{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T09:42:48Z","timestamp":1756460568275},"reference-count":23,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2016,2,1]],"date-time":"2016-02-01T00:00:00Z","timestamp":1454284800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Echocardiography"],"published-print":{"date-parts":[[2016,6]]},"abstract":"<jats:sec><jats:title>Aims<\/jats:title><jats:p>The purpose of this study was to characterize isovolumic relaxation flow (<jats:styled-content style=\"fixed-case\">IRF<\/jats:styled-content>) in the left ventricle (<jats:styled-content style=\"fixed-case\">LV<\/jats:styled-content>) in patients with a wide spectrum of <jats:styled-content style=\"fixed-case\">LV<\/jats:styled-content> dysfunction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Color Doppler flow imaging was performed in 61 patients with coronary artery disease, 29 patients with dilated cardiomyopathy, and 41 healthy controls. Vector flow mapping was used to analyze the Doppler data.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">IRF<\/jats:styled-content> patterns were divided into three types: pattern A, an apically directed flow; pattern B, a bidirectional flow with small scattered vortices; and pattern C, a large vortex persisting throughout the entire isovolumic relaxation (<jats:styled-content style=\"fixed-case\">IVR<\/jats:styled-content>) period. All controls demonstrated an <jats:styled-content style=\"fixed-case\">IRF<\/jats:styled-content> corresponding to pattern A. Of the 90 patients, 42 demonstrated <jats:styled-content style=\"fixed-case\">IRF<\/jats:styled-content> as pattern A, 26 as pattern B, and 22 as pattern C. There were significant differences among the subgroups of patients with different <jats:styled-content style=\"fixed-case\">IRF<\/jats:styled-content> patterns and the control group in <jats:styled-content style=\"fixed-case\">LV<\/jats:styled-content>\u2010ejection fraction, size, wall\u2010motion score index, apical wall\u2010motion score index, systolic and diastolic mitral annular velocities, ratio of the mitral inflow E velocity to early diastolic mitral annular velocity (E\/e\u2032), and left atrial diameter (all P &lt; 0.05). In the patient group, a higher wall\u2010motion score index independently predicted the <jats:styled-content style=\"fixed-case\">IRF<\/jats:styled-content> pattern. In patients with severe <jats:styled-content style=\"fixed-case\">LV<\/jats:styled-content> dysfunction, a higher E\/e\u2032 ratio was the independent predictor of the persistence of a large vortex during the <jats:styled-content style=\"fixed-case\">IVR<\/jats:styled-content> period.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The <jats:styled-content style=\"fixed-case\">IRF<\/jats:styled-content> pattern is associated with <jats:styled-content style=\"fixed-case\">LV<\/jats:styled-content> function. A large intraventricular vortex persisting during the <jats:styled-content style=\"fixed-case\">IVR<\/jats:styled-content> period should be indicative of increasingly depressed <jats:styled-content style=\"fixed-case\">LV<\/jats:styled-content> function.<\/jats:p><\/jats:sec>","DOI":"10.1111\/echo.13192","type":"journal-article","created":{"date-parts":[[2016,2,1]],"date-time":"2016-02-01T09:18:50Z","timestamp":1454318330000},"page":"902-909","source":"Crossref","is-referenced-by-count":9,"title":["Intraventricular Isovolumic Relaxation Flow Patterns Studied by Using Vector Flow Mapping"],"prefix":"10.1111","volume":"33","author":[{"given":"Haibin","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Ultrasound PLA 210th Hospital Dalian China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaofeng","family":"Ren","sequence":"additional","affiliation":[{"name":"Department of Ultrasound PLA 210th Hospital Dalian China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jin","family":"Song","sequence":"additional","affiliation":[{"name":"Department of Ultrasound PLA 210th Hospital Dalian China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xinyu","family":"Cao","sequence":"additional","affiliation":[{"name":"Department of Ultrasound PLA 210th Hospital Dalian China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benna","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Ultrasound PLA 210th Hospital Dalian China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ying","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Ultrasound PLA 210th Hospital Dalian China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhiguo","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Ultrasound PLA 210th Hospital Dalian China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Na","family":"Ma","sequence":"additional","affiliation":[{"name":"Department of Ultrasound PLA 210th Hospital Dalian China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,2]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.0742-2822.2004.03112.x"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8175.2006.00259.x"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1159\/000006907"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1067\/mje.2002.119113"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0894-7317(05)80383-9"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1152\/ajpheart.00821.2004"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1067\/j.echo.2003.08.005"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0894-7317(99)70184-7"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1159\/000047317"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ultrasmedbio.2008.04.003"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ultrasmedbio.2007.01.010"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8175.1996.tb00867.x"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2005.06.055"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9149(99)80675-4"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9149(99)00887-5"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ultrasmedbio.2007.06.017"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1093\/ehjci\/jev014"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ultrasmedbio.2010.02.017"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF03181570"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(87)80196-1"},{"key":"e_1_2_6_22_1","first-page":"1637","article-title":"Left intraventricular flow during isovolumic relaxation. 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