Portal vein pulsatility:An important sonographic tool assessment of systemic congestion for critical ill patients  

作　　者：Stavros Dimopoulos Michael Antonopoulos 

机构地区：[1]Cardiac Surgery ICU,Onassis Cardiac Surgery Center,Kallithea 17674,Greece

出　　处：《World Journal of Cardiology》2024年第5期221-225,共5页世界心脏病学杂志（英文版）（电子版）

摘　　要：In this editorial we comment on the article by Kuwahara et al,published in the recent issue of the World Journal of Cardiology.In this interesting paper,the authors showed a correlation between portal vein pulsatility ratio,examined by bedside ultrasonography,and prognosis of hospitalized patients with acute heart failure.Systemic congestion is being notoriously underdetected in the acutely ill population with conventional methods like clinical examination,biomarkers,central venous pressure estimation and X-rays.However,congestion should be a key therapeutic target due to its deleterious effects to end organ function and subsequently patient prognosis.Doppler flow assessment of the abdominal veins is gaining popularity worldwide,as a valuable tool in estimating comprehensively congestion and giving a further insight into hemodynamics and patient management.

关 键 词：Systemic congestion Organ perfusion Hemodynamics Central venous pressure Point of care ultrasound Venous excess ultrasound 

分 类 号：R654.2[医药卫生—外科学]