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Circulation. 1984;70:657-662

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Circulation, Vol 70, 657-662, Copyright © 1984 by American Heart Association


ARTICLES

Noninvasive estimation of right ventricular systolic pressure by Doppler ultrasound in patients with tricuspid regurgitation

PG Yock and RL Popp

We evaluated the accuracy of a noninvasive method for estimating right ventricular systolic pressures in patients with tricuspid regurgitation detected by Doppler ultrasound. Of 62 patients with clinical signs of elevated right-sided pressures, 54 (87%) had jets of tricuspid regurgitation clearly recorded by continuous-wave Doppler ultrasound. By use of the maximum velocity (V) of the regurgitant jet, the systolic pressure gradient (delta P) between right ventricle and right atrium was calculated by the modified Bernoulli equation (delta P = 4V2). Adding the transtricuspid gradient to the mean right atrial pressure (estimated clinically from the jugular veins) gave predictions of right ventricular systolic pressure that correlated well with catheterization values (r = .93, SEE = 8 mm Hg). The tricuspid gradient method provides an accurate and widely applicable method for noninvasive estimation of elevated right ventricular systolic pressures.


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J Am Coll CardiolHome page
A. E. Abbas, F. D. Fortuin, N. B. Schiller, C. P. Appleton, C. A. Moreno, and S. J. Lester
A simple method for noninvasive estimation of pulmonary vascular resistance
J. Am. Coll. Cardiol., March 19, 2003; 41(6): 1021 - 1027.
[Abstract] [Full Text] [PDF]


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ChestHome page
R. S. Finkelhor, S. X. Yang, G. Bosich, and R. C. Bahler
Unexplained Pulmonary Hypertension Is Associated With Systolic Arterial Hypertension in Patients Undergoing Routine Doppler Echocardiography
Chest, March 1, 2003; 123(3): 711 - 715.
[Abstract] [Full Text] [PDF]


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Am. J. Respir. Crit. Care Med.Home page
S. M. Arcasoy, J. D. Christie, V. A. Ferrari, M. St. J. Sutton, D. A. Zisman, N. P. Blumenthal, A. Pochettino, and R. M. Kotloff
Echocardiographic Assessment of Pulmonary Hypertension in Patients with Advanced Lung Disease
Am. J. Respir. Crit. Care Med., March 1, 2003; 167(5): 735 - 740.
[Abstract] [Full Text] [PDF]


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Eur Respir JHome page
T.S. Saba, J. Foster, M. Cockburn, M. Cowan, and A.J. Peacock
Ventricular mass index using magnetic resonance imaging accurately estimates pulmonary artery pressure
Eur. Respir. J., December 1, 2002; 20(6): 1519 - 1524.
[Abstract] [Full Text] [PDF]


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J. Thorac. Cardiovasc. Surg.Home page
P. A. Thistlethwaite, M. Mo, M. M. Madani, R. Deutsch, D. Blanchard, D. P. Kapelanski, and S. W. Jamieson
Operative classification of thromboembolic disease determines outcome after pulmonary endarterectomy
J. Thorac. Cardiovasc. Surg., December 1, 2002; 124(6): 1203 - 1211.
[Abstract] [Full Text]


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HeartHome page
J Xu, L-G Durand, and P Pibarot
A new, simple, and accurate method for non-invasive estimation of pulmonary arterial pressure
Heart, July 1, 2002; 88(1): 76 - 80.
[Abstract] [Full Text] [PDF]


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JAMAHome page
E. R. Swenson, M. Maggiorini, S. Mongovin, J. S. R. Gibbs, I. Greve, H. Mairbaurl, and P. Bartsch
Pathogenesis of High-Altitude Pulmonary Edema: Inflammation Is Not an Etiologic Factor
JAMA, May 1, 2002; 287(17): 2228 - 2235.
[Abstract] [Full Text] [PDF]


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Eur Heart JHome page
A Da Costa, C Romeyer, S Mourot, M Messier, A Cerisier, E Faure, and K Isaaz
Factors associated with early atrial fibrillation after ablation of common atrial flutter. A single centre prospective study
Eur. Heart J., March 2, 2002; 23(6): 498 - 506.
[Abstract] [Full Text] [PDF]


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J Am Coll CardiolHome page
D.-S. Jeon, H. Luo, T. Iwami, T. Miyamoto, A. V. Brasch, J. Mirocha, T. Z. Naqvi, and R. J. Siegel
The usefulness of a 10% air-10% blood-80% saline mixture for contrast echocardiography: Doppler measurement of pulmonary artery systolic pressure
J. Am. Coll. Cardiol., January 2, 2002; 39(1): 124 - 129.
[Abstract] [Full Text] [PDF]


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CirculationHome page
B. M. McQuillan, M. H. Picard, M. Leavitt, and A. E. Weyman
Clinical Correlates and Reference Intervals for Pulmonary Artery Systolic Pressure Among Echocardiographically Normal Subjects
Circulation, December 4, 2001; 104(23): 2797 - 2802.
[Abstract] [Full Text] [PDF]


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ThoraxHome page
E Zakynthinos, T Vassilakopoulos, P Kaltsas, E Malagari, Z Daniil, C Roussos, and S G Zakynthinos
Pulmonary hypertension, interstitial lung fibrosis, and lung iron deposition in thalassaemia major
Thorax, September 1, 2001; 56(9): 737 - 739.
[Abstract] [Full Text] [PDF]


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HeartHome page
British Cardiac Society Guidelines and Medical Pra
Recommendations on the management of pulmonary hypertension in clinical practice
Heart, September 1, 2001; 86(90001): i1 - 13.
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Arch Intern MedHome page
R. Davidoff, A. McTiernan, G. Constantine, K. D. Davis, G. J. Balady, L. A. Mendes, R. E. Rudolph, and D. J. Bowen
Echocardiographic Examination of Women Previously Treated With Fenfluramine: Long-term Follow-up of a Randomized, Double-blind, Placebo-Controlled Trial
Arch Intern Med, June 11, 2001; 161(11): 1429 - 1436.
[Abstract] [Full Text] [PDF]


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J Am Coll CardiolHome page
F. Scapellato, P. L. Temporelli, E. Eleuteri, U. Corra, A. Imparato, and P. Giannuzzi
Accurate noninvasive estimation of pulmonary vascular resistance by Doppler echocardiography in patients with chronic heart failure
J. Am. Coll. Cardiol., June 1, 2001; 37(7): 1813 - 1819.
[Abstract] [Full Text] [PDF]


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Anesth. Analg.Home page
S. Kawahito, H. Kitahata, K. Tanaka, J. Nozaki, and S. Oshita
Pulmonary Arterial Pressure Can Be Estimated by Transesophageal Pulsed Doppler Echocardiography
Anesth. Analg., June 1, 2001; 92(6): 1364 - 1369.
[Abstract] [Full Text] [PDF]


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Eur Respir JHome page
M.A. Higham, D. Dawson, J. Joshi, P. Nihoyannopoulos, and N.W. Morrell
Utility of echocardiography in assessment of pulmonary hypertension secondary to COPD
Eur. Respir. J., March 1, 2001; 17(3): 350 - 355.
[Abstract] [Full Text] [PDF]


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ANN INTERN MEDHome page
N. J. Weissman, J. A. Panza, J. F. Tighe Jr., and J. T. Gwynne
Natural History of Valvular Regurgitation 1 Year after Discontinuation of Dexfenfluramine Therapy: A Randomized, Double-Blind, Placebo-Controlled Trial
Ann Intern Med, February 20, 2001; 134(4): 267 - 273.
[Abstract] [Full Text] [PDF]


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ANGIOLOGYHome page
M. Auletta, U. Oliviero, L. Iasiuolo, G. Scherillo, and S. Antoniello
Pulmonary Hypertension Associated with Liver Cirrhosis: An Echocardiographic Study
Angiology, December 1, 2000; 51(12): 1013 - 1020.
[Abstract] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
Y. Allemann, C. Sartori, M. Lepori, S. Pierre, C. Melot, R. Naeije, U. Scherrer, and M. Maggiorini
Echocardiographic and invasive measurements of pulmonary artery pressure correlate closely at high altitude
Am J Physiol Heart Circ Physiol, October 1, 2000; 279(4): H2013 - H2016.
[Abstract] [Full Text] [PDF]


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CirculationHome page
E. Grunig, B. Janssen, D. Mereles, U. Barth, M. M. Borst, I. R. Vogt, C. Fischer, H. Olschewski, H. F. Kuecherer, and W. Kubler
Abnormal Pulmonary Artery Pressure Response in Asymptomatic Carriers of Primary Pulmonary Hypertension Gene
Circulation, September 5, 2000; 102(10): 1145 - 1150.
[Abstract] [Full Text] [PDF]


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ChestHome page
I. Murata, M. Sonoda, T. Morita, F. Nakamura, K. Takenaka, and R. Nagai
The Clinical Significance of Reversed Flow in the Main Pulmonary Artery Detected by Doppler Color Flow Imaging
Chest, August 1, 2000; 118(2): 336 - 341.
[Abstract] [Full Text] [PDF]


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Am. J. Respir. Crit. Care Med.Home page
E. CLINI, G. CREMONA, M. CAMPANA, C. SCOTTI, M. PAGANI, L. BIANCHI, A. GIORDANO, and N. AMBROSINO
Production of Endogenous Nitric Oxide in Chronic Obstructive Pulmonary Disease and Patients with Cor Pulmonale . Correlates with Echo-Doppler Assessment
Am. J. Respir. Crit. Care Med., August 1, 2000; 162(2): 446 - 450.
[Abstract] [Full Text] [PDF]


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Arch. Dis. Child. Fetal Neonatal Ed.Home page
N V Subhedar and N J Shaw
Changes in pulmonary arterial pressure in preterm infants with chronic lung disease
Arch. Dis. Child. Fetal Neonatal Ed., May 1, 2000; 82(3): 243F - 247.
[Abstract] [Full Text]


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JAMAHome page
J. M. Gardin, D. Schumacher, G. Constantine, K. D. Davis, C. Leung, and C. L. Reid
Valvular Abnormalities and Cardiovascular Status Following Exposure to Dexfenfluramine or Phentermine/Fenfluramine
JAMA, April 5, 2000; 283(13): 1703 - 1709.
[Abstract] [Full Text] [PDF]


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J Am Coll CardiolHome page
E. Grunig, D. Mereles, W. Hildebrandt, E. R. Swenson, W. Kubler, H. Kuecherer, and P. Bartsch
Stress Doppler echocardiography for identification of susceptibility to high altitude pulmonary edema
J. Am. Coll. Cardiol., March 15, 2000; 35(4): 980 - 987.
[Abstract] [Full Text] [PDF]