Ultrasonographic assessment of venous congestion - VExUS

Medical imaging.

Abstract

Doppler of the hepatic vein with a monophasic pulsatile pattern with systolic inversion, compatible with elevation of right atrial pressure and with significant systemic venous congestion.

- inversion or marked decrease in the systolic wave.

- Diastolic predominance.

- Retrograde flow episodes.

- Very pulsatile morphology.

- great variability with the cardiac cycle.

In practical terms:

S < D

S reverse.