Circulation, Vol 70, 657-662, Copyright © 1984 by American Heart Association
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.
ARTICLES
Noninvasive estimation of right ventricular systolic pressure by Doppler ultrasound in patients with tricuspid regurgitation
This article has been cited by other articles:
 |
|
 |
|
  J. A. Falk, S. Kadiev, G. J. Criner, S. M. Scharf, O. A. Minai, and P. Diaz Cardiac Disease in Chronic Obstructive Pulmonary Disease Proceedings of the ATS, May 1, 2008; 5(4): 543 - 548. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P. Lurz, L. Coats, S. Khambadkone, J. Nordmeyer, Y. Boudjemline, S. Schievano, V. Muthurangu, T. Y. Lee, G. Parenzan, G. Derrick, et al. Percutaneous Pulmonary Valve Implantation: Impact of Evolving Technology and Learning Curve on Clinical Outcome Circulation, April 15, 2008; 117(15): 1964 - 1972. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 T. Ohno, J. Muneuchi, K. Ihara, T. Yuge, Y. Kanaya, S. Yamaki, and T. Hara Pulmonary Hypertension in Patients With Congenital Portosystemic Venous Shunt: A Previously Unrecognized Association Pediatrics, April 1, 2008; 121(4): e892 - e899. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 N. Brechot, L. Gambotti, S. Lafitte, and R. Roudaut Usefulness of right ventricular isovolumic relaxation time in predicting systolic pulmonary artery pressure Eur J Echocardiogr, March 14, 2008; (2008) jen121v1. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S-W Lee, M-C Park, Y-B Park, and S-K Lee E/E' ratio is more sensitive than E/A ratio for detection of left ventricular diastolic dysfunction in systemic lupus erythematosus Lupus, March 1, 2008; 17(3): 195 - 201. [Abstract] [PDF]
|
|
|
|
 |
|
 A. Yamazaki, N. Yamamoto, T. Sakamoto, K. Ishihara, Y. Iwata, G. Matsumura, and H. Kurosawa Long-term outcomes and social independence level after arterial switch operation. Eur. J. Cardiothorac. Surg., February 1, 2008; 33(2): 239 - 243. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. M. Mourani, M. K. Sontag, A. Younoszai, D. D. Ivy, and S. H. Abman Clinical Utility of Echocardiography for the Diagnosis and Management of Pulmonary Vascular Disease in Young Children With Chronic Lung Disease Pediatrics, February 1, 2008; 121(2): 317 - 325. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H.-K. Kim, Y.-J. Kim, and D.-W. Sohn Impact of Careful Survey of Pulmonary Arteries During Echocardiographic Examination on Diagnosis and Treatment: An Echocardiographic Snapshot Makes Them Different Circulation, January 22, 2008; 117(3): 450 - 452. [Full Text] [PDF]
|
|
|
|
 |
|
 A Lopez-Candales, K Dohi, N Rajagopalan, K Edelman, B Gulyasy, and R Bazaz Defining normal variables of right ventricular size and function in pulmonary hypertension: an echocardiographic study Postgrad. Med. J., January 1, 2008; 84(987): 40 - 45. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. Huez and R. Naeije Exercise stress tests for detection and evaluation of pulmonary hypertension Eur. Heart J. Suppl., December 1, 2007; 9(suppl_H): H17 - H21. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J.-L. Vachiery and A. Pavelescu Exercise echocardiography in pulmonary hypertension Eur. Heart J. Suppl., December 1, 2007; 9(suppl_H): H48 - H53. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F. Venuta, S. Sciomer, C. Andreetti, M. Anile, T. De Giacomo, M. Rolla, F. Fedele, and G. F. Coloni Long-term Doppler echocardiographic evaluation of the right heart after major lung resections. Eur. J. Cardiothorac. Surg., November 1, 2007; 32(5): 787 - 790. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 V. Faoro, S. Huez, S. Giltaire, A. Pavelescu, A. van Osta, J.-J. Moraine, H. Guenard, J.-B. Martinot, and R. Naeije Effects of acetazolamide on aerobic exercise capacity and pulmonary hemodynamics at high altitudes J Appl Physiol, October 1, 2007; 103(4): 1161 - 1165. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 N. M. Patel, D. J. Lederer, A. C. Borczuk, and S. M. Kawut Pulmonary Hypertension in Idiopathic Pulmonary Fibrosis Chest, September 1, 2007; 132(3): 998 - 1006. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Cepkova, V. Kapur, X. Ren, T. Quinn, H. Zhuo, E. Foster, K. D. Liu, and M. A. Matthay Pulmonary Dead Space Fraction and Pulmonary Artery Systolic Pressure as Early Predictors of Clinical Outcome in Acute Lung Injury Chest, September 1, 2007; 132(3): 836 - 842. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 L. Coats, S. Khambadkone, G. Derrick, M. Hughes, R. Jones, B. Mist, D. Pellerin, J. Marek, J. E. Deanfield, P. Bonhoeffer, et al. Physiological consequences of percutaneous pulmonary valve implantation: the different behaviour of volume- and pressure-overloaded ventricles Eur. Heart J., August 1, 2007; 28(15): 1886 - 1893. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Hardziyenka, H. J. Reesink, B. J. Bouma, H.A.C.M. R. de Bruin-Bon, M. E. Campian, M. W.T. Tanck, R. B.A. van den Brink, J. J. Kloek, H. L. Tan, and P. Bresser A novel echocardiographic predictor of in-hospital mortality and mid-term haemodynamic improvement after pulmonary endarterectomy for chronic thrombo-embolic pulmonary hypertension Eur. Heart J., April 1, 2007; 28(7): 842 - 849. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. Dellegrottaglie, J. Sanz, M. Poon, J. F. Viles-Gonzalez, R. Sulica, M. Goyenechea, F. Macaluso, V. Fuster, and S. Rajagopalan Pulmonary Hypertension: Accuracy of Detection with Left Ventricular Septal-to-Free Wall Curvature Ratio Measured at Cardiac MR Radiology, April 1, 2007; 243(1): 63 - 69. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. W. Guron, A. Persson, R. Wikh, and K. Caidahl Can the left ventricular early diastolic tissue-to-blood time interval be used to identify a normal pulmonary capillary wedge pressure? Eur J Echocardiogr, March 1, 2007; 8(2): 94 - 101. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. S. McLean, I. Ting, S. J. Huang, and S. Wesley The use of the right ventricular diameter and tricuspid annular tissue Doppler velocity parameter to predict the presence of pulmonary hypertension Eur J Echocardiogr, March 1, 2007; 8(2): 128 - 136. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
E. M. Snyder, K. C. Beck, M. L. Hulsebus, J. F. Breen, E. A. Hoffman, and B. D. Johnson Short-term hypoxic exposure at rest and during exercise reduces lung water in healthy humans J Appl Physiol, December 1, 2006; 101(6): 1623 - 1632. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. G. Neilan, J. L. Januzzi, E. Lee-Lewandrowski, T.-T. Ton-Nu, D. M. Yoerger, D. S. Jassal, K. B. Lewandrowski, A. J. Siegel, J. E. Marshall, P. S. Douglas, et al. Myocardial Injury and Ventricular Dysfunction Related to Training Levels Among Nonelite Participants in the Boston Marathon Circulation, November 28, 2006; 114(22): 2325 - 2333. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. D. Puchalski, J. S. Lozier, D. J. Bradley, L. L. Minich, and L. Y. Tani Electrocardiography in the Diagnosis of Right Ventricular Hypertrophy in Children Pediatrics, September 1, 2006; 118(3): 1052 - 1055. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. Coats, S. Khambadkone, G. Derrick, S. Sridharan, S. Schievano, B. Mist, R. Jones, J. E. Deanfield, D. Pellerin, P. Bonhoeffer, et al. Physiological and Clinical Consequences of Relief of Right Ventricular Outflow Tract Obstruction Late After Repair of Congenital Heart Defects Circulation, May 2, 2006; 113(17): 2037 - 2044. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Handa, S. Nagai, S. Miki, Y. Fushimi, K. Ohta, M. Mishima, and T. Izumi Incidence of Pulmonary Hypertension and Its Clinical Relevance in Patients With Sarcoidosis Chest, May 1, 2006; 129(5): 1246 - 1252. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 I. Ben-Dor, M. R. Kramer, A. Raccah, Z. Iakobishvilli, D. Shitrit, G. Sahar, and D. Hasdai Echocardiography Versus Right-Sided Heart Catheterization Among Lung Transplantation Candidates. Ann. Thorac. Surg., March 1, 2006; 81(3): 1056 - 1060. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. Wallentin Guron, O. Bech-Hanssen, R. Wikh, A. Rosengren, M. Hartford, and K. Caidahl The E/e filling index and right ventricular pressure in relation to applied international Doppler recommendations of left ventricular filling assessment Eur J Echocardiogr, December 1, 2005; 6(6): 419 - 428. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. M. Berger, C. Hesse, C. Dehnert, H. Siedler, P. Kleinbongard, H. J. Bardenheuer, M. Kelm, P. Bartsch, and W. E. Haefeli Hypoxia Impairs Systemic Endothelial Function in Individuals Prone to High-Altitude Pulmonary Edema Am. J. Respir. Crit. Care Med., September 15, 2005; 172(6): 763 - 767. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. Sulica, A. S. Teirstein, S. Kakarla, N. Nemani, A. Behnegar, and M. L. Padilla Distinctive Clinical, Radiographic, and Functional Characteristics of Patients With Sarcoidosis-Related Pulmonary Hypertension Chest, September 1, 2005; 128(3): 1483 - 1489. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Y. Beaulieu and P. E. Marik Bedside Ultrasonography in the ICU: Part 1 Chest, August 1, 2005; 128(2): 881 - 895. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
E. Bossone, B. D. Bodini, A. Mazza, and L. Allegra Pulmonary Arterial Hypertension: The Key Role of Echocardiography Chest, May 1, 2005; 127(5): 1836 - 1843. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. Li, J. G. Dumesnil, P. Mathieu, and P. Pibarot Impact of valve prosthesis-patient mismatch on pulmonary arterial pressure after mitral valve replacement J. Am. Coll. Cardiol., April 5, 2005; 45(7): 1034 - 1040. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. M. Yoerger, F. Marcus, D. Sherrill, H. Calkins, J. A. Towbin, W. Zareba, M. H. Picard, and Multidisciplinary Study of Right Ventricular Dyspl Echocardiographic findings in patients meeting task force criteria for arrhythmogenic right ventricular dysplasia: New insights from the multidisciplinary study of right ventricular dysplasia J. Am. Coll. Cardiol., March 15, 2005; 45(6): 860 - 865. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
N. P. Talbot, G. M. Balanos, K. L. Dorrington, and P. A. Robbins Two temporal components within the human pulmonary vascular response to ~2 h of isocapnic hypoxia J Appl Physiol, March 1, 2005; 98(3): 1125 - 1139. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. Fukuda, J.-M. Song, A. M. Gillinov, P. M. McCarthy, M. Daimon, V. Kongsaerepong, J. D. Thomas, and T. Shiota Tricuspid Valve Tethering Predicts Residual Tricuspid Regurgitation After Tricuspid Annuloplasty Circulation, March 1, 2005; 111(8): 975 - 979. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
V. G. Davila-Roman, A. D. Waggoner, E. D. Kennard, R. Holubkov, W. R. E. Jamieson, L. Englberger, T. P. Carrel, and H. V. Schaff Prevalence and severity of paravalvular regurgitation in the Artificial Valve Endocarditis Reduction Trial (AVERT) echocardiography study J. Am. Coll. Cardiol., October 6, 2004; 44(7): 1467 - 1472. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 Z-D Du, L Cao, L Liang, D Chen, and Z-Z Li Increased pulmonary arterial pressure in children with nephrotic syndrome Arch. Dis. Child., September 1, 2004; 89(9): 866 - 870. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. M. Sadeghi, B. J. Kimura, A. Raisinghani, D. G. Blanchard, E. Mahmud, P. F. Fedullo, S. W. Jamieson, and A. N. DeMaria Does lowering pulmonary arterial pressure eliminate severe functional tricuspid regurgitation?: Insights from pulmonary thromboendarterectomy J. Am. Coll. Cardiol., July 7, 2004; 44(1): 126 - 132. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S R Johnson, D D Gladman, M B Urowitz, D Ibanez, and J T Granton Pulmonary hypertension in systemic lupus Lupus, July 1, 2004; 13(7): 506 - 509. [Abstract] [PDF]
|
|
|
|
|
|
M. McGoon, D. Gutterman, V. Steen, R. Barst, D. C. McCrory, T. A. Fortin, and J. E. Loyd Screening, Early Detection, and Diagnosis of Pulmonary Arterial Hypertension: ACCP Evidence-Based Clinical Practice Guidelines Chest, July 1, 2004; 126(1_suppl): 14S - 34S. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Chaudhari, C. Balmer, J.T. Heng, J. Wright, and O. Stumper Usefulness of Blalock-Taussig shunt Doppler flow velocity profiles in the assessment of pulmonary artery pressure and flow Eur J Echocardiogr, March 1, 2004; 5(2): 111 - 117. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Nath, E. Foster, and P. A. Heidenreich Impact of tricuspid regurgitation on long-term survival J. Am. Coll. Cardiol., February 4, 2004; 43(3): 405 - 409. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. K. Silversides, J. T. Granton, E. Konen, M. A. Hart, G. D. Webb, and J. Therrien Pulmonary thrombosis in adults with Eisenmenger syndrome J. Am. Coll. Cardiol., December 3, 2003; 42(11): 1982 - 1987. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R Castelli, P Tarsia, C Tantardini, G Pantaleo, and A G. F Porro Syncope in patients with pulmonary embolism: comparison between patients with syncope as the presenting symptom of pulmonary embolism and patients with pulmonary embolism without syncope Vascular Medicine, November 1, 2003; 8(4): 257 - 261. [Abstract] [PDF]
|
|
|
|
|
|
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]
|
|
|
|
|
|
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]
|
|
|
|
|
|
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]
|
|
|
|
 |
|
 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]
|
|
|
|
 |
|
 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]
|
|
|
|
 |
|
 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]
|
|
|
|
 |
|
 R. SCORZA, M. CARONNI, S. BAZZI, F. NADOR, L. BERETTA, R. ANTONIOLI, L. ORIGGI, A. PONTI, M. MARCHINI, and M. VANOLI Post-Menopause is the Main Risk Factor for Developing Isolated Pulmonary Hypertension in Systemic Sclerosis Ann. N.Y. Acad. Sci., June 1, 2002; 966(1): 238 - 246. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 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]
|
|
|
|
|
|
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]
|
|
|
|
|
|
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]
|
|
|
|
|
|
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]
|
|
|
|
 |
|
 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]
|
|
|
|
|
|
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. [Full Text] [PDF]
|
|
|
|
 |
|
 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]
|
|
|
|