Emergency department right atrial pressure and intravascular volume estimation using right ventricular tissue Doppler bedside ultrasonography

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• 作者：David C. Riley (1)
  Samuel Gerson (1)
  John Arbo (1)
  
• 关键词：Ultrasound ; Tissue Doppler imaging ; Right atrial pressure estimation ; Volume depletion ; Metastatic colon cancer
• 刊名：Critical Ultrasound Journal
• 出版年：2010
• 出版时间：July 2010
• 年：2010
• 卷：2
• 期：1
• 页码：31-33
• 全文大小：815KB
• 参考文献：1. Lang RM, Bierig M, Devereux RB et al (2005) Recommendations for chamber quantification: a report from the American Society of Echocardiography鈥檚 Guidelines and Standards Committee and the Chamber Quantification Writing Group, developed in conjunction with the European Association of Echocardiography, a branch of the European Society of Cardiology. J Am Soc Echocardiogr 18:1440鈥?463 CrossRef
  2. Kircher BJ, Himelman RB, Schiller NB (1990) Noninvasive estimation of right atrial pressure from the inspiratory collapse of the inferior vena cava. Am J Cardiol 66:493鈥?96 CrossRef
  3. Perera P, Mailhot T, Riley D, Mandavia D (2010) The RUSH exam: Rapid Ultrasound in SHock in the evaluation of the critically ill. Emerg Med Clin North Am 28:29鈥?6 CrossRef
  4. Ho CY, Solomon SD (2006) A clinician鈥檚 guide to tissue Doppler imaging. Circulation 113:e396鈥揺398 CrossRef
  5. Nageh MF, Kopelen HA, Zoghbi WA, Quinones MA, Nagueh SF (1999) Estimation of mean right atrial pressure using tissue Doppler imaging. Am J Cardiol 84:1448鈥?451 CrossRef
  
• 作者单位：David C. Riley (1)
  Samuel Gerson (1)
  John Arbo (1)
  
  1. Emergency Medicine Department, Columbia University Medical Center, 622 West 168th Street, PH 1-137, New York, NY, 10032, USA
  

文摘

A 41 year old woman with a history of colon cancer metastatic to her lung and liver, presented to the emergency department severely dehydrated. Bedside ultrasonography revealed a tumor mass in her proximal inferior vena cava at the junction of the right atrium obstructing the ability to assess her volume status with inferior vena cava inspiratory collapse. Bedside emergency department cardiac tissue Doppler ultrasonography of the lateral right ventricle and pulse Doppler ultrasonography of the tricuspid valve was used to estimate her right atrial pressure and intravascular volume status.