Normal hepatic vein spectral Doppler

Case contributed by Brian Gilcrease-Garcia
Diagnosis not applicable
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Diagram showing normal hepatic spectral Doppler waveform.

  • A wave - atrial contraction causes retrograde flow back to liver, then rapid RV filling
  • S wave - ventricular systole, antegrade flow into right atrium against closed TV
  • V wave - opening of tricuspid, followed by rush of antegrade flow
  • D wave - ventricular diastole, antegrade flow into RV

* RV = right ventricle,  TV = tricuspid valve

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