NONINVASIVE ESTIMATION OF RIGHT ATRIAL PRESSURE FROM THE INSPIRATORY COLLAPSE OF THE INFERIOR VENA-CAVA
NONINVASIVE ESTIMATION OF RIGHT ATRIAL PRESSURE FROM THE INSPIRATORY COLLAPSE OF THE INFERIOR VENA-CAVA
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DOI:
10.1016/0002-9149(90)90711-9
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发表时间:
1990-08-15
影响因子:
2.8
通讯作者:
SCHILLER, NB
中科院分区:
文献类型:
--
作者:
KIRCHER, BJ;HIMELMAN, RB;SCHILLER, NB
To evaluate a simple noninvasive means of estimating right atrial (RA) pressure, the respiratory motion of the inferior vena cava (IVC) was analyzed by 2-dimensional echocardiography in 83 patients. Expiratory and inspiratory IVC diameters and percent collapse (caval index) were measured in subcostal views within 2 cm of the right atrium. Parameters were correlated with RA pressure by flotation catheter within 24 hours of the echocardiogram (38 were simultaneous). Correlations between RA pressure (range 0 to 28 mm Hg), expiratory and inspiratory diameters and caval index were 0.48, 0.71 and 0.75, respectively. Of 48 patients with caval indexes