Interpretation of peripheral arterial and venous Doppler waveforms: A consensus statement from the Society for Vascular Medicine and Society for Vascular Ultrasound

Kim, Esther S.H.; Sharma, Aditya; Scissons, Robert P.; Dawson, David L.; Eberhardt, Robert T.; Gerhard‐Herman, Marie; Hughes, Joseph P.; Knight, Steve; Kupinski, Ann Marie; Mahé, Guillaume; Neumyer, Marsha M.; Poe, Patricia; Shugart, Rita; Wennberg, Paul W.; Williams, David M. G.; Zierler, R. Eugene

doi:10.1177/1358863x20937665

Cited by 87 publications

(81 citation statements)

References 42 publications

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“…In our screening studies at 19-23 and 35-37 weeks' gestation, we found that, in pregnancies which subsequently developed PE, compared to those which remained normotensive, the ophthalmic artery pulsatility index was not significantly different but the PSV ratio was increased 15,16 . The first systolic component of an arterial waveform is produced by the contraction of the left ventricle, whereas the second systolic wave is a reflected one 28 . The observed increase in the velocity of the second compared to the first systolic waveform in the ophthalmic artery is not indicative of increased ophthalmic or cerebral perfusion but rather of increased peripheral resistance.…”

Section: Interpretation Of Results and Comparison With Findings Of Previous Studiesmentioning

confidence: 99%

Relationship between ophthalmic artery Doppler and maternal cardiovascular function

Gibbone

Sapantzoglou

Nuñez-Cerrato

et al. 2021

Ultrasound in Obstet & Gyne

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What are the novel findings of this work?This study of 2853 unselected pregnancies at 19-23 weeks' gestation found that the ophthalmic artery second to first peak of systolic velocity ratio (PSV ratio), which provides useful prediction of subsequent development of pre-eclampsia (PE), had very weak associations with indices of maternal cardiovascular function, but, in the subgroup that developed PE, there was a moderately strong association with left ventricular mass indexed for body surface area. What are the clinical implications of this work?The ophthalmic artery second systolic wave is a reflective one, and its increase, relative to the first systolic wave, is indicative of increased peripheral vascular resistance. The association between PSV ratio and left ventricular mass in women who develop PE suggests that cardiac structural changes are likely to be the result of the increase in peripheral vascular resistance.

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Section: Interpretation Of Results and Comparison With Findings Of Previous Studiesmentioning

confidence: 99%

Relationship between ophthalmic artery Doppler and maternal cardiovascular function

Gibbone

Sapantzoglou

Nuñez-Cerrato

et al. 2021

Ultrasound in Obstet & Gyne

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“…The strength of our study compared to previous work is to evaluate the reliability of this classification over a large and homogenous sample in terms of occupation and experience. A first American consensus about Doppler waveform interpretation has just been released in July 2020 to try to clarify the way of reporting Doppler waveforms in clinical practice but it did not address the reliability of Doppler waveform analysis (17).…”

Section: Discussionmentioning

confidence: 99%

Inter-rater Reliability of 4-Item Arterial Doppler Waveform Classification System for Description of Arterial Doppler Waveforms

Zhao

Lanéelle

Gao

et al. 2020

Front. Cardiovasc. Med.

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Background: Non-invasive Doppler waveform (DW) analysis is a widely adopted method for detecting and evaluating lower extremity peripheral artery disease (PAD). Previous investigations have reported that broad heterogeneity in the description of Doppler waveforms is reduced by using a classification method. The reliability of arterial Doppler classification, however, is unknown. Purpose: The purpose of this study is to assess the reliability of a 4-category arterial DW classification method among Chinese sonographers. Methods: During a national ultrasound conference in China attendees were invited to classify thirty arterial Doppler waveforms. After viewing a 4-category (triphasic, biphasic, monophasic, and other) arterial Doppler waveform descriptor presentation, attendees were asked to classify 15 continuous wave (CW) and 15 pulsed wave (PW) Doppler waveforms. Their responses were recorded via mobile phone and the reliability of this 4-category classification was estimated by Fleiss' Kappa inter-rater statistical analysis. Results: One hundred and seventy-eight attendees participated in the analysis. The Kappa coefficient of Fleiss (κ) for all attendees was 0.522 (p < 0.005) with 95% confidence interval (CI): 0.520-0.523. The reliability of the waveform descriptor triphasic was the highest (κ = 0.621, p < 0.005), and other was the lowest (κ = 0.341, p < 0.005). Conclusion: The inter-rater reliability of a 4-category arterial Doppler waveform classification by Chinese sonographers is considered weak (κ = 0.522, CI95%: 0.520-0.523, p < 0.005). This study reinforces the importance of assessing DW classification reliability and the development of DW descriptors that are more accurately predictive of clinical hemodynamic events.

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“…Most recently, we have published national and international consensus statements on behalf of SVM, including the 2019 international consensus on FMD (in partnership with the European Society for Hypertension) and the 2020 consensus on Doppler waveform nomenclature (in partnership with the Society for Vascular Ultrasound) published in this issue of our journal. 8,9 Last, but not least, we initiated the SVM Communication Pages, also known as the 'blue pages'. This section serves as a forum for updates on societal initiatives, a spotlight on junior and senior members of the Society, and gives attention to timely topics in our field.…”

Section: -2019 Accomplishmentsmentioning

confidence: 99%

Vascular Medicine 2020: State of the journal

Gornik

Clark²

2020

Vasc Med

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Interpretation of peripheral arterial and venous Doppler waveforms: A consensus statement from the Society for Vascular Medicine and Society for Vascular Ultrasound

Cited by 87 publications

References 42 publications

Relationship between ophthalmic artery Doppler and maternal cardiovascular function

Relationship between ophthalmic artery Doppler and maternal cardiovascular function

Inter-rater Reliability of 4-Item Arterial Doppler Waveform Classification System for Description of Arterial Doppler Waveforms

Vascular Medicine 2020: State of the journal

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