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Table 4 Mitral Doppler at rest and during the Valsalva maneuver before and after biliopancreatic diversion surgery

From: Metabolic and cardiovascular improvements after biliopancreatic diversion in a severely obese patient

 

Before

11 months later

Changes (%)

BASELINE

   

E wave (cm/s)

70

66

-5.7%

A wave (cm/s)

54

82

+50.8%

E/A

1.3

0.8

-37.6%

VALSALVA

   

E wave (cm/s)

53

43

-18.8%

A wave (cm/s)

67

54

-19.4%

E/A

0.8

0.8

-0.6%

Diastolic function

Pseudonormal pattern

Abnormal spontaneously

 
  1. E wave: early transmitral filling velocity A wave: transmitral atrial filling velocity E/A: early/atrial transmitral filling velocity