Pulmonary hypertension due to left heart disease: diagnostic value of pulmonary artery distensibility
| Autor: | Christophe Beauloye, Guillaume Verlynde, Joelle Kefer, Emmanuel Coche, Geoffrey C. Colin, Benoît Ghaye, Pierre-Alain Gevenois, Bernhard Gerber, Anne-Catherine Pouleur, Jean-Luc Vachiery |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Cardiac Catheterization Hypertension Pulmonary Cardiac-Gated Imaging Techniques Regurgitation (circulation) Pulmonary Artery 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Internal medicine medicine.artery medicine Humans Radiology Nuclear Medicine and imaging Aged Aged 80 and over Heart Failure Mitral regurgitation Ejection fraction Receiver operating characteristic business.industry Mitral Valve Insufficiency Heart Stroke Volume General Medicine Aortic Valve Stenosis Organ Size Middle Aged medicine.disease Pulmonary hypertension Stenosis Echocardiography 030220 oncology & carcinogenesis Heart failure Pulmonary artery Cardiology Female Radiology business Tomography X-Ray Computed |
| Zdroj: | European radiology. 30(11) |
| ISSN: | 1432-1084 |
| Popis: | To evaluate how pulmonary artery (PA) distensibility performs in detecting pulmonary hypertension due to left heart disease (PH-LHD) in comparison with parameters from ungated computed tomography (CT) and echocardiography. One hundred patients (79 men, mean age = 63 ± 17 years) with either severe heart failure with reduced ejection fraction (HFrEF), aortic stenosis, or primary mitral regurgitation prospectively underwent right heart catheterization, ungated CT, ECG-gated CT, and echocardiography. During the ECG-gated CT, the right PA distensibility was calculated. In ungated CT, dPA, dPA/AA, the ratio of dPA to the diameter of the vertebra, segmental PA diameter, segmental PA-to-bronchus ratio, and the main PA volume were measured; the egg-and-banana sign was recorded. During echocardiography, the tricuspid regurgitation (TR) gradient was measured. The areas under the ROC curves (AUC) of these signs were computed and compared with DeLong test. Correlation between PA distensibility and PA pressure (PAP) was investigated through Pearson’s coefficient. PA distensibility was lower in patients with PH than in those without PH (11.4 vs. 21.2%, p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink