LV diastolic function 舒张功能

Estimation of wedge pressure with echocardiography

In patients with cardiac disease without precapillary pulmonary arterial hypertension, an algorithm based on the acquisition of pulmonary regurgitation Doppler trace can accurately estimate elevated pulmonary capillary wedge pressure independently of LV ejection fraction, providing an advantage in negative predictive value and accuracy over the ASE/EACVI 2016 recommendations.

Comparison of the flowcharts for prediction of pulmonary artery wedge pressure: An algorithm based on the pulmonary artery end-diastolic pressure vs the ASE-EACVI 2016 algorithm (Reference).
E = mitral peak E-wave velocity; e’l = tissue Doppler annular lateral peak early diastolic velocity; e’s = tissue Doppler annular septal peak early diastolic velocity; E/e’m = mitral-to-myocardial early velocities; E/A =mitral peak E/A wave ratio; EF = ejection fraction; LAVi = left atrial maximum volume index; e-PADP = Doppler-estimated pulmonary artery diastolic pressure; PAWP = pulmonary artery wedge pressure, TRV= tricuspid regurgitation velocity