Jump to ContentJump to Main Navigation
Show Summary Details
More options …

Journal of Perinatal Medicine

Official Journal of the World Association of Perinatal Medicine

Editor-in-Chief: Dudenhausen, MD, FRCOG, Joachim W.

Ed. by Bancalari, Eduardo / Chappelle, Joseph / Chervenak, Frank A. / D'Addario , Vincenzo / Genc, Mehmet R. / Greenough, Anne / Grunebaum, Amos / Kurjak M.D., Asim / Romero, Roberto / Zalud, MD PhD, Ivica

IMPACT FACTOR 2018: 1.361
5-year IMPACT FACTOR: 1.578

CiteScore 2018: 1.29

SCImago Journal Rank (SJR) 2018: 0.522
Source Normalized Impact per Paper (SNIP) 2018: 0.602

See all formats and pricing
More options …
Volume 35, Issue 6


Correlation of transthoracic echocardiography and right heart catheterization in pregnancy

Blair J. Wylie
  • 1Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Columbia University, NY, New York, USA
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Kelly C. Epps / Sreedhar Gaddipati
  • 3Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Columbia University, NY, New York, USA
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Carol A. Waksmonski
Published Online: 2007-12-05 | DOI: https://doi.org/10.1515/JPM.2007.133


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

About the article

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

Published Online: 2007-12-05

Published in Print: 2007-12-01

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

Export Citation

Citing Articles

Here you can find all Crossref-listed publications in which this article is cited. If you would like to receive automatic email messages as soon as this article is cited in other publications, simply activate the “Citation Alert” on the top of this page.

Stephanie R. Martin and Alexandra Edwards
Obstetrics & Gynecology, 2019, Volume 134, Number 5, Page 974
Karen M. Olsson and Richard Channick
European Respiratory Review, 2016, Volume 25, Number 142, Page 431
Cuoghi Edens, Bruna Costa Rodrigues, Marcela Ignacchiti Lacerda, Flavia Cunha Dos Santos, Guilherme R De Jesús, Nilson Ramires De Jesús, Roger A Levy, Cianna Leatherwood, Jess Mandel, and Bonnie Bermas
Rheumatology, 2018, Volume 57, Number suppl_5, Page v18
Christian Lilje, Jordan Harry, Kelly K. Gajewski, and Renee V. Gardner
Pediatric Blood & Cancer, 2017, Page e26606
J. Cornette, S. Laker, B. Jeffery, H. Lombaard, A. Alberts, D. Rizopoulos, J. W. Roos-Hesselink, and R. C. Pattinson
Ultrasound in Obstetrics & Gynecology, 2017, Volume 49, Number 1, Page 25
H. McNamara, P. Barclay, and V. Sharma
Survey of Anesthesiology, 2015, Volume 59, Number 5, Page 224
Clinical Obstetrics and Gynecology, 2014, Volume 57, Number 4, Page 806
Carol A. Waksmonski
Seminars in Perinatology, 2014, Volume 38, Number 5, Page 240
C. Randall Lane and Terence K. Trow
Clinics in Chest Medicine, 2011, Volume 32, Number 1, Page 165
C.-H. Hsu, M. Gomberg-Maitland, C. Glassner, and J.-H. Chen
International Journal of Clinical Practice, 2011, Volume 65, Page 6
Clinical Obstetrics and Gynecology, 2009, Volume 52, Number 4, Page 630

Comments (0)

Please log in or register to comment.
Log in