Spectral Doppler of the Hepatic Veins in Rate, Rhythm, and Conduction Disorders

Abstract

Doppler interrogation of blood flow in the hepatic veins (HVs) provides valuable information regarding a wide spectrum of pathological processes that affect the right heart. Systematic analysis of the direction, velocity, and phasicity of the HV waveforms allows one to distinguish normal from abnormal patterns and provides important diagnostic information. Abnormalities in heart rate, rhythm, and intracardiac conduction are commonly encountered during echocardiographic studies. Sinus bradycardia and tachycardia, bradyarrhythmias and tachyarrhythmias as well as atrioventricular conduction disturbances influence the flow pattern in the HVs and may pose a challenge to the correct interpretation of the HV Doppler. Alterations in HV flow that are induced by the electrical abnormalities may mimic right heart pathology. Awareness of these alterations allows one to avoid misinterpretation of the HV signal, helps diagnose the underlying rhythm or conduction abnormality, and permits assessment of the impact on right heart hemodynamics.

Traumatic tricuspid valve injury following pacemaker lead extraction: A case report

“…SFR can also be appreciated on CDI and on CMM. Whilst SFR is a very specific sign of severe TR, other conditions may result in SFR especially when there is atrial contraction against a closed TV as in the case of paced rhythms, atrioventricular dissociation and atrial arrythmias 18,19 . In this patient, the rhythm was paced and there was underlying AF.…”

Usefulness of Serial Multiorgan Point-of-Care Ultrasound in Acute Heart Failure: Results from a Prospective Observational Cohort

“…This would suggest that could be reasonable to adopt different flexible approaches, rather than performing a comprehensive, time-consuming, protocol. Additionally, the hepatic veins in patients with rhythm disorders or with intracardiac devices might be difficult to interpret [33]. Therefore, selecting patients with a portal vein determination could be enough, as supported by other studies [18][19][20]24,34].…”

Como Faço Avaliação da Congestão Venosa Sistêmica: Protocolo VExUS

“…Angelo Antunes Salgado, 1,2,3 Marcos Paulo Lacerda Bernardo, 1,4 Fernando Melo Netto 5,6 Universidade do Estado do Rio de Janeiro, 1 Rio de Janeiro, RJ -Brasil Instituto Nacional de Cardiologia, 2 Rio de Janeiro, RJ -Brasil Hospital Pro-Cardiaco, 3 Rio de Janeiro, RJ -Brasil Centro de Diagnóstico Avançado (CDA), 4 Teresópolis, RJ -Brasil Hospital Sure-Libanês Brasília, 5 Brasília, DF -Brasil Hospital DF Star, 6 Brasília, DF -Brasil…”