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Research Article
Spectral Doppler Waveform Analysis of Common Femoral Veins for the Detection of Right Ventricular Dysfunction in Acute Pulmonary Embolism
Author(s): Bettina-Maria Taute, Hendrik Schmidt, Andreas Gunter Bach, Ronald Fischer, Christin Le Hoa Tran, Mroawan Amoury and Hannes MelnykBettina-Maria Taute, Hendrik Schmidt, Andreas Gunter Bach, Ronald Fischer, Christin Le Hoa Tran, Mroawan Amoury and Hannes Melnyk
Background Changes of central and peripheral venous hemodynamics (PVH) are registered in patients with acute pulmonary embolism (PE) with right ventricular dysfunction (RVD). It can be assumed the change of PVH is detectable through spectral Doppler waveform analysis of the common femoral veins (CFV) and regular respiratory modulated (RM) flow is replaced as a function of the severity of the RVD by cardiac modulation (CM) of the velocity-time spectra. The aim of this study is to examine, through detection of CM at the CFV, whether indirect diagnostics of the RVD is possible in patients with acute PE. Methods Quantification of RVD was performed through an echocardiographic right heart score (RHS) in patients with acute PE. The RHS integrated four parameters: the size of the right ventricle, the RV kinetics, the motion of the interventricular septum and the right atrial size. The sonogr.. Read More»
DOI:
10.4172/2329-9517.1000187
Cardiovascular Diseases & Diagnosis received 427 citations as per Google Scholar report