Pulmonary Doppler Notch Pattern in Relation with Pulmonary Vascular Resistance Index in Patients with Atrial Septal Defect

Autor: Nurnajmia Curie Proklamartina, Radityo Prakoso, Oktavia Lilyasari, Rina Ariani, Sisca Natalia Siagian, Amiliana Mardiani Soesanto
Jazyk: English<br />Indonesian
Rok vydání: 2021
Předmět:
Zdroj: Majalah Kardiologi Indonesia, Vol 41, Iss 2 (2021)
Druh dokumentu: article
ISSN: 0126-3773
2620-4762
DOI: 10.30701/ijc.1053
Popis: Background: Atrial septal defect (ASD) potentially causes pulmonary hypertension (PH) and increased pulmonary vascular resistance (PVR). In previous studies, pulmonary Doppler notch was evident in patients with high PVR. There was a distinct notch pattern in different types of PH. This study aims to examine whether echocardiographic notch pattern could estimate PVR in secundum ASD patients. Methods: Cross sectional study was conducted in secundum ASD patients ≥18 years old who underwent clinically indicated right heart catheterization. Association of notch presence and PVR index (PVRi) and correlation of notch ratio (NR), a parameter of notch location, and PVRi were analyzed. The best cut off of NR value was obtained using the receiver operating characteristics curve. Results: Among 60 patients, the notch was present in 50 patients (83%) and significantly associated with PVRi ≥6 WU.m2 (p
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