002-9149(69)90456-1","article-title":"Left ventricular cineangiographic observations in muscular subaortic stenosis","volume":"24","author":"Adelman","year":"1969","journal-title":"Am J Cardiol"},{"key":"10.1016\/j.echo.2018.10.011_bib27","doi-asserted-by":"crossref","first-page":"631","DOI":"10.1016\/S0025-6196(12)62027-8","article-title":"Evaluation of hypertrophic cardiomyopathy by Doppler color flow imaging: initial observations","volume":"61","author":"Nishimura","year":"1986","journal-title":"Mayo Clin Proc"}],"container-title":["Journal of the American Society of Echocardiography"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0894731718305790?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0894731718305790?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T05:03:48Z","timestamp":1760245428000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0894731718305790"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,3]]},"references-count":27,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2019,3]]}},"alternative-id":["S0894731718305790"],"URL":"https:\/\/doi.org\/10.1016\/j.echo.2018.10.011","relation":{},"ISSN":["0894-7317"],"issn-type":[{"value":"0894-7317","type":"print"}],"subject":[],"published":{"date-parts":[[2019,3]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Accuracy of Jet Direction on Doppler Echocardiography in Identifying the Etiology of Mitral Regurgitation in Obstructive Hypertrophic Cardiomyopathy","name":"articletitle","label":"Article Title"},{"value":"Journal of the American Society of Echocardiography","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.echo.2018.10.011","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"2018 by the American Society of Echocardiography.","name":"copyright","label":"Copyright"}]}}