Non-invasive evaluation of central venous pressure by echocardiography

Paulo Marcelino, Ana Paula Fernandes, Susan Marum, Joaquim Palmeiro Ribeiro
Portuguese Journal of Cardiology: An Official Journal of the Portuguese Society of Cardiology 2002, 21 (2): 125-33

INTRODUCTION: Central venous pressure (CVP) is an important hemodynamic parameter, reflecting the patient's volume status. Although some studies of non-invasive evaluation of CVP by echocardiography exist, an exact quantitative method has not been described.

OBJECTIVES: Analyzing several echocardiographic variables, the authors present an equation to calculate CVP with good statistical correlation with CVP measured invasively.

MATERIAL AND METHODS: The study included 45 patients, 32 undergoing mechanical ventilation, 32 in sinus rhythm and 13 with atrial fibrillation. Patients underwent simultaneous CVP measurement and transthoracic Doppler echocardiography. Statistical analysis was performed using bivariate correlation and analysis of variance.

RESULTS: Several echocardiographic parameters measured showed a good correlation with the measured CVP. Standardized coefficients were applied to them and an equation to calculate CVP was obtained (tricuspid E decelaration) x 0.11 + (RU/RA gradient) x 0.16 - (IVC variation).

CONCLUSION: This new method seems reliable to evaluate non-invasively a hemodynamic parameter that until now has only been measured approximately by this approach.

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