Pulmonary venous flow by doppler echocardiography: revisited 12 years later

In 2003, pulmonary venous flow (PVF) evaluation by Doppler echocardiography is being used daily in clinical practice. Twelve years ago, we reviewed the potential uses of PVF in various conditions. Some of its important uses in cardiology have materialized, while others have not and have been supplan...

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Bibliographic Details
Published in:Journal of the American College of Cardiology 2003-04, Vol.41 (8), p.1243-1250
Main Authors: Tabata, Tomotsugu, Thomas, James D., Klein, Allan L.
Format: Article
Language:English
Subjects:
Biological and medical sciences
Cardiology
Cardiovascular system
Catheter Ablation
Catheters
Echocardiography, Doppler
Humans
Investigative techniques, diagnostic techniques (general aspects)
Medical sciences
Mitral Valve Insufficiency - diagnostic imaging
Mitral Valve Insufficiency - physiopathology
Mitral Valve Stenosis - diagnostic imaging
Mitral Valve Stenosis - physiopathology
Mitral Valve Stenosis - surgery
Pericarditis, Constrictive - diagnostic imaging
Pericarditis, Constrictive - physiopathology
Pulmonary Circulation
Pulmonary Veins - diagnostic imaging
Pulmonary Veins - physiology
Pulmonary Veins - physiopathology
Space life sciences
Ultrasonic imaging
Ultrasonic investigative techniques
Veins & arteries
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Summary:In 2003, pulmonary venous flow (PVF) evaluation by Doppler echocardiography is being used daily in clinical practice. Twelve years ago, we reviewed the potential uses of PVF in various conditions. Some of its important uses in cardiology have materialized, while others have not and have been supplanted by newer approaches. Current applications of measuring PVF have included: differentiating constrictive pericarditis from restriction, estimation of left ventricular (LV) filling pressures, evaluation of LV diastolic dysfunction and left atrial (LA) function, and grading the severity of mitral regurgitation (MR). However, there have been a number of controversies raised in the use of PVF profiles. Using transthoracic echocardiography, there may be technical issues in measuring the atrial reversal flow velocity. The use of PVF in the evaluation of the severity of MR is not always specific and can be affected by atrial fibrillation (AF) and elevated mean LA pressure. Mitral valvuloplasty and radiofrequency ablation for AF, which are the newer applications of PVF in monitoring invasive procedures, are mentioned. This article reviews the important clinical role of Doppler evaluation of PVF, discusses its limitations and pitfalls, and highlights its newer applications.
ISSN:0735-1097
1558-3597
DOI:10.1016/S0735-1097(03)00126-8