Correlation between echocardiographic estimation of right atrial pressure and invasive measurement of central venous pressure in postoperative pediatric patients with congenital heart disease: a prospective observational study

Autor: Elaheh Malakan Rad, Nazli Parizadeh, Hassan Radmehr, Toktam Sheykhian, Behdad Gharib, Aliakbar Zeinaloo
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: The Egyptian Heart Journal, Vol 76, Iss 1, Pp 1-12 (2024)
Druh dokumentu: article
ISSN: 2090-911X
DOI: 10.1186/s43044-024-00456-8
Popis: Abstract Background Right atrial pressure plays a critical role as a hemodynamic parameter in diagnosing pulmonary hypertension and other cardiac diseases, as well as guiding the treatment and prognosis of various cardiac disorders. If there is no obstruction between the inferior or superior vena cava (SVC) as central veins and the right atrium, the pressures in these veins could be considered equal to the right atrial pressure. This study aimed to examine the correlation between echocardiographic methods for estimating right atrial pressure and invasive measurements of central venous pressure (CVPi) in infants and children with congenital heart disease during the 48 h after cardiac surgery and to establish regression equations for echocardiographic estimation of central venous pressure (CVPe). Results We prospectively enrolled 43 infants and children, ranging in age from 6 months to 16 years, including 20 males and 23 females. We found a significant correlation between CVPi and the ratio of the maximal diameter of IVC to the maximal diameter of the descending aorta ratio (IVCmax/DAOmax) (r = 0.529, P
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