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Chapter-16 Spectral Doppler of the Hepatic Veins

BOOK TITLE: Comprehensive Textbook of Echocardiography (2 Volumes)

Author
1. Fadel Bahaa M
2. Almahdi Bader
3. Al-Admawi Mohammad
4. Salvo Giovanni Di
ISBN
9789350906347
DOI
10.5005/jp/books/11889_16
Edition
1/e
Publishing Year
2014
Pages
26
Author Affiliations
1. King Faisal Specialist Hospital and Research Center, Heart Center, Riyadh, Saudi Arabia, Heart Institute, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
2. King Faisal Specialist Hospital and Research Center, Heart Center, Riyadh, Saudi Arabia, Heart Institute, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
3. King Faisal Specialist Hospital and Research Center, Heart Center, Riyadh, Saudi Arabia, Heart Institute, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
4. Hospital and Research Center, Heart Center, Riyadh, Saudi Arabia, Heart Institute, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
Chapter keywords
Spectral Doppler, Hepatic veins, Hepatic venous flow, Doppler pattern HV, Superior vena cava, Transthoracic echocardiography, Transesophageal echocardiography, Cardiac tamponade, RV filling

Abstract

This chapter Spectral Doppler of the Hepatic Veins (HV) provides a window to the assessment of right heart function. Careful evaluation of the various components of the flow signal and the response to respiration allow the identification and analysis of several physiological and pathological processes. It provides important information regarding RV systolic and diastolic function, RV filling pattern and pressures, the severity of TR, the diagnosis and differentiation of constrictive pericarditis and restrictive cardiomyopathy, the presence of PHTN, and cardiac tamponade. Additionally, it provides useful information regarding cardiac rhythm, particularly the presence of AV dissociation. A differential diagnosis for the most common abnormal HV flow patterns is listed in flow charts. 42 self-explanatory echo images are included in this chapter. And 71 references are given at the end of the chapter to facilitate further reading.

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