Portal vein pulsatility ratio provides a measure of right heart function in chronic heart failure

Carlo Rengo, Gregorio Brevetti, Gianpaolo Sorrentino, Teresa D'Amato, Margherita Imparato, Dino F. Vitale, Domenico Acanfora, Franco Rengo

Research output: Contribution to journalArticle

24 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)327-332
Number of pages6
JournalUltrasound in Medicine and Biology
Volume24
Issue number3
DOIs
Publication statusPublished - Mar 1998

Fingerprint

heart function
Portal Vein
veins
Heart Failure
Tricuspid Valve Insufficiency
congestion
Atrial Pressure
Ascites
Doppler Color Ultrasonography
Liver
impairment
color

Keywords

  • Doppler studies
  • Flow dynamics
  • Heart failure
  • Portal vein

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

Rengo, C., Brevetti, G., Sorrentino, G., D'Amato, T., Imparato, M., Vitale, D. F., ... Rengo, F. (1998). Portal vein pulsatility ratio provides a measure of right heart function in chronic heart failure. Ultrasound in Medicine and Biology, 24(3), 327-332. https://doi.org/10.1016/S0301-5629(97)00272-X

Portal vein pulsatility ratio provides a measure of right heart function in chronic heart failure. / Rengo, Carlo; Brevetti, Gregorio; Sorrentino, Gianpaolo; D'Amato, Teresa; Imparato, Margherita; Vitale, Dino F.; Acanfora, Domenico; Rengo, Franco.

In: Ultrasound in Medicine and Biology, Vol. 24, No. 3, 03.1998, p. 327-332.

Research output: Contribution to journalArticle

Rengo, C, Brevetti, G, Sorrentino, G, D'Amato, T, Imparato, M, Vitale, DF, Acanfora, D & Rengo, F 1998, 'Portal vein pulsatility ratio provides a measure of right heart function in chronic heart failure', Ultrasound in Medicine and Biology, vol. 24, no. 3, pp. 327-332. https://doi.org/10.1016/S0301-5629(97)00272-X
Rengo, Carlo ; Brevetti, Gregorio ; Sorrentino, Gianpaolo ; D'Amato, Teresa ; Imparato, Margherita ; Vitale, Dino F. ; Acanfora, Domenico ; Rengo, Franco. / Portal vein pulsatility ratio provides a measure of right heart function in chronic heart failure. In: Ultrasound in Medicine and Biology. 1998 ; Vol. 24, No. 3. pp. 327-332.
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