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

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

Keywords

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

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Fingerprint Dive into the research topics of 'Portal vein pulsatility ratio provides a measure of right heart function in chronic heart failure'. Together they form a unique fingerprint.

  • Cite this

    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