Effects of age and physiologic variables on right ventricular filling dynamics in normal subjects

Allan L. Klein, Dominic Y. Leung, R. Daniel Murray, Lynn H. Urban, Kent R Bailey, A. Jamil Tajik

Research output: Contribution to journalArticle

46 Citations (Scopus)

Abstract

The reference values for right ventricular (RV) filling of normal persons and the effects of physiologic variables in a large series have not been described. The objective of this study was to characterize superior vena cava, hepatic vein, and RV inflow Doppler measurements in a large normal reference group to reflect the aging process, gender, heart rote, and effects of respiration. We prospectively performed pulsed-wave Doppler echocardiography of the superior vena cava, hepatic vein, and RV inflow during inspiration, expiration, and apnea in 115 healthy volunteers (62 women and 53 men) ranging in age from 21 to 84 years (mean ± SEM 48 ± 17). For analysis, the study subjects were classified by age into 2 groups: those <50 years of age (group 1; n = 60) and those ≥50 years of age (group 2; n = 55). Multiregression models were used to assess the influence of age, gender, and heart rote on Doppler variables. There were important differences in superior vena cava and RV inflow between the 2 groups. Group 2 had a greater superior vena cava peak atrial flow velocity (16 ± 3 vs 13 ± 3 cm/s), flow integrals (1.5 ± 0.4 vs 1.1 ± 0.3 cm), and reverse flow as a percentage of forward flow (17 ± 6% vs 14 ± 6%) than group 1. In group 2, peak RV inflow early filling velocity (41 ± 8 vs 51 ± 7 cm/s) and ratio of early filling-to- atrial filling (1.3 ± 0.4 vs 2 ± 0.5) were lower than that of group 1. Likewise, peak atrial filling velocity was higher (33 ± 8 vs 27 ± 8 cm/s) and deceleration time was longer (198 ± 23 vs 188 ± 22 ms) in group 2. The superior vena cava and hepatic vein peak forward flow velocities were significantly higher during inspiration than during expiration and apnea. Similarly, RV inflow velocities were significantly higher during inspiration than in expiration and apnea. Multiregression analysis showed that age, gender, and heart rate had important effects on Doppler variables. Thus, this study demonstrates the effects of aging and normal physiologic variable flow velocities in the superior vena cava, hepatic veins, and RV inflow in a large series of normal subjects.

Original languageEnglish (US)
Pages (from-to)440-448
Number of pages9
JournalAmerican Journal of Cardiology
Volume84
Issue number4
DOIs
StatePublished - Aug 15 1999

Fingerprint

Superior Vena Cava
Hepatic Veins
Apnea
Age Groups
Doppler Effect
Doppler Pulsed Echocardiography
Deceleration
Healthy Volunteers
Respiration
Reference Values
Heart Rate

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Effects of age and physiologic variables on right ventricular filling dynamics in normal subjects. / Klein, Allan L.; Leung, Dominic Y.; Murray, R. Daniel; Urban, Lynn H.; Bailey, Kent R; Tajik, A. Jamil.

In: American Journal of Cardiology, Vol. 84, No. 4, 15.08.1999, p. 440-448.

Research output: Contribution to journalArticle

Klein, Allan L. ; Leung, Dominic Y. ; Murray, R. Daniel ; Urban, Lynn H. ; Bailey, Kent R ; Tajik, A. Jamil. / Effects of age and physiologic variables on right ventricular filling dynamics in normal subjects. In: American Journal of Cardiology. 1999 ; Vol. 84, No. 4. pp. 440-448.
@article{3e14fa4b64154a6c8ff16dae47ca63e6,
title = "Effects of age and physiologic variables on right ventricular filling dynamics in normal subjects",
abstract = "The reference values for right ventricular (RV) filling of normal persons and the effects of physiologic variables in a large series have not been described. The objective of this study was to characterize superior vena cava, hepatic vein, and RV inflow Doppler measurements in a large normal reference group to reflect the aging process, gender, heart rote, and effects of respiration. We prospectively performed pulsed-wave Doppler echocardiography of the superior vena cava, hepatic vein, and RV inflow during inspiration, expiration, and apnea in 115 healthy volunteers (62 women and 53 men) ranging in age from 21 to 84 years (mean ± SEM 48 ± 17). For analysis, the study subjects were classified by age into 2 groups: those <50 years of age (group 1; n = 60) and those ≥50 years of age (group 2; n = 55). Multiregression models were used to assess the influence of age, gender, and heart rote on Doppler variables. There were important differences in superior vena cava and RV inflow between the 2 groups. Group 2 had a greater superior vena cava peak atrial flow velocity (16 ± 3 vs 13 ± 3 cm/s), flow integrals (1.5 ± 0.4 vs 1.1 ± 0.3 cm), and reverse flow as a percentage of forward flow (17 ± 6{\%} vs 14 ± 6{\%}) than group 1. In group 2, peak RV inflow early filling velocity (41 ± 8 vs 51 ± 7 cm/s) and ratio of early filling-to- atrial filling (1.3 ± 0.4 vs 2 ± 0.5) were lower than that of group 1. Likewise, peak atrial filling velocity was higher (33 ± 8 vs 27 ± 8 cm/s) and deceleration time was longer (198 ± 23 vs 188 ± 22 ms) in group 2. The superior vena cava and hepatic vein peak forward flow velocities were significantly higher during inspiration than during expiration and apnea. Similarly, RV inflow velocities were significantly higher during inspiration than in expiration and apnea. Multiregression analysis showed that age, gender, and heart rate had important effects on Doppler variables. Thus, this study demonstrates the effects of aging and normal physiologic variable flow velocities in the superior vena cava, hepatic veins, and RV inflow in a large series of normal subjects.",
author = "Klein, {Allan L.} and Leung, {Dominic Y.} and Murray, {R. Daniel} and Urban, {Lynn H.} and Bailey, {Kent R} and Tajik, {A. Jamil}",
year = "1999",
month = "8",
day = "15",
doi = "10.1016/S0002-9149(99)00330-6",
language = "English (US)",
volume = "84",
pages = "440--448",
journal = "American Journal of Cardiology",
issn = "0002-9149",
publisher = "Elsevier Inc.",
number = "4",

}

TY - JOUR

T1 - Effects of age and physiologic variables on right ventricular filling dynamics in normal subjects

AU - Klein, Allan L.

AU - Leung, Dominic Y.

AU - Murray, R. Daniel

AU - Urban, Lynn H.

AU - Bailey, Kent R

AU - Tajik, A. Jamil

PY - 1999/8/15

Y1 - 1999/8/15

N2 - The reference values for right ventricular (RV) filling of normal persons and the effects of physiologic variables in a large series have not been described. The objective of this study was to characterize superior vena cava, hepatic vein, and RV inflow Doppler measurements in a large normal reference group to reflect the aging process, gender, heart rote, and effects of respiration. We prospectively performed pulsed-wave Doppler echocardiography of the superior vena cava, hepatic vein, and RV inflow during inspiration, expiration, and apnea in 115 healthy volunteers (62 women and 53 men) ranging in age from 21 to 84 years (mean ± SEM 48 ± 17). For analysis, the study subjects were classified by age into 2 groups: those <50 years of age (group 1; n = 60) and those ≥50 years of age (group 2; n = 55). Multiregression models were used to assess the influence of age, gender, and heart rote on Doppler variables. There were important differences in superior vena cava and RV inflow between the 2 groups. Group 2 had a greater superior vena cava peak atrial flow velocity (16 ± 3 vs 13 ± 3 cm/s), flow integrals (1.5 ± 0.4 vs 1.1 ± 0.3 cm), and reverse flow as a percentage of forward flow (17 ± 6% vs 14 ± 6%) than group 1. In group 2, peak RV inflow early filling velocity (41 ± 8 vs 51 ± 7 cm/s) and ratio of early filling-to- atrial filling (1.3 ± 0.4 vs 2 ± 0.5) were lower than that of group 1. Likewise, peak atrial filling velocity was higher (33 ± 8 vs 27 ± 8 cm/s) and deceleration time was longer (198 ± 23 vs 188 ± 22 ms) in group 2. The superior vena cava and hepatic vein peak forward flow velocities were significantly higher during inspiration than during expiration and apnea. Similarly, RV inflow velocities were significantly higher during inspiration than in expiration and apnea. Multiregression analysis showed that age, gender, and heart rate had important effects on Doppler variables. Thus, this study demonstrates the effects of aging and normal physiologic variable flow velocities in the superior vena cava, hepatic veins, and RV inflow in a large series of normal subjects.

AB - The reference values for right ventricular (RV) filling of normal persons and the effects of physiologic variables in a large series have not been described. The objective of this study was to characterize superior vena cava, hepatic vein, and RV inflow Doppler measurements in a large normal reference group to reflect the aging process, gender, heart rote, and effects of respiration. We prospectively performed pulsed-wave Doppler echocardiography of the superior vena cava, hepatic vein, and RV inflow during inspiration, expiration, and apnea in 115 healthy volunteers (62 women and 53 men) ranging in age from 21 to 84 years (mean ± SEM 48 ± 17). For analysis, the study subjects were classified by age into 2 groups: those <50 years of age (group 1; n = 60) and those ≥50 years of age (group 2; n = 55). Multiregression models were used to assess the influence of age, gender, and heart rote on Doppler variables. There were important differences in superior vena cava and RV inflow between the 2 groups. Group 2 had a greater superior vena cava peak atrial flow velocity (16 ± 3 vs 13 ± 3 cm/s), flow integrals (1.5 ± 0.4 vs 1.1 ± 0.3 cm), and reverse flow as a percentage of forward flow (17 ± 6% vs 14 ± 6%) than group 1. In group 2, peak RV inflow early filling velocity (41 ± 8 vs 51 ± 7 cm/s) and ratio of early filling-to- atrial filling (1.3 ± 0.4 vs 2 ± 0.5) were lower than that of group 1. Likewise, peak atrial filling velocity was higher (33 ± 8 vs 27 ± 8 cm/s) and deceleration time was longer (198 ± 23 vs 188 ± 22 ms) in group 2. The superior vena cava and hepatic vein peak forward flow velocities were significantly higher during inspiration than during expiration and apnea. Similarly, RV inflow velocities were significantly higher during inspiration than in expiration and apnea. Multiregression analysis showed that age, gender, and heart rate had important effects on Doppler variables. Thus, this study demonstrates the effects of aging and normal physiologic variable flow velocities in the superior vena cava, hepatic veins, and RV inflow in a large series of normal subjects.

UR - http://www.scopus.com/inward/record.url?scp=0033567047&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0033567047&partnerID=8YFLogxK

U2 - 10.1016/S0002-9149(99)00330-6

DO - 10.1016/S0002-9149(99)00330-6

M3 - Article

VL - 84

SP - 440

EP - 448

JO - American Journal of Cardiology

JF - American Journal of Cardiology

SN - 0002-9149

IS - 4

ER -