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
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