Observational Study
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Cardiol. Nov 26, 2023; 15(11): 599-608
Published online Nov 26, 2023. doi: 10.4330/wjc.v15.i11.599
Clinical impact of portal vein pulsatility on the prognosis of hospitalized patients with acute heart failure
Naoya Kuwahara, Tomoyuki Honjo, Naohiko Sone, Junichi Imanishi, Kazuhiko Nakayama, Kohei Kamemura, Masanori Iwahashi, Soichiro Ohta, Kenji Kaihotsu
Naoya Kuwahara, Tomoyuki Honjo, Naohiko Sone, Junichi Imanishi, Kazuhiko Nakayama, Kohei Kamemura, Masanori Iwahashi, Soichiro Ohta, Kenji Kaihotsu, Department of Cardiology, Shinko Hospital, Kobe 651-0072, Japan
Author contributions: Honjo T, Sone N, and Kaihotsu K substantially contributed to the study conceptualization; Kuwahara N and Honjo T substantially contributed to data analysis and interpretation; Honjo T substantially contributed to the manuscript drafting; all authors critically reviewed and revised the manuscript draft and approved the final version for submission.
Institutional review board statement: This study was reviewed and approved by the ethics committee of Shinko Hospital (approval No. 1524).
Informed consent statement: This study was approved by the Institutional Review Board of Shinko Hospital, and all requirements for written informed consent were waived for the use of the patients’ clinical and imaging data.
Conflict-of-interest statement: The authors declare no conflicts of interest.
Data sharing statement: No additional data are available.
STROBE statement: The authors have read the STROBE Statement – checklist of items, and the manuscript was prepared and revised according to the STROBE Statement – checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Tomoyuki Honjo, MD, PhD, Doctor, Department of Cardiology, Shinko Hospital, 1-4-47, Wakinohamacho, Chuo-ku, Kobe 651-0072, Japan. thonjo@honjo-iin.com
Received: July 5, 2023
Peer-review started: July 5, 2023
First decision: August 31, 2023
Revised: September 12, 2023
Accepted: November 2, 2023
Article in press: November 2, 2023
Published online: November 26, 2023
Processing time: 141 Days and 3.9 Hours
Core Tip

Core Tip: Although reducing venous congestion is essential for heart failure (HF) treatment, the assessment of venous congestion is sometimes difficult, especially in patients with recurrent HF. Interestingly, a previous study demonstrated a correlation between right atrial pressure and portal vein (PV) flow pattern. However, the association between PV flow and the condition of HF remains unclear. Therefore, we investigated the clinical usefulness of PV pulsatility in hospitalized patients with HF. We found that PV pulsatility reflected not only the condition of HF but also cardiovascular outcomes. Therefore, PV pulsatility may be a novel prognostic marker for hospitalized patients with HF.