Pulmonary artery to ascending aorta ratio by echocardiography: A strong predictor for presence and severity of pulmonary hypertension

Autor: Christian Nitsche, Mario Gerges, Julia Mascherbauer, Houtan Heidari, Christian Hengstenberg, Anna Maria Pistritto, Georg Goliasch, Thomas Binder, Christian Gerges, Matthias Schneider, Hong Ran, Irene Lang
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Male
Pulmonology
Hemodynamics
Blood Pressure
030204 cardiovascular system & hematology
Vascular Medicine
Severity of Illness Index
Diagnostic Radiology
0302 clinical medicine
Ultrasound Imaging
Medicine and Health Sciences
Prospective Studies
Pulmonary Arteries
Prospective cohort study
Tomography
Aorta
Multidisciplinary
Pulmonary Hypertension
Radiology and Imaging
Area under the curve
Heart
Arteries
Hematology
Middle Aged
Echocardiography
Cardiology
Medicine
Female
Anatomy
Research Article
medicine.medical_specialty
Imaging Techniques
Science
Hypertension
Pulmonary
Neuroimaging
Pulmonary Artery
Research and Analysis Methods
03 medical and health sciences
Diagnostic Medicine
medicine.artery
Internal medicine
Ascending aorta
medicine
Humans
Aged
business.industry
Biology and Life Sciences
medicine.disease
Pulmonary hypertension
Computed Axial Tomography
Blood pressure
030228 respiratory system
ROC Curve
Pulmonary artery
Cardiovascular Anatomy
Blood Vessels
Feasibility Studies
business
Tomography
X-Ray Computed
Neuroscience
Zdroj: PLoS ONE
PLoS ONE, Vol 15, Iss 7, p e0235716 (2020)
ISSN: 1932-6203
Popis: Background The pulmonary artery (PA) to ascending aorta diameter ratio (PA:A) has been evaluated in numerous studies analyzing cardiac magnetic resonance (CMR) and computed tomography (CT) data. Previously, no transthoracic echocardiography (TTE) cutoffs have been published. We sought to evaluate (1) the feasibility to image the pulmonary trunk in a prospective cohort, and (2) the ability of PA:A derived by TTE to predict pulmonary hypertension (PH). Methods We performed a post-hoc analysis of a prospectively recruited consecutive cohort of patients referred to our tertiary center cardiology department due to suspicion for PH. Invasive hemodynamic assessment and quasi-simultaneous TTE was performed in all participants. Results A total of 84 patients were included in the analysis, median age was 70.5 years (IQR 58–75), 46 (55%) were female. The PA was significantly wider in the PH group (28mm vs. 22.5mm, p
Databáze: OpenAIRE
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