Correlation of transthoracic echocardiography-derived pulmonary to systemic flow ratio with hemodynamically estimated left to right shunt in atrial septal defects

Autor: Erin Faherty, Hari Rajagopal, Simon Lee, Barry Love, Shubhika Srivastava, Ira A Parness, Santosh C Uppu
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Annals of Pediatric Cardiology, Vol 15, Iss 1, Pp 20-26 (2022)
Druh dokumentu: article
ISSN: 0974-2069
DOI: 10.4103/apc.apc_139_21
Popis: Background : Transthoracic echocardiographic (TTE) estimation of the pulmonary to systemic flow ratio (Qp/Qs) is routinely used in clinical practice and is included in the American Society of Echocardiography Guidelines. We sought to assess its real-world applicability with a particular focus on hemodynamically significant shunt lesions. Methods : Retrospective single institutional review of TTE's in patients with secundum atrial septal defect prior to cardiac catheterization (cath) from 2012 to 2018 was performed (n = 109), those with technically limited images for Qp/Qs calculation (n = 11) and those with time interval between TTE and cath >60 days were excluded (n = 14). Qp/Qs was calculated from stored clips by previously described methods and correlated with those obtained by oximetry. Patients were subdivided into two age groups
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