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Table 1 Examples of Doppler indices proposed to semi-quantitatively predict left ventricular filling pressures in patients hospitalized in the intensive care unit or in the perioperative course of cardiac surgery, and in patient with atrial fibrillation (adapted from [7])

From: Critical care ultrasonography in acute respiratory failure

Doppler indices

Threshold values

Predicted left ventricular filling pressures

Sensitivity

Specificity

Positive predictive value

Sinus rhythm

Mitral E/A

>2

>18 mmHgbc

–

–

100 %

Systolic fractiona

<55 %

>15 mmHg

91 %

87 %

–

 

<40 %

>18 mmHgbc

–

–

55 %

 

≤40 %

≥18 mmHgbc

100 %

100 %

100 %

 

≤44 %

>18 mmHgbc

85 %

88 %

–

D wave DT

<175 ms

≥18 mmHgb

100 %

94 %

–

E/E’

>15

>15 mmHgc

86 %

88 %

–

 

>7

≥13 mmHgbc

86 %

92 %

–

 

>7.5

≥15 mmHgbc

86 %

81 %

–

 

>9.5

>18 mmHgbc

100 %

86 %

–

E/Vp

>2

≥13 mmHgbc

–

–

–

 

>2.6

>18 mmHgbc

100 %

86 %

–

Atrial fibrillation

E wave DT

<150 ms

15 mmHg

71 %

100 %

–

 

<120 ms

≥20 mmHg

100 %

96 %

–

D wave DT

>220 ms

≤12 mmHg

100 %

100 %

–

E/E’

>10

≥15 mmHg

75 %

93 %

–

E/Vp

≥1.4

>15 mmHg

71 %

88 %

–

  1. aVTI S wave/VTI S + VTI D waves expressed as a percentage (pulmonary venous Doppler)
  2. bVentilated patients
  3. cIntensive care unit patients
  4. DT deceleration time of pulmonary vein D wave or of mitral E wave, E’ maximal velocity of early diastolic tissue Doppler pulse wave recorded at the level of the mitral annulus (lateral aspect), Vp propagation velocity of early diastolic inflow measured in the left ventricular cavity using M-mode color Doppler, VTI velocity-time integral