Chest ACCP Member Benefits
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

Guest Access | Sign In via User Name/Password
This Article
Right arrow Full Text (PDF) Free
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Article Archive
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Bell, H.
Right arrow Articles by Pugh, D.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Bell, H.
Right arrow Articles by Pugh, D.
(Chest. 1971;59:169-173.)
© 1971 American College of Chest Physicians

Reliability of Central Venous Pressure as an Indicator of Left Atrial Pressure

A Study in Patients with Mitral Valve Disease

Hubert Bell M.D.1; David Stubbs M.D.2; and David Pugh M.D.1

1 Assistant Professor of Medicine
2 Department of Medicine, Cardiovascular Section, University of Kansas Medical Center, Kansas City, Kansas

Central venous pressure (CVP) measurements have been used extensively in the management of critically ill patients. The value of CVP determinations was studied by determining the relationship of left atrial and right atrial pressures in 200 patients undergoing transseptal heart catheterization. All patients had mitral valve disease. The correlation coefficient of left atrial and right atrial pressure was 0.48. Low right atrial pressure (below 3 mm Hg) was seen in 18 of 91 patients with left atrial pressure 20 mm Hg or greater. In 25 patients, acute pressure changes were induced by volume expansion, pacing, or drug infusion (isoproterenol or phenylephrine). Increases in left atrial pressure frequently failed to be reflected in right atrial pressure changes. Central venous pressure may be misleading as a guide to left atrial pressure.






HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 1971 by the American College of Chest Physicians.