Tricuspid regurgitation velocity versus right ventricular systolic pressure in the echocardiographic evaluation of pulmonary hypertension

Autor: Mostafa K Ahmed, Olfat M Elshinawy, Gamal M Agmy, Lamiaa H Shaban, Raed A Dweik, Adriano R Tonelli
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Egyptian Journal of Chest Disease and Tuberculosis, Vol 68, Iss 2, Pp 203-208 (2019)
Druh dokumentu: article
ISSN: 0422-7638
2090-9950
DOI: 10.4103/ejcdt.ejcdt_128_18
Popis: Background In consecutive patients who underwent right heart catheterization for pulmonary hypertension (PH) diagnosis, we evaluate ECS/ERS 2015 PH guidelines regarding the echocardiographic suggestions to proceed to PH diagnosis. Methods We enrolled patients referred to Right heart catheterization (RHC) for hemodynamic assessment of presumed PH at respiratory institute Cleveland Clinic. We compared the RHC pulmonary hemodynamic determinations with transthoracic echocardiographic right ventricle systolic pressure (RVSP) and peak tricuspid regurgitation velocity (TRV). Results We included 136 patients in the analysis, where 88 (64.7%) were females and 98 (72%) were of white race. New York Heart Association functional class was II or III in 113 (81%) patients. Peak TRV was significantly associated with BMI (R, 0.192; P=0.048), pulmonary artery systolic (R, 0.37; P
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