Percentage of peak-to-peak pulsatility of portal blood flow can predict right-sided congestive heart failure
AIM: To study the change of portal blood flow for the prediction of the status of right-sided heart failure by using non-invasive way.METHODS: We studied 20 patients with rheumatic and atherosderotic heart diseases. All the paUents had constant systemic blood pressure and body weight 1 week prior to...
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| Veröffentlicht in: | World journal of gastroenterology : WJG 2003-08, Vol.9 (8), p.1828-1831 |
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| creator | Hu, Jui-Ting Yang, Sien-Sing Lai, Yun-Chih Shih, Cheng-Yen Chang, Cheng-Wen |
| description | AIM: To study the change of portal blood flow for the prediction of the status of right-sided heart failure by using non-invasive way.METHODS: We studied 20 patients with rheumatic and atherosderotic heart diseases. All the paUents had constant systemic blood pressure and body weight 1 week prior to the study. Cardiac index (CI), left ventricular end-diastolic pressure (LVEDP), mean aortic pressure (AOP), pulmonary wedge pressure (PWP), mean pulmonary arterial pressure (PAP), mean right atrial pressure (RAP), right ventricular end-diastolic pressure (RVEDP) were recorded during cardiac catheterization. Ten patients with RAP |
| doi_str_mv | 10.3748/wjg.v9.i8.1828 |
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| fullrecord | <record><control><sourceid>wanfang_jour_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4611553</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><cqvip_id>8407216</cqvip_id><wanfj_id>wjg200308037</wanfj_id><sourcerecordid>wjg200308037</sourcerecordid><originalsourceid>FETCH-LOGICAL-c441t-9c860f58a47d7bdcf31fa4b1c9d311a52f4d47e3bca18e18188e1b3c0809e27a3</originalsourceid><addsrcrecordid>eNpVkcuP0zAQxi0EYsvClSMyEuKW4EdSOxcktOIlrQQHOFsTx07ddeOs7bTa_x6HVjwunsN8_s188yH0kpKai0a-O-3H-tjVTtZUMvkIbRijXcVkQx6jDSVEVB1n4go9S2lPCOO8ZU_RFWUdlZSTDfLfTdRmyjAaHCyeDdxVOVRrxfPiE2TnXX743Qsxg8e9D2HA1ocT1jDhOZrB6YyjG3e5Sm4wA9ZhGk3K7mjwzkDM2ILzSzTP0RMLPpkXl3qNfn76-OPmS3X77fPXmw-3lW4amqtOyy2xrYRGDKIftOXUQtNT3Q2cUmiZbYZGGN5roNIUI7K8PddEks4wAfwavT9z56U_mGH1F8GrOboDxAcVwKn_O5PbqTEcVbOltG15Abw5A04wWZhGtQ9LnMrKqtybEcLLKC6K7O1lTgz3S3GsDi5p4z1MJixJCd6KthMrrz4LdQwpRWP_7EKJWnNcuerYKSfVmmP58OpfB3_ll-CK4PWFuCvHvndlxx70nXXeqBK-YHTLfwHjA6f6</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>73575973</pqid></control><display><type>article</type><title>Percentage of peak-to-peak pulsatility of portal blood flow can predict right-sided congestive heart failure</title><source>MEDLINE</source><source>PubMed Central</source><source>Alma/SFX Local Collection</source><creator>Hu, Jui-Ting ; Yang, Sien-Sing ; Lai, Yun-Chih ; Shih, Cheng-Yen ; Chang, Cheng-Wen</creator><creatorcontrib>Hu, Jui-Ting ; Yang, Sien-Sing ; Lai, Yun-Chih ; Shih, Cheng-Yen ; Chang, Cheng-Wen</creatorcontrib><description>AIM: To study the change of portal blood flow for the prediction of the status of right-sided heart failure by using non-invasive way.METHODS: We studied 20 patients with rheumatic and atherosderotic heart diseases. All the paUents had constant systemic blood pressure and body weight 1 week prior to the study. Cardiac index (CI), left ventricular end-diastolic pressure (LVEDP), mean aortic pressure (AOP), pulmonary wedge pressure (PWP), mean pulmonary arterial pressure (PAP), mean right atrial pressure (RAP), right ventricular end-diastolic pressure (RVEDP) were recorded during cardiac catheterization. Ten patients with RAP <10 mmHg were classified as Group 1. The remaining 10 patients with RAP≥10 mmHg were classified as Group 2. Portal blood velocity profiles were studied using an ultrasonic Doppler within 12h after cardiac catheterization.RESULTS: CI, AOP, and LVEDP had no difference between two groups. Patients in Group 1 had normal PWP (14.6±7.3mmHg), PAP (25.0±8.2 mmHg), RAP (4.7±2.4 mmHg), and RVEDP (6.4±2.7 mmHg). Patients in Group 2 had increased PWP (29.9±9.3 mmHg), PAP (46.3±13.2 mmHg), RAP(17.5±5.7 mmHg), and RVEDP (18.3±5.6 mmHg) (P<0.001).Mean values of maximum portal blood velodty (Vmax), mean portal blood velocity (Vmean), cross-sectional area (Area) and portal blood flow volume (PBF) had no difference between 2 groups. All the palJents in Group 1 had a conUnuous antegrade portal flow with a mean percentage of peak-to-peak pulsatility (PP) 27.0±8.9 % (range: 17-40 %). All the patients in Group 2 had pulsatile portal flow with a mean PP 86.6±45.6 (range: 43-194 %). One patient had a transient stagnant and three patients had a transient hepatofugal portal flow, which occurred mainly during the ventricular systole. Vmax, Vmean and PBF had a positive correlation with CO (P<0.001) but not with AOP, LVEDP, PWP, PAP,RAP, and RVEDP. PP showed a good correlation (P<0.001) with PWP, PAP, RAP, and RVEDP but not with CI, AOP, and LVEDP. All the patients with PP >40 % had a right-sided heart failure with a RAP=10 mmHg.CONCLUSION: The measurement of PP change is a simple and non-invasive way to identify with right heart failure.</description><identifier>ISSN: 1007-9327</identifier><identifier>EISSN: 2219-2840</identifier><identifier>DOI: 10.3748/wjg.v9.i8.1828</identifier><identifier>PMID: 12918130</identifier><language>eng</language><publisher>United States: Liver Unit, Cathay General Hospital, Taipei, Taiwan %Liver Unit, Cathay General Hospital, Taipei and Medical Faculty, China Medical College, Taichung, Taiwan %Department of Cardiology, Cathay General Hospital, Taipei, Taiwan</publisher><subject>Adult ; Clinical Research ; Coronary Artery Disease - complications ; Coronary Artery Disease - physiopathology ; Female ; Heart Failure - etiology ; Humans ; Male ; Middle Aged ; Portal System - physiopathology ; Prognosis ; Pulsatile Flow ; Regional Blood Flow ; Rheumatic Heart Disease - complications ; Rheumatic Heart Disease - physiopathology ; 充血性心力衰竭 ; 右心室</subject><ispartof>World journal of gastroenterology : WJG, 2003-08, Vol.9 (8), p.1828-1831</ispartof><rights>Copyright © Wanfang Data Co. Ltd. All Rights Reserved.</rights><rights>The Author(s)2003. Published by Baishideng Publishing Group Inc. All rights reserved. 2003</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c441t-9c860f58a47d7bdcf31fa4b1c9d311a52f4d47e3bca18e18188e1b3c0809e27a3</citedby><cites>FETCH-LOGICAL-c441t-9c860f58a47d7bdcf31fa4b1c9d311a52f4d47e3bca18e18188e1b3c0809e27a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Uhttp://image.cqvip.com/vip1000/qk/84123X/84123X.jpg</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4611553/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4611553/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12918130$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hu, Jui-Ting</creatorcontrib><creatorcontrib>Yang, Sien-Sing</creatorcontrib><creatorcontrib>Lai, Yun-Chih</creatorcontrib><creatorcontrib>Shih, Cheng-Yen</creatorcontrib><creatorcontrib>Chang, Cheng-Wen</creatorcontrib><title>Percentage of peak-to-peak pulsatility of portal blood flow can predict right-sided congestive heart failure</title><title>World journal of gastroenterology : WJG</title><addtitle>World Journal of Gastroenterology</addtitle><description>AIM: To study the change of portal blood flow for the prediction of the status of right-sided heart failure by using non-invasive way.METHODS: We studied 20 patients with rheumatic and atherosderotic heart diseases. All the paUents had constant systemic blood pressure and body weight 1 week prior to the study. Cardiac index (CI), left ventricular end-diastolic pressure (LVEDP), mean aortic pressure (AOP), pulmonary wedge pressure (PWP), mean pulmonary arterial pressure (PAP), mean right atrial pressure (RAP), right ventricular end-diastolic pressure (RVEDP) were recorded during cardiac catheterization. Ten patients with RAP <10 mmHg were classified as Group 1. The remaining 10 patients with RAP≥10 mmHg were classified as Group 2. Portal blood velocity profiles were studied using an ultrasonic Doppler within 12h after cardiac catheterization.RESULTS: CI, AOP, and LVEDP had no difference between two groups. Patients in Group 1 had normal PWP (14.6±7.3mmHg), PAP (25.0±8.2 mmHg), RAP (4.7±2.4 mmHg), and RVEDP (6.4±2.7 mmHg). Patients in Group 2 had increased PWP (29.9±9.3 mmHg), PAP (46.3±13.2 mmHg), RAP(17.5±5.7 mmHg), and RVEDP (18.3±5.6 mmHg) (P<0.001).Mean values of maximum portal blood velodty (Vmax), mean portal blood velocity (Vmean), cross-sectional area (Area) and portal blood flow volume (PBF) had no difference between 2 groups. All the palJents in Group 1 had a conUnuous antegrade portal flow with a mean percentage of peak-to-peak pulsatility (PP) 27.0±8.9 % (range: 17-40 %). All the patients in Group 2 had pulsatile portal flow with a mean PP 86.6±45.6 (range: 43-194 %). One patient had a transient stagnant and three patients had a transient hepatofugal portal flow, which occurred mainly during the ventricular systole. Vmax, Vmean and PBF had a positive correlation with CO (P<0.001) but not with AOP, LVEDP, PWP, PAP,RAP, and RVEDP. PP showed a good correlation (P<0.001) with PWP, PAP, RAP, and RVEDP but not with CI, AOP, and LVEDP. All the patients with PP >40 % had a right-sided heart failure with a RAP=10 mmHg.CONCLUSION: The measurement of PP change is a simple and non-invasive way to identify with right heart failure.</description><subject>Adult</subject><subject>Clinical Research</subject><subject>Coronary Artery Disease - complications</subject><subject>Coronary Artery Disease - physiopathology</subject><subject>Female</subject><subject>Heart Failure - etiology</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Portal System - physiopathology</subject><subject>Prognosis</subject><subject>Pulsatile Flow</subject><subject>Regional Blood Flow</subject><subject>Rheumatic Heart Disease - complications</subject><subject>Rheumatic Heart Disease - physiopathology</subject><subject>充血性心力衰竭</subject><subject>右心室</subject><issn>1007-9327</issn><issn>2219-2840</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkcuP0zAQxi0EYsvClSMyEuKW4EdSOxcktOIlrQQHOFsTx07ddeOs7bTa_x6HVjwunsN8_s188yH0kpKai0a-O-3H-tjVTtZUMvkIbRijXcVkQx6jDSVEVB1n4go9S2lPCOO8ZU_RFWUdlZSTDfLfTdRmyjAaHCyeDdxVOVRrxfPiE2TnXX743Qsxg8e9D2HA1ocT1jDhOZrB6YyjG3e5Sm4wA9ZhGk3K7mjwzkDM2ILzSzTP0RMLPpkXl3qNfn76-OPmS3X77fPXmw-3lW4amqtOyy2xrYRGDKIftOXUQtNT3Q2cUmiZbYZGGN5roNIUI7K8PddEks4wAfwavT9z56U_mGH1F8GrOboDxAcVwKn_O5PbqTEcVbOltG15Abw5A04wWZhGtQ9LnMrKqtybEcLLKC6K7O1lTgz3S3GsDi5p4z1MJixJCd6KthMrrz4LdQwpRWP_7EKJWnNcuerYKSfVmmP58OpfB3_ll-CK4PWFuCvHvndlxx70nXXeqBK-YHTLfwHjA6f6</recordid><startdate>20030801</startdate><enddate>20030801</enddate><creator>Hu, Jui-Ting</creator><creator>Yang, Sien-Sing</creator><creator>Lai, Yun-Chih</creator><creator>Shih, Cheng-Yen</creator><creator>Chang, Cheng-Wen</creator><general>Liver Unit, Cathay General Hospital, Taipei, Taiwan %Liver Unit, Cathay General Hospital, Taipei and Medical Faculty, China Medical College, Taichung, Taiwan %Department of Cardiology, Cathay General Hospital, Taipei, Taiwan</general><general>Baishideng Publishing Group Inc</general><scope>2RA</scope><scope>92L</scope><scope>CQIGP</scope><scope>W91</scope><scope>~WA</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>2B.</scope><scope>4A8</scope><scope>92I</scope><scope>93N</scope><scope>PSX</scope><scope>TCJ</scope><scope>5PM</scope></search><sort><creationdate>20030801</creationdate><title>Percentage of peak-to-peak pulsatility of portal blood flow can predict right-sided congestive heart failure</title><author>Hu, Jui-Ting ; Yang, Sien-Sing ; Lai, Yun-Chih ; Shih, Cheng-Yen ; Chang, Cheng-Wen</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c441t-9c860f58a47d7bdcf31fa4b1c9d311a52f4d47e3bca18e18188e1b3c0809e27a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Adult</topic><topic>Clinical Research</topic><topic>Coronary Artery Disease - complications</topic><topic>Coronary Artery Disease - physiopathology</topic><topic>Female</topic><topic>Heart Failure - etiology</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Portal System - physiopathology</topic><topic>Prognosis</topic><topic>Pulsatile Flow</topic><topic>Regional Blood Flow</topic><topic>Rheumatic Heart Disease - complications</topic><topic>Rheumatic Heart Disease - physiopathology</topic><topic>充血性心力衰竭</topic><topic>右心室</topic><toplevel>online_resources</toplevel><creatorcontrib>Hu, Jui-Ting</creatorcontrib><creatorcontrib>Yang, Sien-Sing</creatorcontrib><creatorcontrib>Lai, Yun-Chih</creatorcontrib><creatorcontrib>Shih, Cheng-Yen</creatorcontrib><creatorcontrib>Chang, Cheng-Wen</creatorcontrib><collection>中文科技期刊数据库</collection><collection>中文科技期刊数据库-CALIS站点</collection><collection>中文科技期刊数据库-7.0平台</collection><collection>中文科技期刊数据库-医药卫生</collection><collection>中文科技期刊数据库- 镜像站点</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Wanfang Data Journals - Hong Kong</collection><collection>WANFANG Data Centre</collection><collection>Wanfang Data Journals</collection><collection>万方数据期刊 - 香港版</collection><collection>China Online Journals (COJ)</collection><collection>China Online Journals (COJ)</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>World journal of gastroenterology : WJG</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hu, Jui-Ting</au><au>Yang, Sien-Sing</au><au>Lai, Yun-Chih</au><au>Shih, Cheng-Yen</au><au>Chang, Cheng-Wen</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Percentage of peak-to-peak pulsatility of portal blood flow can predict right-sided congestive heart failure</atitle><jtitle>World journal of gastroenterology : WJG</jtitle><addtitle>World Journal of Gastroenterology</addtitle><date>2003-08-01</date><risdate>2003</risdate><volume>9</volume><issue>8</issue><spage>1828</spage><epage>1831</epage><pages>1828-1831</pages><issn>1007-9327</issn><eissn>2219-2840</eissn><abstract>AIM: To study the change of portal blood flow for the prediction of the status of right-sided heart failure by using non-invasive way.METHODS: We studied 20 patients with rheumatic and atherosderotic heart diseases. All the paUents had constant systemic blood pressure and body weight 1 week prior to the study. Cardiac index (CI), left ventricular end-diastolic pressure (LVEDP), mean aortic pressure (AOP), pulmonary wedge pressure (PWP), mean pulmonary arterial pressure (PAP), mean right atrial pressure (RAP), right ventricular end-diastolic pressure (RVEDP) were recorded during cardiac catheterization. Ten patients with RAP <10 mmHg were classified as Group 1. The remaining 10 patients with RAP≥10 mmHg were classified as Group 2. Portal blood velocity profiles were studied using an ultrasonic Doppler within 12h after cardiac catheterization.RESULTS: CI, AOP, and LVEDP had no difference between two groups. Patients in Group 1 had normal PWP (14.6±7.3mmHg), PAP (25.0±8.2 mmHg), RAP (4.7±2.4 mmHg), and RVEDP (6.4±2.7 mmHg). Patients in Group 2 had increased PWP (29.9±9.3 mmHg), PAP (46.3±13.2 mmHg), RAP(17.5±5.7 mmHg), and RVEDP (18.3±5.6 mmHg) (P<0.001).Mean values of maximum portal blood velodty (Vmax), mean portal blood velocity (Vmean), cross-sectional area (Area) and portal blood flow volume (PBF) had no difference between 2 groups. All the palJents in Group 1 had a conUnuous antegrade portal flow with a mean percentage of peak-to-peak pulsatility (PP) 27.0±8.9 % (range: 17-40 %). All the patients in Group 2 had pulsatile portal flow with a mean PP 86.6±45.6 (range: 43-194 %). One patient had a transient stagnant and three patients had a transient hepatofugal portal flow, which occurred mainly during the ventricular systole. Vmax, Vmean and PBF had a positive correlation with CO (P<0.001) but not with AOP, LVEDP, PWP, PAP,RAP, and RVEDP. PP showed a good correlation (P<0.001) with PWP, PAP, RAP, and RVEDP but not with CI, AOP, and LVEDP. All the patients with PP >40 % had a right-sided heart failure with a RAP=10 mmHg.CONCLUSION: The measurement of PP change is a simple and non-invasive way to identify with right heart failure.</abstract><cop>United States</cop><pub>Liver Unit, Cathay General Hospital, Taipei, Taiwan %Liver Unit, Cathay General Hospital, Taipei and Medical Faculty, China Medical College, Taichung, Taiwan %Department of Cardiology, Cathay General Hospital, Taipei, Taiwan</pub><pmid>12918130</pmid><doi>10.3748/wjg.v9.i8.1828</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Clinical Research Coronary Artery Disease - complications Coronary Artery Disease - physiopathology Female Heart Failure - etiology Humans Male Middle Aged Portal System - physiopathology Prognosis Pulsatile Flow Regional Blood Flow Rheumatic Heart Disease - complications Rheumatic Heart Disease - physiopathology 充血性心力衰竭 右心室 |
| title | Percentage of peak-to-peak pulsatility of portal blood flow can predict right-sided congestive heart failure |
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