Preoperative evaluation of pulmonary hypertension in lung transplant candidates: echocardiography versus right heart catheterization
| Autor: | Tali Bdolah-Abram, Amos Levi, Yaron Shapira, Tal Abu, Hana Vaknin-Assa, Tamir Bental, David Hasdai, Mordechai R. Kramer, Arthur Shyovich, Ran Kornowski, Abed Samara, Leor Perl, Keren Skalsky, Dror Rosengarten |
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| Rok vydání: | 2021 |
| Předmět: |
Male
Right heart catheterization Cardiac Catheterization medicine.medical_specialty Hypertension Pulmonary Pulmonary Artery Predictive Value of Tests Internal medicine Humans Medicine Arterial Pressure Registries Aged Retrospective Studies Lung business.industry Reproducibility of Results Middle Aged medicine.disease Pulmonary hypertension medicine.anatomical_structure Echocardiography Cardiology Female Cardiology and Cardiovascular Medicine business Lung Transplantation |
| Zdroj: | European Heart Journal. 42 |
| ISSN: | 1522-9645 0195-668X |
| DOI: | 10.1093/eurheartj/ehab724.2794 |
| Popis: | Background Right heart catheterization (RHC) and echocardiography are both routinely used for pulmonary hypertension (PH) assessment in LT candidates, although this is not mandatory according to guidelines. We aim to describe the correlation between the pulmonary artery systolic pressure (PASP) measured by echocardiography to that measured by RHC in this population. Methods From a retrospective registry of 461 LT candidates, undergoing RHC between 2015–2019, 393 consecutive patients were assessed for the presence of pulmonary hypertension according to two methods – echocardiography and RHC. The primary outcome was the correlation between the estimated PASP measured by echocardiography to that measured by RHC. Secondary outcome was the accuracy of the echocardiographic assessment of PH. Results Patients were predominantly males (63.6%) with a mean age of 61.46±8.33y. The two most common etiologies for lung failure were interstitial lung disease or pulmonary fibrosis (52.2%) and chronic obstructive pulmonary disease (30.5%). Estimated PASP as measured by echocardiography was available in 89.31% of the patients, with a mean value of 49.5±20.02 mmHg. Mean PASP measured by RHC was 42.47±17.96 mmHg. The correlation between the two measurements was moderate (Pearson's correlation: r=0.609, p10 mmHg differences between the two values in 79.9% of the patients. Conclusions In the pre-surgical evaluation of LT candidates, echocardiographic estimation of PASP has moderate correlation with the PASP measured by RHC and relatively poor accuracy. Funding Acknowledgement Type of funding sources: None. |
| Databáze: | OpenAIRE |
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