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Doppler recognition of low or normal central venous pressure from continuous flow from inferior vena cava into right atrium

The American Journal of Cardiology May 15, 2019

Ranjan R, et al. - Since one of the critical components of a comprehensive transthoracic echocardiographic (TTE) examination is the estimation of right atrial (RA) or central venous pressure (CVP), researchers investigated if continuous inflow from the inferior vena cava (IVC) into the RA is a substitute for low/normal CVP and can be reliably imaged in standard echocardiographic parasternal short and right ventricular inflow views. For this purpose, they retrospectively analyzed 200 patients that had right heart catheterization within 8 hours of TTE. Of these patients, 60 were opted in whom IVC inflow into RA during evaluation of the tricuspid valve was incidentally interrogated by continuous wave Doppler beam. According to findings, for the estimation of CVP in standard echocardiographic views, IVC flow pattern could be reliably assessed. Normal and elevated RA pressure was predicted by continuous and interrupted IVC flow, respectively.

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