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Titolo:
COMPARISON OF DOPPLER-ECHOCARDIOGRAPHY AND RIGHT HEART CATHETERIZATION TO ASSESS PULMONARY-HYPERTENSION IN SYSTEMIC-SCLEROSIS
Autore:
DENTON CP; CAILES JB; PHILLIPS GD; WELLS AU; BLACK CM; DUBOIS RM;
Indirizzi:
ROYAL FREE HOSP,ACAD RHEUMATOL & CONNECT TISSUE DIS UNIT,POND ST LONDON NW3 2QG ENGLAND ROYAL FREE HOSP,ACAD RHEUMATOL & CONNECT TISSUE DIS UNIT LONDON NW3 2QG ENGLAND ROYAL BROMPTON HOSP,INTERSTITIAL LUNG DIS UNIT LONDON SW3 6LY ENGLAND
Titolo Testata:
British journal of rheumatology
fascicolo: 2, volume: 36, anno: 1997,
pagine: 239 - 243
SICI:
0263-7103(1997)36:2<239:CODARH>2.0.ZU;2-F
Fonte:
ISI
Lingua:
ENG
Soggetto:
ARTERY PRESSURE; CREST SYNDROME; SCLERODERMA; PREDICTION; FIBROSIS; DISEASE; SUBSETS;
Keywords:
SYSTEMIC SCLEROSIS; PULMONARY HYPERTENSION; ECHOCARDIOGRAPHY; PULMONARY ARTERY; RIGHT HEART CATHETER;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
21
Recensione:
Indirizzi per estratti:
Citazione:
C.P. Denton et al., "COMPARISON OF DOPPLER-ECHOCARDIOGRAPHY AND RIGHT HEART CATHETERIZATION TO ASSESS PULMONARY-HYPERTENSION IN SYSTEMIC-SCLEROSIS", British journal of rheumatology, 36(2), 1997, pp. 239-243

Abstract

Pulmonary hypertension (PHT) is an important complication of systemicsclerosis (SSc). Echocardiography can be used to detect PHT and, withDoppler echocardiography, the pulmonary arterial systolic pressure (PASP) can often be estimated. We have undertaken a study to compare echocardiographic assessment with right heart catheterization (RHC) in 33SSc patients in whom clinical assessment [including EGG, chest X-ray,lung function tests and high-resolution computed tomography (HRCT)] had raised strong suspicion of PHT. The mean (S.D.) interval between echocardiography and RHC was 1.8 (2.3) months. Twenty-one patients (64%)had PHT (PASP greater than or equal to 30 mmHg) on RHC, and echocardiography correctly identified 19 of these (sensitivity 90%). Of the 12 patients without PHT on RHC, nine were correctly identified by echocardiography (specificity 75%). The five incorrectly classified patients all had PASP in the borderline normal/abnormal range. The presence of tricuspid regurgitation allowed Doppler measurement of PASP in 20 patients (61%) and this correlated significantly with RHC values (r = 0.83, P < 0.001). We conclude that echocardiography is a reliable method for detecting PHT and it map be particularly useful for the early detection and monitoring of this potentially fatal complication in SSc.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 04/07/20 alle ore 12:09:13