Tissue Doppler Imaging (E/e') and Pulmonary Capillary Wedge Pressure in Patients With Severe Aortic Stenosis.

Document Type

Article

Publication Date

2-2-2021

Publication Title

Journal of cardiothoracic and vascular anesthesia

Keywords

california; newport beach; hoag; E/e’; TAVR; aortic stenosis; diastology; echocardiography; pulmonary capillary wedge pressure; tissue Doppler; transcatheter aortic valve replacement

Abstract

OBJECTIVE: Although American and European consensus statements advocate using the ratio of the transmitral E velocity and tissue Doppler early diastolic mitral annular velocity (E/e') in the assessment of left-sided heart filling pressures, recent reports have questioned the reliability of this ratio to predict left atrial pressures in a variety of disease states. The authors hypothesized that there is a clinically significant correlation between E/e' and pulmonary capillary wedge pressure (PCWP) in patients with severe aortic stenosis.

DESIGN: Retrospective cohort study.

PARTICIPANTS: The study comprised 733 consecutive patients with severe aortic stenosis who underwent transcatheter aortic valve replacement for severe aortic stenosis.

INTERVENTIONS: None.

MEASUREMENTS AND MAIN RESULTS: PCWP and E/e'

CONCLUSION: A clinically relevant relationship between E/e' and PCWP was not observed in patients with severe aortic stenosis.

Clinical Institute

Cardiovascular (Heart)

Department

Cardiology

Department

Anesthesiology

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