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

doi:10.1016/S0301-5629(97)00272-X

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

Istituti Clinici Scientifici Maugeri Spa – Società Benefit

Research output: Contribution to journal › Article

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 language	English
Pages (from-to)	327-332
Number of pages	6
Journal	Ultrasound in Medicine and Biology
Volume	24
Issue number	3
DOIs	https://doi.org/10.1016/S0301-5629(97)00272-X
Publication status	Published - Mar 1998

Keywords

Doppler studies
Flow dynamics
Heart failure
Portal vein

ASJC Scopus subject areas

Radiology Nuclear Medicine and imaging

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Rengo, C., Brevetti, G., Sorrentino, G., D'Amato, T., Imparato, M., Vitale, D. F., 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, 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 journal › Article

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