{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T22:23:15Z","timestamp":1782426195587,"version":"3.54.5"},"reference-count":14,"publisher":"MDPI AG","issue":"13","license":[{"start":{"date-parts":[[2024,6,30]],"date-time":"2024-06-30T00:00:00Z","timestamp":1719705600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background and Objectives: Pulmonary hypertension (PH) is a clinical condition with high mortality rates, particularly in patients over 65. Current guidelines recommend assessing the likelihood of pulmonary hypertension (LPH) using advanced echocardiography before proceeding to right heart catheterization. This study proposed using the common femoral vein (CFV), an accessible vein that reflects right atrial pressure, as an alternative method to assess the high likelihood of pulmonary hypertension (H-LPH). Materials and Methods: This prospective observational study included 175 emergency patients from three hospitals. Ultrasound assessed the pulsed wave Doppler (PW-Doppler) morphology of the CFV. This diagnostic yield for H-LPH was evaluated alongside traditional ultrasound parameters (right-to-left ventricular basal diameter ratio greater than 1 (RV &gt; LV), septal flattening, right ventricular outflow acceleration time (RVOT) of less than 105 ms and\/or mesosystolic notching, pulmonary artery diameter greater than the aortic root (AR) diameter or over 25 mm, early pulmonary regurgitation maximum velocity &gt; 2.2 m\/s; TAPSE\/PASP less than 0.55, inferior vena cava (IVC) diameter over 21 mm with decreased inspiratory collapse, and right atrial (RA) area over 18 cm2). Results: The CFV\u2019s PW-Doppler cardiac pattern correlated strongly with H-LPH, showing a sensitivity (Sn) of 72% and a specificity (Sp) of 96%. RA dilation and TAPSE\/PASP &lt; 0.55 also played significant diagnostic roles. Conclusions: The CFV\u2019s PW-Doppler cardiac pattern is an effective indicator of H-LPH, allowing reliable exclusion of this condition when absent. This approach could simplify initial LPH evaluation in emergency settings or where echocardiographic resources are limited.<\/jats:p>","DOI":"10.3390\/jcm13133860","type":"journal-article","created":{"date-parts":[[2024,7,1]],"date-time":"2024-07-01T09:06:07Z","timestamp":1719824767000},"page":"3860","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["The Cardiac Pulsed Wave Doppler Pattern of the Common Femoral Vein in Diagnosing the Likelihood of Severe Pulmonary Hypertension: Results from a Prospective Multicentric Study"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7840-019X","authenticated-orcid":false,"given":"Marta","family":"Torres-Arrese","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine, Hospital Universitario Fundaci\u00f3n de Alcorc\u00f3n, Calle Budapest 1, 28922 Alcorc\u00f3n, Spain"},{"name":"School of Medicine, Universidad Aut\u00f3noma de Madrid, 28049 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pablo","family":"Barber\u00e1-Rausell","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Hospital Universitario La Fe, Avenida de Fernando Abril Martorell, 106, 46126 Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7318-5267","authenticated-orcid":false,"given":"Jie-Wei Oscar","family":"Li-Zhu","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Hospital Universitario de M\u00f3stoles, Calle del Doctor Luis Montes, s\/n, M\u00f3stoles, 28935 Madrid, Spain"},{"name":"School of Medicine, Universidad Francisco de Vitoria, M-515, Pozuelo de Alarc\u00f3n, 28223 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roc\u00edo","family":"Salas-Due\u00f1as","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Hospital Universitario Fundaci\u00f3n de Alcorc\u00f3n, Calle Budapest 1, 28922 Alcorc\u00f3n, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alma Elena","family":"Real-Mart\u00edn","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Hospital Universitario Fundaci\u00f3n de Alcorc\u00f3n, Calle Budapest 1, 28922 Alcorc\u00f3n, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arantzazu","family":"Mata-Mart\u00ednez","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Hospital Universitario Fundaci\u00f3n de Alcorc\u00f3n, Calle Budapest 1, 28922 Alcorc\u00f3n, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bego\u00f1a","family":"Gonzalo-Moreno","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Hospital Universitario Fundaci\u00f3n de Alcorc\u00f3n, Calle Budapest 1, 28922 Alcorc\u00f3n, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0873-6795","authenticated-orcid":false,"given":"Joaqu\u00edn Hern\u00e1ndez","family":"N\u00fa\u00f1ez","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Hospital Universitario Fundaci\u00f3n de Alcorc\u00f3n, Calle Budapest 1, 28922 Alcorc\u00f3n, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Davide","family":"Luordo","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Hospital Universitario Infanta Cristina, Avenida Del Nueve de Junio, 2, Parla, 28981 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0539-3301","authenticated-orcid":false,"given":"Juan Gabriel S\u00e1nchez","family":"Cano","sequence":"additional","affiliation":[{"name":"Derpartment of Internal Medicine, Hospital Universitario Fundaci\u00f3n Alcorc\u00f3n, Calle Budapest 1, 28922 Alcorc\u00f3n, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tom\u00e1s","family":"Vill\u00e9n Villegas","sequence":"additional","affiliation":[{"name":"School of Medicine, Universidad Francisco de Vitoria, M-515, Pozuelo de Alarc\u00f3n, 28223 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luis","family":"Caurcel-D\u00edaz","sequence":"additional","affiliation":[{"name":"Department of Palliative Care Hospital Universitario 12 de Octubre L.CD. Av. de C\u00f3rdoba, s\/n, 28041 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5171-7373","authenticated-orcid":false,"given":"Gonzalo Garc\u00eda de","family":"Casasola-S\u00e1nchez","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Hospital Universitario Fundaci\u00f3n de Alcorc\u00f3n, Calle Budapest 1, 28922 Alcorc\u00f3n, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5613-3609","authenticated-orcid":false,"given":"Yale","family":"Tung-Chen","sequence":"additional","affiliation":[{"name":"School of Medicine, Universidad Francisco de Vitoria, M-515, Pozuelo de Alarc\u00f3n, 28223 Madrid, Spain"},{"name":"Department of Internal Medicine, Hospital Universitario La Paz. Paseo Castellana 241, 28046 Madrid, Spain"},{"name":"School of Medicine, Universidad Alfonso X, 28691 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,6,30]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"306","DOI":"10.1016\/S2213-2600(15)00543-3","article-title":"A global view of pulmonary hypertension","volume":"4","author":"Hoeper","year":"2016","journal-title":"Lancet Respir. Med."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"3618","DOI":"10.1093\/eurheartj\/ehac237","article-title":"2022 ESC\/ERS Guidelines for the diagnosis and treatment of pulmonary hypertension","volume":"43","author":"Humbert","year":"2022","journal-title":"Eur. 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Cl\u00ednica Espa\u00f1ola"}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/13\/13\/3860\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T15:08:15Z","timestamp":1760108895000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/13\/13\/3860"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6,30]]},"references-count":14,"journal-issue":{"issue":"13","published-online":{"date-parts":[[2024,7]]}},"alternative-id":["jcm13133860"],"URL":"https:\/\/doi.org\/10.3390\/jcm13133860","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,6,30]]}}}