TY - JOUR
T1 - Portal vein pulsatility ratio provides a measure of right heart function in chronic heart failure
AU - Rengo, Carlo
AU - Brevetti, Gregorio
AU - Sorrentino, Gianpaolo
AU - D'Amato, Teresa
AU - Imparato, Margherita
AU - Vitale, Dino F.
AU - Acanfora, Domenico
AU - Rengo, Franco
PY - 1998/3
Y1 - 1998/3
N2 - Portal vein flow was recorded by color Doppler sonography in 31 patients with chronic heart failure and 18 control subjects. Compared with patients showing a forward flow (Group A), those with reversed portal vein flow (Group B) had higher prevalence of tricuspid regurgitation (75% vs. 43%), hepatic congestion (100% vs. 30%) and ascites (50% vs. 18%), and showed higher right atrial pressure (25.3 ± 3.01 mmHg vs. 11.8 ± 5.75 : mmHg, p <0.01). In controls, portal vein pulsatility ratio was 0.66 ± 0.08, in Group A it was 0.46 ± 0.28 (p <0.01), in Group B -0.60 ± 0.19 (p <0.01). Portal vein pulsatility ratio negatively correlated with right atrial pressure (r = - 0.87; p <0.01). In Group A, hepatic congestion, ascites and tricuspid regurgitation were associated with a higher portal vein pulsatility. This study indicates that portal vein pulsatility ratio-reflects the level of impairment of the right heart.
AB - Portal vein flow was recorded by color Doppler sonography in 31 patients with chronic heart failure and 18 control subjects. Compared with patients showing a forward flow (Group A), those with reversed portal vein flow (Group B) had higher prevalence of tricuspid regurgitation (75% vs. 43%), hepatic congestion (100% vs. 30%) and ascites (50% vs. 18%), and showed higher right atrial pressure (25.3 ± 3.01 mmHg vs. 11.8 ± 5.75 : mmHg, p <0.01). In controls, portal vein pulsatility ratio was 0.66 ± 0.08, in Group A it was 0.46 ± 0.28 (p <0.01), in Group B -0.60 ± 0.19 (p <0.01). Portal vein pulsatility ratio negatively correlated with right atrial pressure (r = - 0.87; p <0.01). In Group A, hepatic congestion, ascites and tricuspid regurgitation were associated with a higher portal vein pulsatility. This study indicates that portal vein pulsatility ratio-reflects the level of impairment of the right heart.
KW - Doppler studies
KW - Flow dynamics
KW - Heart failure
KW - Portal vein
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U2 - 10.1016/S0301-5629(97)00272-X
DO - 10.1016/S0301-5629(97)00272-X
M3 - Article
C2 - 9587988
AN - SCOPUS:0032033476
VL - 24
SP - 327
EP - 332
JO - Ultrasound in Medicine and Biology
JF - Ultrasound in Medicine and Biology
SN - 0301-5629
IS - 3
ER -