Portal vein pulsatility index is a more important indicator than congestion index in the clinical evaluation of right heart function

Table 1 Clinical and biochemical data in patients with heart failure (mean¡ÀSD)

	Controls	RA < 10 mmHg	RA ¡Ý 10 mmHg
Gender (M/F)	10/10	4/6	5/5
Age (yr)	46 ± 12	50 ± 13	47 ± 19
Total protein (g/dL)	7.5 ± 0.6	7.1 ± 0.8	6.9 ± 1.1
Albumin (g/dL)	4.3 ± 0.2	3.9 ± 0.7	3.7 ± 0.5
Total serum bilirubin (mg/dL)	0.9 ± 0.4	1.3 ± 0.8	1.4 ± 0.8
AST (U/L)	21 ± 6	31 ± 11	59 ± 291b
ALT (U/L)	24 ± 6	23 ± 8	35 ± 20
Prolonged prothrombin time (s)	-	1.1 ± 0.9	1.4 ± 0.8

RA, right atrial pressure ;

¹P=0.009 vs patients with RA < 10 mmHg and

^bP<0.001 vs controls.

Table 2 Cardiac profiles in patients with congestive heart failure(mean¡ÀSD)

	RA < 10 mmHg	RA ¡Ý 10 mmHg	P
HI (L/min/m2)	3.0 ± 0.9	2.4 ± 0.4	0.28
AO (mmHg)	89.0 ± 9.6	87.3 ± 12.8	0.78
LVED (mmHg)	12.2 ± 6.7	22.1 ± 10.9	0.06
PW (mmHg)	14.6 ± 5.6	29.1 ± 7.7	0.002
PA (mmHg)	25.0 ± 6.8	42.4 ± 12.0	0.004
RA (mmHg)	4.7 ± 2.1	16.8 ± 4.9	< 0.001
RVED (mmHg)	6.4 ± 2.1	17.8 ± 4.4	< 0.001

RA, right atrial pressure; HI, cardiac index; LVED, left ventricular end-diastolic pressure; AO, mean aortic pressure; PW, pulmonary wedge pressure; PA, mean pulmonary arterial pressure; RA, mean right atrial pressure; RVED, right ventricular end-diastolic pressure.

Table 3 Portal profiles in patients with congestive heart failure( mean¡ÀSD)

	Controls(n = 20)	RA ¡Ü 10 mmHg(n= 10)	RA > 10 mmHg(n = 10)
Vmax (cm/s)	20.1 ± 3.1	24.5 ± 3.9	21.1 ± 4.8
Vmean (cm/s)	11.2 ± 1.9	14.0 ± 2.3	12.0 ± 2.7
Area (cm2)	1.01 ± 0.20	0.80 ± 0.13	0.96 ± 0.13
PBF (mL/min)	685 ± 136	678 ± 172	672 ± 162
PI (%)	23.3 ± 6.3	27.0 ± 7.4	87.8 ± 32.3b
Congestion index	5.3 ± 1.2	5.8 ± 1.2	8.7 ± 2.41

RA, right atrial pressure; V_max, maximum portal velocity; V_mean, mean portal velocity; PBF, portal blood flow; PI, portal vein pulsatility index.

^bP<0.001,

¹P=0.03 vs controls and RA ≤ 10 mmHg.