Cited by 21Cardiovascular Function and Risk FactorsHemodynamic Monitoring and TherapyCardiac Valve Diseases and Treatments

A simple Doppler echocardiography method to evaluate pulmonary capillary wedge pressure in patients with atrial fibrillation

Sénéchal, Mario, O'Connor, Kim, Deblois, Jonathan, Magne, Julien, Dumesnil, Jean‐Gaston, Pibarot, Philippe, Bergeron, Sébastien, Poirier, Paul·2008·Echocardiography

Abstract

OBJECTIVE: The accuracy of E/E' ratio has not been validated in atrial fibrillation (AF). The objective of this study is to compare the accuracy of the E/E' ratio averaged over a sample of 10 cardiac cycles and E/E' ratio obtained in the cycle with the longest RR interval for the estimation of wedge pressure in patients with AF using a simultaneous pulmonary artery occlusive pressure measured with a Swan-Ganz catheter. DESIGN: Twenty-four consecutive patients with AF with a Swan-Ganz catheter were recruited in this study. The majority of patients (92%) were in the early postoperative phase of cardiac surgery. RESULTS: The best sensitivity and specificity was reached with E/E' ratio in the medial position using the one-beat method; E/E' ratio > or = 16 with one beat predicts a wedge pressure >15 mmHg with a sensitivity and specificity of 91% and 85%, respectively. CONCLUSIONS: Measuring E/E' ratio using the one-beat method is a simple and clinically accurate way to estimate wedge pressure in patients with AF.

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Crossref · 10.1111/j.1540-8175.2007.00555.x

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Authors
Sénéchal, M., O'Connor, K., Deblois, J., Magne, J., Dumesnil, J., Pibarot, P., Bergeron, S., & Poirier, P.
Corresponding author
Sénéchal, Mario
Venue
Echocardiography
Publisher
Wiley
Published
2007-11-12
Volume
25
Issue
1
Pages
57-63
ISSN
  • 0742-2822 (ISSN-L)
  • 1540-8175
OpenAlex
W2070996467
Cited by
21
References
21
Citations by year
2026: 1 · 2023: 1 · 2022: 1 · 2021: 1 · 2020: 1 · 2018: 2 · 2017: 2 · 2016: 6 · 2014: 1 · 2013: 1 · 2012: 1
FWCI
0.23
Type
journal article
Language
en
Open access
closed
Locations
  • Echocardiography (publishedVersion)
  • PubMed (publishedVersion)
  • Corpus Université Laval (Université Laval) (submittedVersion)
  • ORBi (University of Liège) (submittedVersion)
Topics
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Function and Risk Factors
  • Health Sciences › Medicine › Surgery › Hemodynamic Monitoring and Therapy
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Valve Diseases and Treatments
Keywords
atrial fibrillation, pulmonary capillary wedge pressure, E/e' ratio, Doppler echocardiography, pulmonary artery catheter, cardiac surgery, postoperative patients, left ventricular filling pressure
MeSH terms
Aged, Analysis of Variance, Atrial Fibrillation, Catheterization, Swan-Ganz, Female, Humans, Male, Pulmonary Wedge Pressure, Echocardiography, Doppler

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