| 000 | 03453nam a22004337a 4500 | ||
|---|---|---|---|
| 008 | 240723s20242024 xxu||||| |||| 00| 0 eng d | ||
| 022 | _a0002-9343 | ||
| 024 | _aS0002-9343(24)00097-4 [pii] | ||
| 040 | _aOvid MEDLINE(R) | ||
| 099 | _a38401676 | ||
| 245 | _aThe Ultrasound Hepato-Jugular Reflux: Measuring the Hepato-Jugular Reflux with Ultrasound with Comparison to Invasive Right Heart Catheterization. | ||
| 251 | _aAmerican Journal of Medicine. 2024 Feb 23 | ||
| 252 | _aAm J Med. 2024 Feb 23 | ||
| 253 | _aThe American journal of medicine | ||
| 260 | _c2024 | ||
| 260 | _p2024 Feb 23 | ||
| 265 | _saheadofprint | ||
| 265 | _tPublisher | ||
| 266 | _d2024-07-23 | ||
| 501 | _aAvailable online from MWHC library: 1995 - present, Available in print through MWHC library: 1999 - present | ||
| 520 | _aBACKGROUND: Ultrasound can overcome barriers to visualizing the internal jugular vein, allowing hepato-jugular reflux and jugular venous pressure measurement. We aimed to determine operating characteristics of the ultrasound hepato-jugular reflux and ultrasound jugular venous pressure predicting right atrial and pulmonary capillary occlusion pressures. | ||
| 520 | _aCONCLUSION: In patients undergoing right heart catheterization, the ultrasound hepato-jugular reflux is reproducible, has modest impact on the probability of a normal pulmonary capillary occlusion pressure when 0 cm, and more substantial impact on the probability of an elevated pulmonary capillary occlusion pressure when >= 1.5 cm. Copyright © 2024 Elsevier Inc. All rights reserved. | ||
| 520 | _aMETHODS: In a prospective observational cohort at three US academic hospitals the hepato-jugular reflux and jugular venous pressure were measured with ultrasound before right heart catheterization. Receiver operating curves, likelihood ratios, and regression models were utilized to compare the ultrasound hepato-jugular reflux and ultrasound jugular venous pressure to the right atrial and pulmonary capillary occlusion pressures. | ||
| 520 | _aRESULTS: In 99 adults undergoing right heart catheterization, an ultrasound hepato-jugular reflux had a negative likelihood ratio of 0.4 if 0 cm and a positive likelihood ratio of 4.3 if >= 1.5 cm for predicting a pulmonary capillary occlusion pressure >= 15 mmHg. Regression modeling predicting pulmonary capillary occlusion pressure was not only improved by including the ultrasound hepato-jugular reflux (P < .001), it was the more impactful predictor compared with the ultrasound jugular venous pressure (adjusted odds ratio 2.6 vs 1.2). The ultrasound hepato-jugular reflux showed substantial agreement (kappa 0.76; 95% confidence interval, 0.30-1.21), with poor agreement for the ultrasound jugular venous pressure (kappa 0.11; 95% confidence interval, -0.37-0.58). | ||
| 546 | _aEnglish | ||
| 650 | _zAutomated | ||
| 650 | _aIN PROCESS -- NOT YET INDEXED | ||
| 651 | _aMedStar Health Research Institute | ||
| 651 | _aMedStar Heart & Vascular Institute | ||
| 651 | _aMedStar Union Memorial Hospital | ||
| 656 | _aMedicine | ||
| 657 | _aJournal Article | ||
| 700 |
_aCalderon, Luis M _bMHVI |
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| 700 |
_aChou, JiLing _bMHRI |
||
| 700 |
_aRao, Shiavax J _bMUMH |
||
| 790 | _aFischer EA, Barajas R, Kalam KA, Rao SJ, Chou J, Calderon LM, Weisman DS | ||
| 856 |
_uhttps://dx.doi.org/10.1016/j.amjmed.2024.02.019 _zhttps://dx.doi.org/10.1016/j.amjmed.2024.02.019 |
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| 942 |
_cART _dArticle |
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| 999 |
_c14203 _d14203 |
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