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Updated: Jan 21, 2026

Hemodynamic Precision in the Neonatal Intensive Care Unit using Targeted Neonatal Echocardiography
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Hemodynamic Precision in the Neonatal Intensive Care Unit using Targeted Neonatal Echocardiography

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Reliability of noninvasive hemodynamic assessment with Doppler echocardiography: comparison with the invasive

Marco de Scordilli1, Bruno Pinamonti2, Stefano Albani2

  • 1Department of Medical Science, Surgery and Health (DCSMCS), University of Trieste, Ospedale di Cattinara.

Journal of Cardiovascular Medicine (Hagerstown, Md.)
|July 30, 2019
PubMed

Insights

Noninvasive echocardiography can reliably estimate many hemodynamic parameters. A multiparametric approach is recommended for left ventricle filling pressures, proving effective even in patients with pulmonary hypertension.

Area of Science:

  • Cardiology
  • Medical Imaging
  • Hemodynamics

Background:

  • Right heart catheterization (RHC) is invasive.
  • Accurate hemodynamic assessment is crucial for patient management.
  • Noninvasive echocardiography offers a potential alternative for hemodynamic evaluation.

Purpose of the Study:

  • To assess the reliability and reproducibility of noninvasive echocardiographic techniques.
  • To compare echocardiographic estimations with invasive RHC measurements.
  • To evaluate the clinical utility of echocardiography for hemodynamic parameters.

Main Methods:

  • 84 patients undergoing RHC had transthoracic echocardiography.
  • Key hemodynamic parameters were measured noninvasively.
  • Bland-Altman analysis compared invasive and noninvasive data.

Main Results:

  • Echocardiography showed moderate correlation for right atrial pressure.
  • Pulmonary artery pressure (PAP) estimation demonstrated good correlation and feasibility.
  • Left ventricle filling pressure assessment using a multiparametric approach showed good correlation.
  • Noninvasive pulmonary vascular resistance and cardiac output lacked clinical accuracy.

Conclusions:

  • Noninvasive echocardiography can adequately estimate several hemodynamic parameters.
  • A multiparametric approach is advised for left ventricle filling pressures.
  • Current echocardiographic guidelines are reliable in diverse populations, including those with pulmonary hypertension.
Abstract

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