Document Detail


Tissue Doppler measurements correlate with central venous pressure in pediatric patients after cardiac surgery.
MedLine Citation:
PMID:  20559128     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Tissue Doppler imaging (TDI) measurements have been demonstrated to correlate with central venous pressure (CVP) in adults. We hypothesize that TDI measurements also correlate with CVP in children after cardiac surgery. Patients younger than 10 years with invasive CVP monitoring after cardiac surgery were studied. Annular tissue and atrioventricular inflow velocities were measured daily during CVP monitoring. Tissue Doppler imaging measurements were compared with CVP by univariate analyses. Subgroup analyses were performed for univentricular versus biventricular hearts. p values < or = 0.05 were considered significant. Fifty studies were performed on 28 subjects; 20 studies were performed on patients with univentricular physiology; and 30 studies were performed on patients with biventricular physiology. For all subjects, CVP correlated significantly with the right ventricular TDI measurements of e' velocity (r = -0.43), a' velocity (r = 0.35), e'/a' ratio (r = -0.42), and E/e' ratio (r = 0.44). For biventricular patients, e' velocity (r = -0.35), e'/a' ratio (r = -0.38), and E/e' ratio (r = 0.58) correlated significantly. For univentricular patients, E velocity (r = -0.62), e' velocity (r = -0.50), and a' (r = 0.61) velocity correlated significantly. Tissue Doppler imaging measurements of the right heart significantly correlated with invasively measured CVP in pediatric subjects. Different measures may correlate more strongly in those with biventricular versus univentricular physiology. With additional study, TDI may prove a valid tool for noninvasively assessing CVP in children with both bi- and univentricular physiology.
Authors:
Christopher P Learn; Andrew R Yates; Lisa Nicholson; Keyana Milton; Eric Lloyd; Clifford L Cua
Related Documents :
938988 - Venous pressure-volume relation and calf blood flow determined by changes in posture.
7008418 - Effect of hr (o-(beta-hydroxyethyl)-rutosides) on the impaired venous function of young...
14764438 - A novel framework of circulatory equilibrium.
3824158 - Cuff-occluded rate of rise of peripheral venous pressure: a new, highly sensitive techn...
1563118 - Immunoreactive parathyroid hormone after volume change in normo- and hypotensive hemodi...
11539918 - Non-invasive blood pressure measurement under g.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  ASAIO journal (American Society for Artificial Internal Organs : 1992)     Volume:  56     ISSN:  1538-943X     ISO Abbreviation:  ASAIO J.     Publication Date:    2010 Jul-Aug
Date Detail:
Created Date:  2010-07-01     Completed Date:  2010-09-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9204109     Medline TA:  ASAIO J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  377-82     Citation Subset:  IM    
Affiliation:
The Heart Center, Nationwide Children's Hospital and Research Institute, Columbus, Ohio, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Cardiac Surgical Procedures*
Central Venous Pressure*
Cross-Sectional Studies
Echocardiography
Female
Heart Ventricles / physiopathology,  ultrasonography*
Hemodynamics
Humans
Infant
Male

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


Previous Document:  Bevacizumab improves the delivery and efficacy of paclitaxel.
Next Document:  Factors Affecting Tissue Culture and Transplantation Using Omentum.