Diagnosis of constrictive pericarditis by pulsed doppler echocardiography of the hepatic vein

Bibra, H. von; Schober, Karl; Jenni, Rolf; Busch, Raymonde; Sebening, H; Blömer, H

doi:10.1016/0002-9149(89)90324-x

Cited by 62 publications

(14 citation statements)

References 18 publications

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“…Abnormalities in this pattern have been described in constrictive pericarditis [26, 27]and restrictive heart disease [24, 28]. The hepatic vein peak D wave was not affected by age, heart rate or TR; however, it failed to separate between the two groups, suggesting it is not a powerful marker of RV diastolic dysfunction.…”

Section: Discussionmentioning

confidence: 86%

Effect of Age, Heart Rate and Tricuspid Regurgitation on the Doppler Echocardiographic Evaluation of Right Ventricular Diastolic Function

Spencer¹,

Weinert²,

Lang³

1999

Cardiology

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Pulsed-wave Doppler analysis of tricuspid inflow and hepatic venous flow allows the determination of multiple parameters of right-ventricular (RV) diastolic function. This study sought to evaluate the influence of heart rate, age and tricuspid regurgitation on Doppler parameters of RV diastolic performance. We studied 80 subjects (20 normal and 60 with RV pathology) with Doppler recordings of the tricuspid inflow and hepatic vein. All tricuspid Doppler parameters were dependent on heart rate, age or regurgitation severity as were the hepatic vein S wave, S/D ratio and systolic filling fraction. The atrial reversal velocity in the hepatic vein Doppler tracing was not affected by age, heart rate or regurgitation. In addition, the inspiratory increase in this parameter was significantly elevated in RV pathologic states. This study demonstrates that most Doppler echocardiographic parameters of RV diastolic performance are dependent on age, tricuspid regurgitation or heart rate.

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Section: Discussionmentioning

confidence: 86%

Effect of Age, Heart Rate and Tricuspid Regurgitation on the Doppler Echocardiographic Evaluation of Right Ventricular Diastolic Function

Spencer¹,

Weinert²,

Lang³

1999

Cardiology

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“…Pulsed wave Doppler recordings from the hepatic vein in CP show marked diastolic flow reversal, which increases with expiration compared with inspiration, 22 although it is not unusual to see significant diastolic flow reversals during both inspiration and expiration in patients with advanced constriction or with mixed constrictive -restrictive physiology. In contrast, diastolic flow reversal in the hepatic vein flow is more prominent with inspiration in RCM.…”

Section: Pulsed Wave Dopplermentioning

confidence: 94%

Constrictive Pericarditis

Sengupta

Eleid

Khandheria

2008

Circ J

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“…1 These parameters are based on conventional M-mode, 2,3 2D images, 4 and Doppler blood-flow patterns. [5][6][7][8][9] The respiratory variation in transmitral velocity blood flow is the most frequently used parameter to differentiate RCM from CP. 5,6 However, respiratory variation can also be observed in patients with chronic obstructive airway disease.…”

mentioning

confidence: 99%

Differentiation Between Restrictive Cardiomyopathy and Constrictive Pericarditis by Early Diastolic Doppler Myocardial Velocity Gradient at the Posterior Wall

et al. 2000

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Background-The differential diagnosis between restrictive cardiomyopathy (RCM) and constrictive pericarditis (CP) is challenging and, despite combined information from different diagnostic tests, surgical exploration is often necessary. Methods and Results-A group of 55 subjects (mean age, 63Ϯ11 years; 36 men and 19 women) were enrolled in the study; 15 had RCM, 10 had CP, and 30 were age-matched, normal controls. The diagnosis of RCM was supported by a biopsy; in the CP group, the diagnosis was confirmed either surgically or at autopsy. All patients underwent a transthoracic echocardiogram that included the assessment of Doppler myocardial velocity gradient (MVG), as measured from the left ventricular posterior wall during the predetermined phases of the cardiac cycle. MVG was lower (PϽ0.01) in RCM patients compared with both CP patients and normal controls during ventricular ejection (2.8Ϯ1.2 versus 4.4Ϯ1.0 and 4.7Ϯ0.8 s Ϫ1 , respectively) and rapid ventricular filling (1.9Ϯ0.8 versus 8.7Ϯ1.7 and 3.7Ϯ1.4 s Ϫ1 , respectively). Additionally, during isovolumic relaxation, MVG was positive in RCM patients and negative in both CP patients and normal controls (0.7Ϯ0.4 versus Ϫ1.0Ϯ0.6 and Ϫ0.4Ϯ0.3 s Ϫ1 , respectively; PϽ0.01). During atrial contraction, MVG was similarly low (PϽ0.01) in both RCM and CP patients compared with normal controls (1.6Ϯ1.7 and 1.7Ϯ1.8 versus 3.8Ϯ0.9 s Ϫ1 , respectively). Conclusions-Doppler

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Diagnosis of constrictive pericarditis by pulsed doppler echocardiography of the hepatic vein

Cited by 62 publications

References 18 publications

Effect of Age, Heart Rate and Tricuspid Regurgitation on the Doppler Echocardiographic Evaluation of Right Ventricular Diastolic Function

Effect of Age, Heart Rate and Tricuspid Regurgitation on the Doppler Echocardiographic Evaluation of Right Ventricular Diastolic Function

Constrictive Pericarditis

Differentiation Between Restrictive Cardiomyopathy and Constrictive Pericarditis by Early Diastolic Doppler Myocardial Velocity Gradient at the Posterior Wall

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