scholarly journals Comparison of subclavian vein to inferior vena cava collapsibility by ultrasound in acute heart failure: A pilot study

2021 ◽  
Author(s):  
Yvonne E. Kaptein ◽  
Elaine M. Kaptein

2018 ◽  
Vol 24 (9) ◽  
pp. 614-617 ◽  
Author(s):  
Ehimare Akhabue ◽  
Jacob B. Pierce ◽  
Laura J. Davidson ◽  
Stuart B. Prenner ◽  
Raja K. Mutharasan ◽  
...  




Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Yvonne E Kaptein ◽  
Pedro D Salinas ◽  
Payal Sharma ◽  
Ana Christina Perez Moreno ◽  
Nasir Sulemanjee ◽  
...  

Introduction: Accurate assessment of relative intravascular volume is needed to guide management of acute decompensated heart failure (ADHF). Current assessments include history and physical examination (specific but not sensitive), and N-terminal prohormone of brain natriuretic peptide (NT-proBNP) (sensitive but not specific).Ultrasound (US) of inferior vena cava (IVC) collapsibility with respiration is commonly used to assess intravascular volume and right atrial pressure (RAP) but may be technically challenging. US of subclavian vein (SCV) collapsibility may provide an alternative assessment. Hypothesis: In ADHF, SCV collapsibility index (CI) may correlate with IVC CI and RAP. Methods: Prospective study of non-ventilated patients with ADHF who had NT-proBNP within 24 hours of paired IVC and SCV diameter measurements by US. Results: Forty-two patients (median age 66.5 years, 45% female, and 64% white) were enrolled, with 52 encounters. Cardiovascular comorbidities included hypertension (93%), chronic kidney disease (64%), coronary artery disease (55%), atrial fibrillation/flutter (55%), and valvular disease (55%). Of 38 patients with known heart failure, 63% had HFrEF, 16% HFmrEF, and 21% HFpEF.Correlation of paired IVC CI and SCV CI with relaxed breathing was R = 0.65 (N = 36). Correlation of paired IVC CI and SCV CI with forced inhalation was R = 0.47 (N = 36). Log 10 NT-proBNP was inversely correlated with IVC CI (R = -0.35; N = 51) and SCV CI (R = -0.33; N = 36). For patients with right heart catheterization within 24 hours of US, correlation of RAP to IVC CI was R = -0.53 (N = 9), and RAP to SCV CI was R = -0.65 (N = 9). Moderate or severe tricuspid regurgitation decreased CI independently of intravascular volume and RAP (figure). Conclusions: US measurements of SCV CI correlate well with paired IVC CI in non-ventilated ADHF. RAP by RHC correlated better with SCV CI than with IVC CI. SCV CI may be a reliable alternative to IVC CI in assessing relative intravascular volume.



2016 ◽  
Vol 80 (5) ◽  
pp. 1171-1177 ◽  
Author(s):  
Tomohiro Asahi ◽  
Marohito Nakata ◽  
Namio Higa ◽  
Mamoru Manita ◽  
Kazuhiko Tabata ◽  
...  


2020 ◽  
Vol 39 (7) ◽  
pp. 1367-1378
Author(s):  
Omar S. Darwish ◽  
Abdullah Mahayni ◽  
Saisha Kataria ◽  
Eric Zuniga ◽  
Lishi Zhang ◽  
...  


2016 ◽  
Vol 216 (4) ◽  
pp. 183-190
Author(s):  
C. Josa-Laorden ◽  
I. Giménez-López ◽  
J. Rubio-Gracia ◽  
F. Ruiz-Laiglesia ◽  
V. Garcés-Horna ◽  
...  


2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Frederic Balen ◽  
Charles-Henri Houze Cerfon ◽  
Dominique Lauque ◽  
Manon Hebrad ◽  
Thibault Legourrierec ◽  
...  


2014 ◽  
Vol 32 (7) ◽  
pp. 799-800 ◽  
Author(s):  
A. Gianstefani ◽  
F. Savelli ◽  
A. Gramenzi ◽  
E. Zucconi ◽  
N. Di Battista ◽  
...  


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