Role of Inferior Vena Cava Dynamics for Estimating Right Atrial Pressure in Congenital Heart Disease
Inferior vena cava (IVC) size and collapsibility (IVC dynamics) are used for estimating right atrial pressure (RAP). However, the diagnostic performance of the American Society of Echocardiography IVC criteria for estimating RAP in patients with congenital heart disease are unknown. The purpose of t...
Saved in:
Published in | Circulation. Cardiovascular imaging Vol. 15; no. 9; p. e014308 |
---|---|
Main Authors | , , , , |
Format | Journal Article |
Language | English |
Published |
United States
01.09.2022
|
Subjects | |
Online Access | Get full text |
Cover
Loading…
Abstract | Inferior vena cava (IVC) size and collapsibility (IVC dynamics) are used for estimating right atrial pressure (RAP). However, the diagnostic performance of the American Society of Echocardiography IVC criteria for estimating RAP in patients with congenital heart disease are unknown. The purpose of this study was to assess the role of IVC dynamics for estimating RAP in adults with congenital heart disease.
We conducted a retrospective study of adults with congenital heart disease that underwent cardiac catheterization and echocardiogram at Mayo Clinic (2003-2019). IVC diameter was measured at inspiration (IVC
) and end-expiration (IVC
), and IVC collapsibility index (IVC
) was calculated.
Based on 918 patients, we observed a good correlation between IVC
and invasive RAP (
=0.56,
<0.001); IVC
and RAP (
=0.58,
<0.001); and IVC
(
=-0.72,
<0.001). There was excellent correlation between invasive RAP and estimated RAP using IVC
(
=0.80,
<0.001). We observed that IVC
<60% had superior diagnostic performance as compared with American Society of Echocardiography criteria (IVC
>2.1 cm, area under the curve difference 0.15,
<0.001; IVC
<50%, area under the curve difference 0.09,
=0.008; combination of IVC
>2.1 cm; and IVC
<50%, area under the curve difference 0.06,
=0.02). Estimated RAP >10 mm Hg based on IVC
had comparable prognostic performance as invasive RAP but superior prognostic performance as the American Society of Echocardiography criteria.
IVC
<60% was the best criterion to identify patients with elevated RAP. IVC
was comparable to invasively measured RAP in its relation to prognosis. Further studies are required to determine whether the use of IVC
in clinical decision-making will improve clinical outcomes in this population. |
---|---|
AbstractList | Inferior vena cava (IVC) size and collapsibility (IVC dynamics) are used for estimating right atrial pressure (RAP). However, the diagnostic performance of the American Society of Echocardiography IVC criteria for estimating RAP in patients with congenital heart disease are unknown. The purpose of this study was to assess the role of IVC dynamics for estimating RAP in adults with congenital heart disease.
We conducted a retrospective study of adults with congenital heart disease that underwent cardiac catheterization and echocardiogram at Mayo Clinic (2003-2019). IVC diameter was measured at inspiration (IVC
) and end-expiration (IVC
), and IVC collapsibility index (IVC
) was calculated.
Based on 918 patients, we observed a good correlation between IVC
and invasive RAP (
=0.56,
<0.001); IVC
and RAP (
=0.58,
<0.001); and IVC
(
=-0.72,
<0.001). There was excellent correlation between invasive RAP and estimated RAP using IVC
(
=0.80,
<0.001). We observed that IVC
<60% had superior diagnostic performance as compared with American Society of Echocardiography criteria (IVC
>2.1 cm, area under the curve difference 0.15,
<0.001; IVC
<50%, area under the curve difference 0.09,
=0.008; combination of IVC
>2.1 cm; and IVC
<50%, area under the curve difference 0.06,
=0.02). Estimated RAP >10 mm Hg based on IVC
had comparable prognostic performance as invasive RAP but superior prognostic performance as the American Society of Echocardiography criteria.
IVC
<60% was the best criterion to identify patients with elevated RAP. IVC
was comparable to invasively measured RAP in its relation to prognosis. Further studies are required to determine whether the use of IVC
in clinical decision-making will improve clinical outcomes in this population. BACKGROUNDInferior vena cava (IVC) size and collapsibility (IVC dynamics) are used for estimating right atrial pressure (RAP). However, the diagnostic performance of the American Society of Echocardiography IVC criteria for estimating RAP in patients with congenital heart disease are unknown. The purpose of this study was to assess the role of IVC dynamics for estimating RAP in adults with congenital heart disease. METHODSWe conducted a retrospective study of adults with congenital heart disease that underwent cardiac catheterization and echocardiogram at Mayo Clinic (2003-2019). IVC diameter was measured at inspiration (IVCmin) and end-expiration (IVCmax), and IVC collapsibility index (IVCCI) was calculated. RESULTSBased on 918 patients, we observed a good correlation between IVCmax and invasive RAP (r=0.56, P<0.001); IVCmin and RAP (r=0.58, P<0.001); and IVCCI (r=-0.72, P<0.001). There was excellent correlation between invasive RAP and estimated RAP using IVCCI (r=0.80, P<0.001). We observed that IVCCI <60% had superior diagnostic performance as compared with American Society of Echocardiography criteria (IVCmax >2.1 cm, area under the curve difference 0.15, P<0.001; IVCCI <50%, area under the curve difference 0.09, P=0.008; combination of IVCmax >2.1 cm; and IVCCI <50%, area under the curve difference 0.06, P=0.02). Estimated RAP >10 mm Hg based on IVCCI had comparable prognostic performance as invasive RAP but superior prognostic performance as the American Society of Echocardiography criteria. CONCLUSIONSIVCCI <60% was the best criterion to identify patients with elevated RAP. IVCCI was comparable to invasively measured RAP in its relation to prognosis. Further studies are required to determine whether the use of IVCCI in clinical decision-making will improve clinical outcomes in this population. Background: Inferior vena cava (IVC) size and collapsibility (IVC dynamics) are used for estimating right atrial pressure (RAP). However, the diagnostic performance of the American Society of Echocardiography IVC criteria for estimating RAP in patients with congenital heart disease are unknown. The purpose of this study was to assess the role of IVC dynamics for estimating RAP in adults with congenital heart disease. Methods: We conducted a retrospective study of adults with congenital heart disease that underwent cardiac catheterization and echocardiogram at Mayo Clinic (2003–2019). IVC diameter was measured at inspiration (IVC min ) and end-expiration (IVC max ), and IVC collapsibility index (IVC CI ) was calculated. Results: Based on 918 patients, we observed a good correlation between IVC max and invasive RAP ( r =0.56, P <0.001); IVC min and RAP ( r =0.58, P <0.001); and IVC CI ( r =−0.72, P <0.001). There was excellent correlation between invasive RAP and estimated RAP using IVC CI ( r =0.80, P <0.001). We observed that IVC CI <60% had superior diagnostic performance as compared with American Society of Echocardiography criteria (IVC max >2.1 cm, area under the curve difference 0.15, P <0.001; IVC CI <50%, area under the curve difference 0.09, P =0.008; combination of IVC max >2.1 cm; and IVC CI <50%, area under the curve difference 0.06, P =0.02). Estimated RAP >10 mm Hg based on IVC CI had comparable prognostic performance as invasive RAP but superior prognostic performance as the American Society of Echocardiography criteria. Conclusions: IVC CI <60% was the best criterion to identify patients with elevated RAP. IVC CI was comparable to invasively measured RAP in its relation to prognosis. Further studies are required to determine whether the use of IVC CI in clinical decision-making will improve clinical outcomes in this population. |
Author | Connolly, Heidi M Pellikka, Patricia A Miranda, William R Anderson, Jason H Egbe, Alexander C |
Author_xml | – sequence: 1 givenname: Alexander C orcidid: 0000-0002-8810-3631 surname: Egbe fullname: Egbe, Alexander C organization: Department of Cardiovascular Medicine, Mayo Clinic Rochester, MN – sequence: 2 givenname: Heidi M orcidid: 0000-0003-0666-0344 surname: Connolly fullname: Connolly, Heidi M organization: Department of Cardiovascular Medicine, Mayo Clinic Rochester, MN – sequence: 3 givenname: Patricia A orcidid: 0000-0001-6800-3521 surname: Pellikka fullname: Pellikka, Patricia A organization: Department of Cardiovascular Medicine, Mayo Clinic Rochester, MN – sequence: 4 givenname: Jason H orcidid: 0000-0002-3941-0707 surname: Anderson fullname: Anderson, Jason H organization: Department of Cardiovascular Medicine, Mayo Clinic Rochester, MN – sequence: 5 givenname: William R orcidid: 0000-0001-8864-8474 surname: Miranda fullname: Miranda, William R organization: Department of Cardiovascular Medicine, Mayo Clinic Rochester, MN |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/36126125$$D View this record in MEDLINE/PubMed |
BookMark | eNpVkdtq3DAQhkVJaQ7tKwRd9sYbjWzZ8k1hcZKNIU3DkvZWyPJoo-KVUskbyNtXzaYhgYEZ5vDPD98xOfDBIyGnwBYANZx1_brrvy9X_c1qAZwvGFQlkx_IEbQVLxiT7OC5hqKtBRyS45R-M1aXTMhP5LCsgecQR2RchwlpsLT3FqMLkf5Cr2mnHzU9f_J660yiNrcv0uy2enZ-Q9ducz_T5RydnuhtxJR2EanztAt-g97NuX2FOs703CXUCT-Tj1ZPCb-85BPy8_Lirrsqrn-s-m55XZgKqrmAmgtrxpIzY0cpBBOVHkFWUjcVDNwOhjNZt1IaYzWzAsTQgsChabFpGj2UJ-TbXvdhN2xxNOjnqCf1ELPz-KSCdur9xLt7tQmPqhWsKqXMAl9fBGL4s8M0q61LBqdJewy7pHgDteAie8ur9X7VxJBSRPv6Bpj6h0i9QaQyIrVHlA9P35p8PfvPpPwL8q6QvQ |
CitedBy_id | crossref_primary_10_1161_JAHA_123_033196 crossref_primary_10_1161_JAHA_124_034833 crossref_primary_10_1016_j_ijcard_2023_131399 crossref_primary_10_1016_j_ejogrb_2023_03_045 |
Cites_doi | 10.1161/CIRCULATIONAHA.106.627224 10.1016/j.echo.2007.01.005 10.1016/j.echo.2018.01.025 10.1016/j.echo.2020.05.027 10.1161/CIRCULATIONAHA.109.898122 10.1016/j.jacc.2020.10.035 10.2307/2531595 10.1016/j.echo.2010.05.010 10.1161/CIRCULATIONAHA.115.017202 10.1111/j.1751-7133.2010.00202.x 10.7326/M13-1522 10.1016/j.cjca.2019.03.009 10.1016/j.echo.2014.10.003 10.1093/eurheartj/ehv317 10.1002/jcu.20837 10.1016/j.ijcard.2013.03.003 10.1161/CIRCIMAGING.121.013075 10.1002/ehf2.12836 10.1378/chest.13-3035 10.1161/JAHA.119.014148 10.1016/s0735-1097(86)80496-x 10.4065/75.1.24 10.1161/01.cir.73.3.428 10.1016/0002-9149(90)90711-9 |
ContentType | Journal Article |
DBID | CGR CUY CVF ECM EIF NPM AAYXX CITATION 7X8 5PM |
DOI | 10.1161/CIRCIMAGING.122.014308 |
DatabaseName | Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed CrossRef MEDLINE - Academic PubMed Central (Full Participant titles) |
DatabaseTitle | MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) CrossRef MEDLINE - Academic |
DatabaseTitleList | MEDLINE MEDLINE - Academic CrossRef |
Database_xml | – sequence: 1 dbid: NPM name: PubMed url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: EIF name: MEDLINE url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search sourceTypes: Index Database |
DeliveryMethod | fulltext_linktorsrc |
EISSN | 1942-0080 |
EndPage | e014308 |
ExternalDocumentID | 10_1161_CIRCIMAGING_122_014308 36126125 |
Genre | Research Support, Non-U.S. Gov't Journal Article Research Support, N.I.H., Extramural |
GrantInformation_xml | – fundername: NHLBI NIH HHS grantid: K23 HL141448 – fundername: NHLBI NIH HHS grantid: R01 HL158517 – fundername: NHLBI NIH HHS grantid: R01 HL160761 |
GroupedDBID | --- .XZ .Z2 0R~ 18M 29B 53G 5GY 5VS 6J9 AAAAV AAHPQ AAIQE AAJCS AARTV AASCR ABASU ABBUW ABDIG ABJNI ABVCZ ABXVJ ABZAD ACDDN ACEWG ACGFO ACGFS ACILI ACWDW ACWRI ACXJB ACXNZ ADBBV ADGGA ADHPY ADNKB AEBDS AEETU AFDTB AFEXH AFUWQ AGINI AHQNM AHRYX AHVBC AINUH AJIOK AJNWD AJNYG AJZMW ALMA_UNASSIGNED_HOLDINGS ALMTX AMJPA AMKUR AMNEI AOHHW BAWUL BQLVK C45 CGR CS3 CUY CVF DIK DIWNM DUNZO E.X E3Z EBS ECM EEVPB EIF EJD EX3 F5P FCALG FL- GNXGY GQDEL H13 HLJTE HZ~ IKREB IN~ IPNFZ KD2 KQ8 KQB L-C NPM O9- ODMTH ODZKP OHYEH OK1 OPUJH OUVQU OVD OVDNE OXXIT P2P P6G RAH RHF RIG RLZ S4S TEORI TR2 TSPGW V2I W2D W3M W8F WOW ZZMQN AAYXX CITATION 7X8 5PM |
ID | FETCH-LOGICAL-c414t-1625fcd320cfd855054ad1848a741b2fbc2086988ccfa0f515b915eb79e777ab3 |
ISSN | 1941-9651 |
IngestDate | Tue Sep 17 21:29:20 EDT 2024 Fri Aug 16 04:19:16 EDT 2024 Fri Aug 23 01:07:08 EDT 2024 Sat Sep 28 08:17:56 EDT 2024 |
IsDoiOpenAccess | false |
IsOpenAccess | true |
IsPeerReviewed | true |
IsScholarly | true |
Issue | 9 |
Keywords | heart failure catheterization diagnosis hypertension atrial pressure |
Language | English |
LinkModel | OpenURL |
MergedId | FETCHMERGED-LOGICAL-c414t-1625fcd320cfd855054ad1848a741b2fbc2086988ccfa0f515b915eb79e777ab3 |
Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
ORCID | 0000-0003-0666-0344 0000-0001-6800-3521 0000-0001-8864-8474 0000-0002-3941-0707 0000-0002-8810-3631 |
OpenAccessLink | https://www.ahajournals.org/doi/pdf/10.1161/CIRCIMAGING.122.014308 |
PMID | 36126125 |
PQID | 2716525855 |
PQPubID | 23479 |
ParticipantIDs | pubmedcentral_primary_oai_pubmedcentral_nih_gov_9504388 proquest_miscellaneous_2716525855 crossref_primary_10_1161_CIRCIMAGING_122_014308 pubmed_primary_36126125 |
PublicationCentury | 2000 |
PublicationDate | 2022-09-00 20220901 |
PublicationDateYYYYMMDD | 2022-09-01 |
PublicationDate_xml | – month: 09 year: 2022 text: 2022-09-00 |
PublicationDecade | 2020 |
PublicationPlace | United States |
PublicationPlace_xml | – name: United States |
PublicationTitle | Circulation. Cardiovascular imaging |
PublicationTitleAlternate | Circ Cardiovasc Imaging |
PublicationYear | 2022 |
References | e_1_3_3_6_2 e_1_3_3_5_2 e_1_3_3_8_2 e_1_3_3_7_2 e_1_3_3_17_2 e_1_3_3_9_2 e_1_3_3_16_2 e_1_3_3_19_2 e_1_3_3_18_2 e_1_3_3_13_2 e_1_3_3_24_2 e_1_3_3_12_2 e_1_3_3_23_2 e_1_3_3_15_2 e_1_3_3_14_2 e_1_3_3_25_2 e_1_3_3_2_2 e_1_3_3_20_2 e_1_3_3_4_2 e_1_3_3_11_2 e_1_3_3_22_2 e_1_3_3_3_2 e_1_3_3_10_2 e_1_3_3_21_2 |
References_xml | – ident: e_1_3_3_15_2 doi: 10.1161/CIRCULATIONAHA.106.627224 – ident: e_1_3_3_9_2 doi: 10.1016/j.echo.2007.01.005 – ident: e_1_3_3_20_2 doi: 10.1016/j.echo.2018.01.025 – ident: e_1_3_3_19_2 doi: 10.1016/j.echo.2020.05.027 – ident: e_1_3_3_3_2 doi: 10.1161/CIRCULATIONAHA.109.898122 – ident: e_1_3_3_23_2 doi: 10.1016/j.jacc.2020.10.035 – ident: e_1_3_3_13_2 doi: 10.2307/2531595 – ident: e_1_3_3_5_2 doi: 10.1016/j.echo.2010.05.010 – ident: e_1_3_3_25_2 doi: 10.1161/CIRCULATIONAHA.115.017202 – ident: e_1_3_3_7_2 doi: 10.1111/j.1751-7133.2010.00202.x – ident: e_1_3_3_14_2 doi: 10.7326/M13-1522 – ident: e_1_3_3_22_2 doi: 10.1016/j.cjca.2019.03.009 – ident: e_1_3_3_11_2 doi: 10.1016/j.echo.2014.10.003 – ident: e_1_3_3_4_2 doi: 10.1093/eurheartj/ehv317 – ident: e_1_3_3_10_2 doi: 10.1002/jcu.20837 – ident: e_1_3_3_24_2 doi: 10.1016/j.ijcard.2013.03.003 – ident: e_1_3_3_12_2 doi: 10.1161/CIRCIMAGING.121.013075 – ident: e_1_3_3_21_2 doi: 10.1002/ehf2.12836 – ident: e_1_3_3_2_2 doi: 10.1378/chest.13-3035 – ident: e_1_3_3_16_2 doi: 10.1161/JAHA.119.014148 – ident: e_1_3_3_17_2 doi: 10.1016/s0735-1097(86)80496-x – ident: e_1_3_3_8_2 doi: 10.4065/75.1.24 – ident: e_1_3_3_18_2 doi: 10.1161/01.cir.73.3.428 – ident: e_1_3_3_6_2 doi: 10.1016/0002-9149(90)90711-9 |
SSID | ssj0063058 |
Score | 2.4067724 |
Snippet | Inferior vena cava (IVC) size and collapsibility (IVC dynamics) are used for estimating right atrial pressure (RAP). However, the diagnostic performance of the... Background: Inferior vena cava (IVC) size and collapsibility (IVC dynamics) are used for estimating right atrial pressure (RAP). However, the diagnostic... BACKGROUNDInferior vena cava (IVC) size and collapsibility (IVC dynamics) are used for estimating right atrial pressure (RAP). However, the diagnostic... |
SourceID | pubmedcentral proquest crossref pubmed |
SourceType | Open Access Repository Aggregation Database Index Database |
StartPage | e014308 |
SubjectTerms | Adult Atrial Pressure Echocardiography Heart Defects, Congenital - diagnostic imaging Humans Retrospective Studies Vena Cava, Inferior - diagnostic imaging |
Title | Role of Inferior Vena Cava Dynamics for Estimating Right Atrial Pressure in Congenital Heart Disease |
URI | https://www.ncbi.nlm.nih.gov/pubmed/36126125 https://search.proquest.com/docview/2716525855 https://pubmed.ncbi.nlm.nih.gov/PMC9504388 |
Volume | 15 |
hasFullText | 1 |
inHoldings | 1 |
isFullTextHit | |
isPrint | |
link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV3db9MwELfKkNBeEIiv8iUj8RYlaxLHiR-rMNYOdYJpQ3uLbNeBaFs6hZQH_jP-O852nKZ0D7CXqHI-e_fL-S6--x1C74VMBZNS-HQZZj5hceJzkShfge-tJ7SYGrb9xQmdnZPji-RiNPo9yFpatyKQv26tK7mLVmEM9KqrZP9Ds_1FYQB-g35hCxqG7T_p-LRLDZzrqr1q1XhfVc29nP_k3gfbad6wLXiH8B5rz1Rn2ulg3JvaZh22NrBRXekf3KdqLdlw02pezn7pxlEZVI3s2n0FOlVkK5P12vQ76j30b0JtFdB4edCvdwxaXGuercpbBBsTfXVVXV5y693q9gEV96b97qmpxbGZAsdcd0-cBcMPFxDzuswsZ2sZCX1GO75Z5cbguIlt7tQb6GQARDawtkqTE06yweQ9GNmdG6ieG_L5aT5fTI_mJ0dBGEXB7gmg45trg5gY3D_tAW7mSpcf8HmRM839lmX30P0oZYmO-z996RewKJhRU4Xp_mNXnA7PcHD7E-yjB-522y7STtzzd_ruwB86e4QedoEMnlpUPkYjVT9BS41IvCqxQyTWiMQakdghEgMi8QaR2CASW0Rih0hc1XiDSGwQiTtEPkXnHw_P8pnf9fHwJQlJ64cQY5dyGUcTWS41gV5COFgGknFwZ0VUChlBYM2yTMqST0rwsAULEyVSptI05SJ-hvbqVa1eIEwyQuKSx0s5KQkvmRAloURSmkkuk4iP0YETXXFj6VoKE-bSsBjIvQC5F1buY_TOSbgAy6qXy3itVusfRZSGNIkgnE7G6LmVeH9Np6oxSrd00R-gWdu399TVd8Pe3uHm5Z3PfIX2N6_Ta7TXNmv1BjzjVrw1GPwDqTq4HA |
link.rule.ids | 230,315,786,790,891,27957,27958 |
linkProvider | Colorado Alliance of Research Libraries |
openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Role+of+Inferior+Vena+Cava+Dynamics+for+Estimating+Right+Atrial+Pressure+in+Congenital+Heart+Disease&rft.jtitle=Circulation.+Cardiovascular+imaging&rft.au=Egbe%2C+Alexander+C.&rft.au=Connolly%2C+Heidi+M.&rft.au=Pellikka%2C+Patricia+A.&rft.au=Anderson%2C+Jason+H.&rft.date=2022-09-01&rft.issn=1941-9651&rft.eissn=1942-0080&rft.volume=15&rft.issue=9&rft.spage=e014308&rft.epage=e014308&rft_id=info:doi/10.1161%2FCIRCIMAGING.122.014308&rft_id=info%3Apmid%2F36126125&rft.externalDBID=PMC9504388 |
thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1941-9651&client=summon |
thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1941-9651&client=summon |
thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1941-9651&client=summon |