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      Peripheral Venous Pulsatility Detected by Doppler Method for Diagnosis of Right Heart Failure

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      Cardiology

      S. Karger AG

      Heart failure, Doppler, Central venous pressure

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          Abstract

          This study shows that peripheral venous flow detected by Doppler ultrasound becomes synchronously pulsatile with heart beats as soon as central venous pressure (CVP) is above 7 mm Hg. CVP was above 7 mm Hg in 13 among 46 patients. Clinical signs of right heart failure were detectable in only 7 of these 13 patients (sensitivity 54%), whereas peripheral venous flow was pulsatile in 12 of them (sensitivity 92%). In 4 patients with a normal CVP, peripheral venous flow was also pulsatile; all of them suffered from valvular heart disease with left ventricle ejection fraction below 60% in 3 of them. The detection of a pulsatile peripheral venous blood flow constitutes an early sign of right heart failure, more sensitive than clinical evaluation, and probably even more than CVP.

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          Author and article information

          Journal
          CRD
          Cardiology
          10.1159/issn.0008-6312
          Cardiology
          S. Karger AG
          0008-6312
          1421-9751
          1984
          1984
          11 November 2008
          : 71
          : 4
          : 173-176
          Affiliations
          Unit of Angiology and Division of Cardiology, Department of Medicine, University of Geneva, Switzerland
          Article
          173661 Cardiology 1984;71:173–176
          10.1159/000173661
          6383607
          © 1984 S. Karger AG, Basel

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          Page count
          Pages: 4
          Categories
          Diagnostic Techniques

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