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Journal of Perinatal Medicine

Official Journal of the World Association of Perinatal Medicine

Editor-in-Chief: Dudenhausen, Joachim W.

Editorial Board Member: / Bancalari, Eduardo / Greenough, Anne / Genc, Mehmet R. / Chervenak, Frank A. / Chappelle, Joseph / Bergmann, Renate L. / Bernardes, J.F. / Bevilacqua, G. / Blickstein, Isaac / Cabero Roura, Luis / Carbonell-Estrany, Xavier / Carrera, Jose M. / D`Addario, Vincenzo / D'Alton, MD, Mary E. / Dimitrou, G. / Grunebaum, Amos / Hentschel, Roland / Köpcke, W. / Kawabata, Ichiro / Keirse, M.J.M.C. / Kurjak M.D., Asim / Lee, Ben H. / Levene, Malcolm / Lockwood, Charles J. / Marsal, Karel / Makatsariya, Alexander / Nishida, Hiroshi / Papp, Zoltán / Pejaver, Ranjan Kumar / Pooh, Ritsuko K. / Romero, Roberto / Saugstad, Ola D. / Schenker, Joseph G. / Sen, Cihat / Seri, Istvan / Vetter, Klaus / Winn, Hung N. / Young, Bruce K. / Zimmermann, Roland

6 Issues per year


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Correlation of transthoracic echocardiography and right heart catheterization in pregnancy

Blair J. Wylie1 / Kelly C. Epps2 / Sreedhar Gaddipati3 / Carol A. Waksmonski4

1Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Columbia University, NY, New York, USA

2Division of Cardiology, Department of Medicine, Columbia University, NY, New York, USA

3Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Columbia University, NY, New York, USA

4Division of Cardiology, Department of Medicine, Columbia University, NY, New York, USA

Corresponding author: Blair J. Wylie, MD Founders 4 Massachusetts General Hospital 55 Fruit Street Boston, MA 02114 Tel.: +1-617-724-2229 Fax: +1-617-726-4267

Citation Information: Journal of Perinatal Medicine. Volume 35, Issue 6, Pages 497–502, ISSN (Online) 16193997, ISSN (Print) 03005577, DOI: 10.1515/JPM.2007.133, December 2007

Publication History

Published Online:
2007-12-05

Abstract

Objectives: To correlate estimated pulmonary artery pressures (PAP) by echocardiography with right heart catheterization (RHC) measurements and to correlate estimated left ventricular ejection fraction (EF) by echocardiography with cardiac output (CO) measurements by RHC.

Study design: All women who had echocardiography at a single institution during a 6-year period and underwent RHC during pregnancy were included. Echocardiography estimates of right ventricular systolic pressure (RVSP) and EF were correlated with measured RHC PAP and CO, respectively.

Results: Eighteen patients underwent 21 RHCs, 10 antepartum at the catheterization laboratory and the remaining 11 intrapartum, performed with the use of a pulmonary artery catheter placed prior to the onset or induction of labor. Correlation between RVSP and PAP was good (rho=0.79, P<0.0001); nonetheless, in 30% of cases RHC eliminated the concern for pulmonary hypertension (PHTN). There was minimal correlation between EF and CO.

Conclusion: Despite good statistical correlation between echocardiography and RHC for determining pulmonary artery pressure, RHC should be considered for major decisions such as pregnancy interruption or preterm delivery given the proportion of cases where concern for PHTN was excluded by RHC. EF provides a poor proxy for CO.

Keywords: Cardiomyopathy; critical care obstetrics; echocardiography; pulmonary hypertension

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[1]
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[3]
C. Randall Lane and Terence K. Trow
Clinics in Chest Medicine, 2011, Volume 32, Number 1, Page 165
[4]
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International Journal of Clinical Practice, 2011, Volume 65, Page 6
[5]
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