Pulmonary hypertension is an important determinant of the clinical presentation of and surgical approach to patients with heart disease. To confirm the utility of continuous wave Doppler echocardiography in assessing the pulmonary artery diastolic pressure in patients with pulmonary regurgitation, 51 patients representing the wide hemodynamic spectrum of pulmonary artery pressure underwent simultaneous determination of pulmonary artery diastolic pressure by continuous wave Doppler echocardiography and cardiac catheterization. Pulmonary artery diastolic pressure was estimated from the Doppler recordings by the end-diastolic pressure gradient obtained by the modified Bernoulli equation plus the estimated right atrial pressure. A correlation was observed (r=0.935, SEE=7.4 mmHg) between Doppler and catheterization pulmonary artery diastolic pressure. In addition, comparison between the mean diastolic pressure. In addition, comparison between the mean diastolic pressure gradient across the pulmonary valve by Doppler and pulmonary artery diastolic pressure at catheterization yielded a high correlation (r=0.947, SEE=5.1 mmHg). These data demonstrate that continuous wave Doppler echocardiography is a useful noninvasive technique for evaluating the pulmonary artery diastolic pressure in patients with pulmonary regurgitation.

References

1 Forsberg SA: Relations between pressure in pulmonary artery, left atrium and left ventricle with special reference to events at end diastole. Br Heart J 33, 494–499 (1971).
10.1136/hrt.33.4.494
CAS PubMed Web of Science® Google Scholar
2 Rahimtoola SH, Loeb HS, Ehsani A., Sinno MZ, Chuquimia R., Lal R., Rosen KM, Gunnar RM: Relationship of pulmonary artery to left ventricular diastolic pressures in acute myocardial infarction. Circulation 46, 283–290 (1972).
10.1161/01.CIR.46.2.283
CAS PubMed Web of Science® Google Scholar
3 Falicov RE, Resnekov L.: Relationship of the pulmonary artery end-diastolic pressure to the left ventricular end-diastolic and mean filling pressures in patients with and without left ventricular dysfunction. Circulation 42, 65–73 (1970).
10.1161/01.CIR.42.1.65
CAS PubMed Web of Science® Google Scholar
4 Jenkins BS, Bradley RD, Branthwaite MA: Evaluation of pulmonary arterial end-diastolic pressure as an indirect estimate of left atrial mean pressure. Circulation 42, 75–78 (1970).
10.1161/01.CIR.42.1.75
CAS PubMed Web of Science® Google Scholar
5 Lipp-Ziff EL, Kawanishi DT: A technique for improving accuracy of the pulmonary artery diastolic pressure as an estimate of left ventricular end-diastolic pressure. Heart & Lung 20, 107–115 (1991).
CAS PubMed Web of Science® Google Scholar
6 Lee RT, Lord CP, Plappert T., St. John Sutton M.: Prospective Doppler echocardiographic evaluation of pulmonary artery diastolic pressure in the medical intensive care unit. Am J Cardiol 64, 1366–1370 (1989).
10.1016/0002-9149(89)90583-3
CAS PubMed Web of Science® Google Scholar
7 Hatle L., Angelsen B.: Doppler Ultrasound in Cardiology: Physical Principles and Clincal Application. Lea & Febiger, Philadelphia (1985) 162.
Google Scholar
8 Grossman W.: Cardiac Catheterization and Angiography. Lea & Febiger, Philadelphia (1986) 545.
Google Scholar
9 Skjaerpe T., Hatle L.: Non-invasive estimation of pulmonary artery pressure by Doppler ultrasound in tricuspid regurgitation. In Cardiac Doppler Diagnosis (Ed. MP Spencer). Martinus Nijhoff Publishers, Boston (1983) 247.
10.1007/978-94-009-4988-1_23
Google Scholar
10 Yock PG, Popp RL: Non-invasive estimation of right ventricular systolic pressure by Doppler ultrasound in patients with tricuspid regurgitation. Circulation 70, 657–662 (1984).
10.1161/01.CIR.70.4.657
CAS PubMed Web of Science® Google Scholar
11 Currie PJ, Seward JB, Chan KL, Fyfe DA, Hagler DJ, Mair DD, Reeder GS, Nishimura RA, Tajik AJ: Continuous wave Doppler determination of right ventricular pressure: A simultaneous Doppler-catheterization study in 127 patients. J Am Coll Cardiol 6, 750–756 (1985).
10.1016/S0735-1097(85)80477-0
CAS PubMed Web of Science® Google Scholar
12 Choong CY, Abascal VM, Weyman J., Levine RA, Gentile F., Thomas JD, Weyman AE: Prevalence of valvular regurgitation by Doppler echocardiography in patients with structurally normal hearts by two-dimensional echocardiography. Am Heart J 117, 636–641 (1989).
10.1016/0002-8703(89)90739-4
PubMed Web of Science® Google Scholar
13 Waggoner AD, Quinones MA, Young JB, Brandon TA, Shah AA, Verani MS, Miller RR: Pulsed Doppler echocardiographic detection of right-sided valve regurgitation: Experimental results and clinical significance. Am J Cardiol 47, 279–286 (1981).
10.1016/0002-9149(81)90398-2
CAS PubMed Web of Science® Google Scholar
14 Takao S., Miyatake K., Izumi S., Okamoto M., Kinoshita N., Nakagawa H., Yamamoto K., Sakakibara H., Nimura Y.: Clinical implications of pulmonary regurgitation in healthy individuals: Detection by cross-sectional pulsed Doppler echocardiography. Br Heart J 59, 542–550 (1988).
10.1136/hrt.59.5.542
CAS PubMed Web of Science® Google Scholar
15 Yoshida K., Yoshikawa J., Shakudo M., Akasaka T., Jyo Y., Takao S., Shiratori K., Koizumi K., Okumachi F., Kato H., Fukaya T.: Colour Doppler evaluation of valualar regurgitation in normal subjects. Circulation 78, 840–847 (1988).
10.1161/01.CIR.78.4.840
PubMed Web of Science® Google Scholar
16 Akasaka T., Yoshikawa J., Yoshida K., Okumachi F., Shiratori K., Takao S., Shakudo M., Kato H.: Age-related valvular regurgitation: A study by pulsed Doppler echocardiography. Circulation 76, 262–265 (1987).
10.1161/01.CIR.76.2.262
PubMed Web of Science® Google Scholar
17 Masuyama T., Kodama K., Kitabatake A., Sato H., Nanto S., Inoue M.: Continuous wave Doppler echocardiographic detection of pulmonary regurgitation and its application to non-invasive estimation of pulmonary artery pressure. Circulation 74, 484–492 (1986).
10.1161/01.CIR.74.3.484
CAS PubMed Web of Science® Google Scholar
18 van Dijk APJ, Hopman JCW, Daniels O.: Right-sided valve regurgitation in congenital heart disease determined by Doppler regurgitation velocity measurement. Am J Cardiol 68, 269–270 (1991).
10.1016/0002-9149(91)90761-9
CAS PubMed Web of Science® Google Scholar
19 Bouchard RJ, Gault JH, Ross J. Jr.: Evaluation of pulmonary arterial end-diastolic pressure as an estimate of left ventricular end-diastolic pressure in patients with normal and abnormal left ventricular performance. Circulation 44, 1072–1079 (1971).
10.1161/01.CIR.44.6.1072
CAS PubMed Web of Science® Google Scholar

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Volume15, Issue11

November 1992

Pages 818-824

Pulmonary artery diastolic pressure: A simultaneous doppler echocardiography and catheterization study

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Pulmonary artery diastolic pressure: A simultaneous doppler echocardiography and catheterization study

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