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Inferior vena cava echocardiography

โœ Scribed by Richard S. Meltzer; Jackie McGhie; Jos Roelandt


Publisher
John Wiley and Sons
Year
1982
Tongue
English
Weight
559 KB
Volume
10
Category
Article
ISSN
0091-2751

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โœฆ Synopsis


Abstract

The inferior vena cava can be imaged during echocardiography from the subcostal transducer position as an echoโ€free space at a depth ranging from 6 to 15 cm from the abdominal wall. The normal inferior vena cava Mโ€mode echocardiogram has an โ€œaโ€ and โ€œvโ€ pulsation pattern similar to that seen in the jugular venous tracing and exhibits prominent cyclic respiratory changes. Since right atrial activity can be seen as a pulsation on the Mโ€mode inferior vena cava tracing, specific patterns can be observed during cardiac arrhythmias. In right heart failure the inferior vena cava is usually distended, with diminished respiratory collapse. In tricuspid regurgitation, contrast injected into an arm appears in the inferior vena cava during the โ€œvโ€ wave. โ€œAโ€wave synchronousโ€ inferior vena cava contrast or a contrast appearance unrelated to the cardiac cycle, frequently with deep inspiration, does not suggest tricuspid regurgitation.


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