Journal of the American Society of Echocardiography
Volume 20, Issue 10 , Pages 1167-1171 , October 2007

Noninvasive Assessment of Pulmonary Vascular Resistance Using Doppler Tissue Imaging of the Tricuspid Annulus

  • Swaminatha V. Gurudevan, MD

      Affiliations

    • Division of Cardiology, University of California Irvine School of Medicine, Irvine, California
    • ,
  • Philip J. Malouf, MD

      Affiliations

    • Division of Cardiology, University of California San Diego Medical Center and School of Medicine, San Diego, California
    • ,
  • Andrew M. Kahn, MD, PhD

      Affiliations

    • Division of Cardiology, University of California San Diego Medical Center and School of Medicine, San Diego, California
    • ,
  • William R. Auger, MD

      Affiliations

    • Division of Cardiology, University of California San Diego Medical Center and School of Medicine, San Diego, California
    • ,
  • Thomas J. Waltman, MD, FACC

      Affiliations

    • Division of Cardiothoracic Surgery, University of California San Diego Medical Center and School of Medicine, San Diego, California.
    • ,
  • Michael Madani, MD

      Affiliations

    • Division of Pulmonary Medicine, University of California San Diego Medical Center and School of Medicine, San Diego, California
    • ,
  • Anthony N. DeMaria, MD, MACC

      Affiliations

    • Division of Cardiology, University of California San Diego Medical Center and School of Medicine, San Diego, California
    • ,
  • Daniel G. Blanchard, MD, FACC

      Affiliations

    • Division of Cardiology, University of California San Diego Medical Center and School of Medicine, San Diego, California
    • Corresponding Author InformationReprint requests: Daniel G. Blanchard, MD, FACC, Division of Cardiology, University of California San Diego, 9350 Campus Point Dr, 1D, La Jolla, CA 92037.

References 

  1. Fedullo PF, Auger WR, Kerr KM, Rubin LJ. Chronic thromboembolic pulmonary hypertension. N Engl J Med. 2001;345:1465–1472
  2. Chapman PJ, Bateman ED, Benatar SR. Prognostic and therapeutic considerations in clinical primary pulmonary hypertension. Respir Med. 1990;84:489–494
  3. Cimato TR, Jessup M. Recipient selection in cardiac transplantation: contraindications and risk factors for mortality. J Heart Lung Transplant. 2002;21:1161–1173
  4. Hatle L, Angelsen BA, Tromsdal A. Non-invasive estimation of pulmonary artery systolic pressure with Doppler ultrasound. Br Heart J. 1981;45:157–165
  5. Berger M, Haimowitz A, Van Tosh A, et al. Quantitative assessment of pulmonary hypertension in patients with tricuspid regurgitation using continuous wave Doppler ultrasound. J Am Coll Cardiol. 1985;6:359–365
  6. Ghio S, Raineri C, Scelsi L, et al. Usefulness and limits of transthoracic echocardiography in the evaluation of patients with primary and chronic thromboembolic pulmonary hypertension. J Am Soc Echocardiogr. 2002;15:1374–1380
  7. Meluzin J, Spinarova L, Bakala J, et al. Pulsed Doppler tissue imaging of the velocity of tricuspid annular systolic motion. Eur Heart J. 2001;22:340–348
  8. Alam M, Wardell J, Andersson E, Samad BA, Nordlander R. Characteristics of mitral and tricuspid annular velocities determined by pulsed wave Doppler tissue imaging in healthy subjects. J Am Soc Echocardiogr. 1999;12:618–628
  9. Murali S, Kormos RL, Uretsky BF, et al. Preoperative pulmonary hemodynamics and early mortality after orthotopic cardiac transplantation: the Pittsburgh experience. Am Heart J. 1996;126:896–904
  10. Chen JM, Levin HR, Michler RE, Prusmack CJ, Rose EA, Aaronson KD. Reevaluating the significance of pulmonary hypertension before cardiac transplantation: determination of optimal thresholds and quantification of the effect of reversibility on perioperative mortality. J Thorac Cardiovasc Surg. 1997;114:627–634
  11. Espinoza C, Manito N, Roca J. Reversibility of pulmonary hypertension in patients evaluated for orthotopic heart transplantation: importance in the postoperative morbidity and mortality. Transplant Proc. 1999;31:2503–2504
  12. Tenderich G, Kerner MM, Stuettgen B, et al. Does preexisting elevated pulmonary vascular resistance (transpulmonary gradient >15 mm Hg or >5 Wood) predict early and long-term results after orthotopic heart transplantation?. Transplant Proc. 1998;30:1130–1131
  13. Lindelow B, Andersson B, Waagstein F, Bergh CH. High and low pulmonary vascular resistance in heart transplant candidates. Eur Heart J. 1999;20:148–156
  14. Bossone E, Paciocco G, Iarussi D, Agretto A, Iacono A, Gillespie BW, et al. The prognostic role of the ECG in primary pulmonary hypertension. Chest. 2002;121:513–518
  15. Kanemoto N. Natural history of pulmonary hemodynamics in primary pulmonary hypertension. Am Heart J. 1987;114:407–413
  16. Kim NH, Channick RN, Rubin LJ. Successful withdrawal of long-term epoprostenol therapy for pulmonary arterial hypertension. Chest. 2003;124:1612–1615
  17. Barst RJ, Rubin LJ, Long WA, et al. A comparison of continuous intravenous epoprostenol (prostacyclin) with conventional therapy for primary pulmonary hypertension: the primary pulmonary hypertension study group. N Engl J Med. 1996;334:296–302
  18. Moustapha A, Lim M, Saikia S, Kaushik V, Kang SH, Barasch E. Interrogation of the tricuspid annulus by Doppler tissue imaging in patients with chronic pulmonary hypertension: implications for the assessment of right ventricular systolic and diastolic function. Cardiology. 2001;95:101–104
  19. Bolca O, Hobikoglu G, Norgaz T, et al. The prediction of pulmonary artery systolic pressure and vascular resistance by using tricuspid annular tissue Doppler imaging. Anadolu Kardiyol Derg (Turkish). 2002;2:302–306
  20. Scapellato F, Temporelli PL, Eleuteri E, Corra U, Imparato A, Giannuzzi P. Accurate noninvasive estimation of pulmonary vascular resistance by Doppler echocardiography in patients with chronic failure heart failure. J Am Coll Cardiol. 2001;37:1813–1819
  21. Abbas AE, Fortuin FD, Schiller NB, Appleton CP, Moreno CA, Lester SJ. A simple method for noninvasive estimation of pulmonary vascular resistance. J Am Coll Cardiol. 2003;41:1021–1027

PII: S0894-7317(07)00159-9

doi: 10.1016/j.echo.2007.02.004

Journal of the American Society of Echocardiography
Volume 20, Issue 10 , Pages 1167-1171 , October 2007

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