Diagnosis of constrictive pericarditis by pulsed doppler echocardiography of the hepatic vein
| Autor: | Karl Schober, Helene von Bibra, Rolf Jenni, Raymonde Busch, Helmut Sebening, H. Blömer |
|---|---|
| Rok vydání: | 1989 |
| Předmět: |
Adult
Male Constrictive pericarditis medicine.medical_specialty Adolescent Atrial Pressure Diastole Regurgitation (circulation) Hepatic Veins Internal medicine medicine Humans Sinus rhythm Aged Ultrasonography Tricuspid valve business.industry Hemodynamics Pericarditis Constrictive Blood flow Middle Aged medicine.disease medicine.anatomical_structure Echocardiography cardiovascular system Ventricular pressure Cardiology Female Radiology Cardiology and Cardiovascular Medicine business Blood Flow Velocity |
| Zdroj: | The American Journal of Cardiology. 63:483-488 |
| ISSN: | 0002-9149 |
| DOI: | 10.1016/0002-9149(89)90324-x |
| Popis: | The diagnostic value of hepatic venous flow patterns was evaluated for constrictive pericarditis by pulsed Doppler. A characteristic flow pattern was assumed to be associated with the well-known atrial pressure curve. Thirteen patients with constrictive pericarditis were compared to 13 control subjects and to 25 patients with right ventricular pressure overload including 13 patients with tricuspid regurgitation. The characteristic finding in constrictive pericarditis was a W-wave pattern of flow velocities in the dilated hepatic veins, with abrupt reversal of flow late in systole and diastole before the A wave (100% specificity, 68% sensitivity). This depends, however, on the absence of tricuspid regurgitation (for its systolic component) or fast sinus rhythm (for its diastolic component). Additional diagnostic markers were systolic deceleration time of forward flow (40 to 130 ms) and systolic integral of flow velocities (4.3 to -4.0 cm) (sensitivity and specificity greater than or equal to 92%). In the presence of tricuspid regurgitation, diastolic deceleration time less than 150 ms and diastolic integral of flow velocities less than 6 cm were useful diagnostic signs. If combined, these criteria had 100% sensitivity and specificity for the diagnosis. Thus, pulsed Doppler assessment of flow velocities in the hepatic vein facilitates the diagnosis of constrictive pericarditis in clinical routine, using an auxiliary site with unlimited diagnostic access to the characteristic flow velocity pattern, which reflects right atrial pressure curve and filling abnormalities. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|