Document Detail


Correlation of transthoracic echocardiography and right heart catheterization in pregnancy.
MedLine Citation:
PMID:  18052837     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: To correlate estimated pulmonary artery pressures (PAP) by echocardiography with right heart catheterization (RHC) measurements and to correlate estimated left ventricular ejection fraction (EF) by echocardiography with cardiac output (CO) measurements by RHC. STUDY DESIGN: All women who had echocardiography at a single institution during a 6-year period and underwent RHC during pregnancy were included. Echocardiography estimates of right ventricular systolic pressure (RVSP) and EF were correlated with measured RHC PAP and CO, respectively. RESULTS: Eighteen patients underwent 21 RHCs, 10 antepartum at the catheterization laboratory and the remaining 11 intrapartum, performed with the use of a pulmonary artery catheter placed prior to the onset or induction of labor. Correlation between RVSP and PAP was good (rho=0.79, P<0.0001); nonetheless, in 30% of cases RHC eliminated the concern for pulmonary hypertension (PHTN). There was minimal correlation between EF and CO. CONCLUSION: Despite good statistical correlation between echocardiography and RHC for determining pulmonary artery pressure, RHC should be considered for major decisions such as pregnancy interruption or preterm delivery given the proportion of cases where concern for PHTN was excluded by RHC. EF provides a poor proxy for CO.
Authors:
Blair J Wylie; Kelly C Epps; Sreedhar Gaddipati; Carol A Waksmonski
Related Documents :
6333827 - Systemic and pulmonary hemodynamic responses to intracranial hypertension.
2535057 - Acute and long-term hemodynamic response to low-dose enoximone in refractory heart fail...
6682617 - Regression of myocardial cellular hypertrophy with vasodilator therapy in chronic conge...
8571677 - Unexplained pulmonary hypertension in children in the highlands of papua new guinea.
20613627 - Independent associations of serum concentrations of 25-hydroxyvitamin d and parathyroid...
7191807 - Effects of infrasound on the rota-rod treadmill performance of rats.
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of perinatal medicine     Volume:  35     ISSN:  0300-5577     ISO Abbreviation:  J Perinat Med     Publication Date:  2007  
Date Detail:
Created Date:  2007-12-06     Completed Date:  2008-04-08     Revised Date:  2010-03-24    
Medline Journal Info:
Nlm Unique ID:  0361031     Medline TA:  J Perinat Med     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  497-502     Citation Subset:  IM    
Affiliation:
Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Columbia University, NY, New York, USA. bwylie@partners.org
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Echocardiography*
Female
Heart Atria
Heart Catheterization*
Humans
Hypertension, Pulmonary / diagnosis*
Pregnancy
Pregnancy Complications / diagnosis*
Pulmonary Wedge Pressure / physiology*
Stroke Volume / physiology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Elevated blood lead levels in pregnant women: identification of a high-risk population and intervent...
Next Document:  Impact of the new French clinical practice recommendations in embolization in postpartum and post-ab...