Improved method of Doppler estimation of right ventricular systolic pressure

M. Pepi, G. Tamborini, P. Sganzerla, P. Moruzzi, C. Galli, C. Fiorentini, M. D. Guazzi

Research output: Contribution to journalArticle

Abstract

The right ventricular systolic pressure (RVSP) can be evaluated with the Doppler method through the right ventricular-right atrial gradient (RV-RA gradient) and the right atrial pressure. The former is expressed by the transtricuspid velocity of flow, the latter is generally assumed. In 49 patients with elevated pulmonary pressure, we tested whether ultrasounds may be utilized for the evaluation of the right atrial pressure and whether the derived values contribute to improve the accuracy of the method. We estimated the RVSP with method A: RV-RA gradient +10 and method B: RV-RA gradient x 1.1 + 14, where 10 and 14 are the assumed right atrial pressures (mm Hg). Through the collapsibility index of the inferior vena cava, taken as an ultrasound-derived index of right atiral pressure, we were able to identify three groups of patients with normal (group 1, 14 cases), elevated (group 2, 20 cases) and moderately elevated (group 3, 15 cases) right atrial pressure, respectively. RVSP obtained with both methods (A and B) were compared to those derived with catheter. In group 1, the noninvasive values were significantly closer to the invasive ones when calculated with method A; the same was true for method B in group 2. In group 3, the accuracy of the two methods was similar. We conclude that ultrasound assists in the noninvasive approximation of the right atrial pressure as well as in the choice of the appropriate formula, so that Doppler estimation of the RVSP is improved.

Original languageEnglish
Pages (from-to)75-80
Number of pages6
JournalAmerican Journal of Noninvasive Cardiology
Volume6
Issue number2
Publication statusPublished - 1992

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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