ArticleBMC anesthesiology2022
Hepatic vein Doppler in critically ill patients: a reflection of central venous pressure or right ventricular systolic function?
Article in BMC anesthesiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Right Atrial Pressure Estimation Using Point-of-Care Ultrasound of the Superior Vena Cava in the Cardiovascular Intensive Care Unit: A Case Series.CASE (Philadelphia, Pa.) · 2025Article
- VExUS score: optimizing its use in perioperative and critical care management.Critical care (London, England) · 2025Review
- Can central venous pressure help identify acute right ventricular dysfunction in mechanically ventilated critically ill patients?Annals of intensive care · 2024Article
- Dynamic changes of hepatic vein Doppler velocities predict preload responsiveness in mechanically ventilated critically ill patients.Intensive care medicine experimental · 2024Article
- The Importance of Venous Reflux Status Evaluation in the Intensive Care Unit.Aging and disease · 2024Review
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTo explore whether hepatic vein systolic filling fraction (SFF) is associated with central venous pressure (CVP) and right ventricular (RV) systolic function in critically ill patients.
methodsAdult patients admitted to ICU with echocardiographic examination were retrospectively enrolled. Echocardiographic parameters including hepatic vein systolic velocity (S) and diastolic phase velocity (D) and haemodynamic information at the time of echo examination were collected. RV systolic dysfunction was defined as tricuspid annular plane systolic excursion (TAPSE) < 16 mm. SFF was calculated as S/(S + D).
resultsTwo hundred four patients were enrolled in this study among whom 40 patients had a CVP ≤5 mmHg, 110 patients had a CVP 6-9 mmHg and 54 patients had a CVP ≥10 mmHg. The three groups had similar S velocity, D velocity and SFF. No correlation between SFF and CVP was found (r = - 0.046, p = 0.500), but correlation between SFF and TAPSE was noticed (r = 0.468, p < 0.001). The ROC analysis showed that the area under curve (AUC) of SFF for determining CVP ≥10 mmHg was 0.513 (95% CI: 0.420-0.606, p = 0.775), but the AUC of SFF for determining RV systolic dysfunction was 0.759 (95% CI: 0.686-0.833, p < 0.001).
conclusionHepatic vein systolic filling fraction is associated with RV systolic function in critically ill patients and is not associated with CVP.
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