Journal of the American Society of Echocardiography
Volume 22, Issue 12 , Pages 1360-1367 , December 2009

Doppler Echocardiography Can Provide a Comprehensive Assessment of Right Ventricular Afterload

  • Odd Bech-Hanssen, MD, PhD

      Affiliations

    • Department of Cardiology, Sahlgrenska University Hospital, Gothenburg, Sweden
    • Department of Clinical Physiology, Sahlgrenska University Hospital, Gothenburg, Sweden
    • Corresponding Author InformationReprint requests: Odd Bech-Hanssen, MD, PhD, Institute of Medicine at Sahlgrenska Academy, Department of Cardiology, Sahlgrenska University Hospital, SE-413 45 Göteborg, Sweden.
    • ,
  • Nedim Selimovic, MD, PhD

      Affiliations

    • Department of Cardiology, Sahlgrenska University Hospital, Gothenburg, Sweden
    • ,
  • Bengt Rundqvist, MD, PhD

      Affiliations

    • Department of Cardiology, Sahlgrenska University Hospital, Gothenburg, Sweden
    • ,
  • Jonas Wallentin, MSc

      Affiliations

    • Department of Clinical Physiology, Sahlgrenska University Hospital, Gothenburg, Sweden

References 

  1. Lankhaar JW, Westerhof N, Faes TJ, Marques KM, Marcus JT, Postmus PE, et al. Quantification of right ventricular afterload in patients with and without pulmonary hypertension. Am J Physiol Heart Circ Physiol. 2006;291:H1731–H1737
  2. D'Alonzo GE, Barst RJ, Ayres SM, Bergofsky EH, Brundage BH, Detre KM, et al. Survival in patients with primary pulmonary hypertension. Results from a national prospective registry. Ann Intern Med. 1991;115:343–349
  3. Gan CT, Lankhaar JW, Westerhof N, Marcus JT, Becker A, Twisk JW, et al. Noninvasively assessed pulmonary artery stiffness predicts mortality in pulmonary arterial hypertension. Chest. 2007;132:1906–1912
  4. Mahapatra S, Nishimura RA, Sorajja P, Cha S, McGoon MD. Relationship of pulmonary arterial capacitance and mortality in idiopathic pulmonary arterial hypertension. J Am Coll Cardiol. 2006;47:799–803
  5. Selimovic N, Andersson B, Bergh CH, Martensson G, Nilsson F, Bech-Hanssen O, et al. Pulmonary hemodynamics as predictors of mortality in patients awaiting lung transplantation. Transpl Int. 2008;21:314–319
  6. Berger M, Haimowitz A, Van Tosh A, Berdoff RL, Goldberg E. Quantitative assessment of pulmonary hypertension in patients with tricuspid regurgitation using continuous wave Doppler ultrasound. J Am Coll Cardiol. 1985;6:359–365
  7. Currie PJ, Seward JB, Chan KL, Fyfe DA, Hagler DJ, Mair DD, et al. Continuous wave Doppler determination of right ventricular pressure: a simultaneous Doppler-catheterization study in 127 patients. J Am Coll Cardiol. 1985;6:750–756
  8. Lanzarini L, Fontana A, Lucca E, Campana C, Klersy C. Noninvasive estimation of both systolic and diastolic pulmonary artery pressure from Doppler analysis of tricuspid regurgitant velocity spectrum in patients with chronic heart failure. Am Heart J. 2002;144:1087–1094
  9. Stephen B, Dalal P, Berger M, Schweitzer P, Hecht S. Noninvasive estimation of pulmonary artery diastolic pressure in patients with tricuspid regurgitation by Doppler echocardiography. Chest. 1999;116:73–77
  10. Selimovic N, Rundqvist B, Bergh CH, Andersson B, Petersson S, Johansson L, et al. Assessment of pulmonary vascular resistance by Doppler echocardiography in patients with pulmonary arterial hypertension. J Heart Lung Transplant. 2007;26:927–934
  11. Chemla D, Castelain V, Humbert M, Hebert JL, Simonneau G, Lecarpentier Y, et al. New formula for predicting mean pulmonary artery pressure using systolic pulmonary artery pressure. Chest. 2004;126:1313–1317
  12. Syyed R, Reeves JT, Welsh D, Raeside D, Johnson MK, Peacock AJ. The relationship between the components of pulmonary artery pressure remains constant under all conditions in both health and disease. Chest. 2008;133:633–639
  13. Kircher BJ, Himelman RB, Schiller NB. Noninvasive estimation of right atrial pressure from the inspiratory collapse of the inferior vena cava. Am J Cardiol. 1990;66:493–496
  14. Bland JM, Altman DG. Statistical methods for assessing agreement between two methods of clinical measurement. Lancet. 1986;1:307–310
  15. Kitabatake A, Inoue M, Asao M, Masuyama T, Tanouchi J, Morita T, et al. Noninvasive evaluation of pulmonary hypertension by a pulsed Doppler technique. Circulation. 1983;68:302–309
  16. Abbas AE, Fortuin FD, Schiller NB, Appleton CP, Moreno CA, Lester SJ. Echocardiographic determination of mean pulmonary artery pressure. Am J Cardiol. 2003;92:1373–1376
  17. Masuyama T, Kodama K, Kitabatake A, Sato H, Nanto S, Inoue M. Continuous-wave Doppler echocardiographic detection of pulmonary regurgitation and its application to noninvasive estimation of pulmonary artery pressure. Circulation. 1986;74:484–492
  18. Aduen JF, Castello R, Lozano MM, Hepler GN, Keller CA, Alvarez F, et al. An alternative echocardiographic method to estimate mean pulmonary artery pressure: diagnostic and clinical implications. J Am Soc Echocardiogr. 2009;22:814–819
  19. Castelain V, Herve P, Lecarpentier Y, Duroux P, Simonneau G, Chemla D. Pulmonary artery pulse pressure and wave reflection in chronic pulmonary thromboembolism and primary pulmonary hypertension. J Am Coll Cardiol. 2001;37:1085–1092
  20. Furuno Y, Nagamoto Y, Fujita M, Kaku T, Sakurai S, Kuroiwa A. Reflection as a cause of mid-systolic deceleration of pulmonary flow wave in dogs with acute pulmonary hypertension: comparison of pulmonary artery constriction with pulmonary embolisation. Cardiovasc Res. 1991;25:118–124
  21. Liu Z, Brin KP, Yin FC. Estimation of total arterial compliance: an improved method and evaluation of current methods. Am J Physiol. 1986;251:H588–H600
  22. Mahapatra S, Nishimura RA, Oh JK, McGoon MD. The prognostic value of pulmonary vascular capacitance determined by Doppler echocardiography in patients with pulmonary arterial hypertension. J Am Soc Echocardiogr. 2006;19:1045–1050

PII: S0894-7317(09)00903-1

doi: 10.1016/j.echo.2009.09.026

Journal of the American Society of Echocardiography
Volume 22, Issue 12 , Pages 1360-1367 , December 2009

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