ArticleWorld journal of cardiology2023
Clinical impact of portal vein pulsatility on the prognosis of hospitalized patients with acute heart failure.
Article in World journal of cardiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 11 citations in OpenAlex.
- Tricuspid Valve Regurgitation Manifesting in Gastrointestinal Symptoms.JACC. Case reports · 2026Article
- Rethinking Congestion in Heart Failure from Volume Overload to Venous Pressure and Organ Disfunction with VExUS.Medicina (Kaunas, Lithuania) · 2026Review
- Feasibility and early experience with venous Doppler congestion assessment in post-operative lung transplant patients.The ultrasound journal · 2026Article
- Right Atrial Pressure Estimation Using Point-of-Care Ultrasound of the Superior Vena Cava in the Cardiovascular Intensive Care Unit: A Case Series.CASE (Philadelphia, Pa.) · 2025Article
- Assessing Venous Congestion in Acute and Chronic Heart Failure: A Review of Splanchnic, Cardiac and Pulmonary Ultrasound: Part 1: Conventional B-Mode, Colordoppler, and Vexus Protocol.Journal of clinical medicine · 2025Review
- Venous Excess Ultrasound (VExUS) score and short-term outcomes in ambulatory patients with heart failure with reduced ejection fraction: an exploratory study.The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2025Article
- Assessment of Decongestion Status Before Discharge in Acute Decompensated Heart Failure: A Review of Clinical, Biochemical, and Imaging Tools and Their Impact on Management Decisions.Medicina (Kaunas, Lithuania) · 2025Review
- Diagnosis and treatment of lung cancer: A molecular perspective.World journal of clinical oncology · 2025Article
- Clinical implications of the latest advances in gastrointestinal tumor research.World journal of gastrointestinal oncology · 2024Article
- Portal Vein Pulsatility: A Valuable Approach for Monitoring Venous Congestion and Prognostic Evaluation in Acute Decompensated Heart Failure.Diagnostics (Basel, Switzerland) · 2024Article
- Ultrasound unveiling: Decoding venous congestion in heart failure for precision management of fluid status.World journal of cardiology · 2024Article
- Portal vein pulsatility: An important sonographic tool assessment of systemic congestion for critical ill patients.World journal of cardiology · 2024Article
- Venous Doppler flow patterns, venous congestion, heart disease and renal dysfunction: A complex liaison.World journal of cardiology · 2024Article
- Review
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Authors and funding
9 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHeart failure (HF) causes extracardiac organ congestion, including in the hepatic portal system. Reducing venous congestion is essential for HF treatment, but evaluating venous congestion is sometimes difficult in patients with chronic HF. The portal vein (PV) flow pattern can be influenced by right atrial pressure. Ultrasound images of the PV are quite easy to obtain and are reproducible among sonographers. However, the association between PV pulsatility and the condition of HF remains unclear. We hypothesize that PV pulsatility at discharge reflects the condition of HF.
aimTo evaluate the usefulness of PV pulsatility as a prognostic marker for hospitalized patients with acute HF.
methodsThis observational study was conducted from April 2016 to January 2017 and April 2018 to April 2019 at Shinko Hospital. We enrolled 56 patients with acute HF, and 17 patients without HF served as controls. PV flow velocity was measured by ultrasonography on admission and at discharge. We calculated the PV pulsatility ratio (PVPR) as the ratio of the difference between the peak and minimum velocity to the peak velocity. The primary endpoint was cardiac death and HF re-hospitalization. The observation period was 1 year from the first hospitalization. The Kaplan-Meier method was used to determine the stratified composite event-free rates, and the log-rank test was used for comparisons between groups.
resultsOn admission, the PVPR was significantly higher in patients with acute HF than controls (HF: 0.29 ± 0.20
conclusionPVPR at discharge reflects the condition of HF. It is also a novel prognostic marker for hospitalized patients with acute HF.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.