Heart failure & cardiomyopathies

Liver Stiffness Measurement for Non-Invasive Assessment of Central Venous Pressure in Patients with Heart Failure: A Multicentre Pilot Study

Eur J Heart FailPublished Diagnostic accuracy study

PerformanceResult — go to the resultMean difference 0.11 mmHg 95% CI −1.31 to 1.54

Authors' conclusion

Liver stiffness measurement is a promising non-invasive surrogate for CVP in patients with HF.

Study context

Population
Patients aged 18 to 85 years with heart failure (HF) (or LVEF ≤40%) requiring central venous line placement with central venous pressure (CVP) measurement38 completed
Comparison
Non-invasive liver stiffness measurement (LSM)-derived CVP vs invasive catheter CVP
Outcome
Agreement between CVP and LSM-derived CVP in the supine position
Methodological detailsmulticentre, pilot, open-label
  • Multicentre
  • Pilot
  • Open-label

Performance

As reported in the abstract

Mean difference

0.11 mmHg

95% CI −1.31 to 1.54

Invasive CVPvs LSM
mean difference 0.11 mmHg (95% CI −1.31 to 1.54)
Correlation of CVP with LSM-derived CVP (Spearman r)
0.53, p < 0.001

Further findings

OutcomeLSM
Detection of clinically significant CVP elevation (>10 mmHg)
AUC0.83
Sensitivity (LSM >10 kPa)0.73
Specificity (LSM >10 kPa)0.78
Correctly classified (LSM >10 kPa)76%

Original publication

Liver Stiffness Measurement for Non-Invasive Assessment of Central Venous Pressure in Patients with Heart Failure: A Multicentre Pilot Study. Eur J Heart Fail. Published 16 June 2025. doi:10.1002/ejhf.3722

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