PMID- 11433806
OWN - NLM
STAT- MEDLINE
DCOM- 20010802
LR  - 20161124
IS  - 0914-5087 (Print)
IS  - 0914-5087 (Linking)
VI  - 37
IP  - 6
DP  - 2001 Jun
TI  - [Clinical significance of measuring inferior vena cava dimension in patients with 
      acute exacerbation of chronic heart failure].
PG  - 309-13
AB  - OBJECTIVES: This study determined the clinical significance of measuring the 
      inferior vena cava dimension in patients with heart failure. METHODS: The 
      subjects were 373 patients admitted due to acute exacerbation of chronic heart 
      failure. The relationships were examined between inferior vena cava dimension in 
      the end-expiratory phase on admission and in the stable state and etiology of 
      heart failure, age, New York Heart Association (NYHA) functional classification 
      in the stable state (before exacerbation), body weight, grade of tricuspid 
      regurgitation, left ventricular end-diastolic dimension and left ventricular 
      ejection fraction measured by two-dimensional echocardiography in the stable 
      state and on admission, severity of lung congestion (Killip's classification) on 
      admission, and clinical course during treatment. RESULTS: The inferior vena cava 
      dimension was not correlated with etiology, age, NYHA functional classification, 
      body weight, left ventricular end-diastolic dimension or left ventricular 
      ejection fraction, but was correlated with the grade of tricuspid regurgitation 
      (r = 0.78, p < 0.0001 in the stable state, r = 0.60, p < 0.0001 and on 
      admission). The severity of lung congestion did not correlate with inferior vena 
      cava dimension on admission or the increase in inferior vena cava dimension. The 
      increase in body weight on admission was correlated with the increase in inferior 
      vena cava dimension (r = 0.83, p < 0.0001), but did not correlate with inferior 
      vena cava dimension on admission. Tricuspid regurgitation grade and inferior vena 
      cava dimension were restored to the stable state when body weight reached stable 
      state after treatment in patients (n = 202) with inferior vena cava dimension 
      increased by over 5 mm on admission. CONCLUSIONS: Inferior vena cava dimension in 
      patients with heart failure is correlated with the tricuspid regurgitation grade 
      in the stable state and at acute exacerbation. The increase in inferior vena cava 
      dimension between stable and exacerbated states, but not the actual value, is 
      clinically useful to evaluate patients with acute exacerbation of chronic heart 
      failure.
FAU - Sasaki, T
AU  - Sasaki T
AD  - Division of Cardiology, Department of Cardiology and Cardiovascular Surgery, 
      Osaka Kosei-nenkin Hospital.
FAU - Kubo, T
AU  - Kubo T
FAU - Miyamoto, T
AU  - Miyamoto T
FAU - Komamura, K
AU  - Komamura K
FAU - Honda, K
AU  - Honda K
FAU - Miyatake, K
AU  - Miyatake K
LA  - jpn
PT  - Journal Article
PL  - Netherlands
TA  - J Cardiol
JT  - Journal of cardiology
JID - 8804703
SB  - IM
MH  - Chronic Disease
MH  - Heart Failure/*physiopathology
MH  - Humans
MH  - Stroke Volume
MH  - Tricuspid Valve Insufficiency/physiopathology
MH  - *Ultrasonography, Interventional
MH  - Vena Cava, Inferior/diagnostic imaging/*pathology
MH  - Ventricular Function, Left
EDAT- 2001/07/04 10:00
MHDA- 2001/08/03 10:01
CRDT- 2001/07/04 10:00
PHST- 2001/07/04 10:00 [pubmed]
PHST- 2001/08/03 10:01 [medline]
PHST- 2001/07/04 10:00 [entrez]
PST - ppublish
SO  - J Cardiol. 2001 Jun;37(6):309-13.