Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Pulmonary artery systolic pressures estimated by echocardiogram vs cardiaccatheterization in patients awaiting lung transplantation
Autore:
Homma, A; Anzueto, A; Peters, JI; Susanto, I; Sako, E; Zabalgoitia, M; Bryan, CL; Levine, SM;
Indirizzi:
Univ Texas, Hlth Sci Ctr, Div Pulm Crit Care Med, San Antonio, TX 78284 USA Univ Texas San Antonio TX USA 78284 t Care Med, San Antonio, TX 78284 USA Univ Texas, Hlth Sci Ctr, Div Cardiol, San Antonio, TX 78284 USA Univ Texas San Antonio TX USA 78284 iv Cardiol, San Antonio, TX 78284 USA Univ Texas, Hlth Sci Ctr, Div Cardiothorac Surg, San Antonio, TX 78284 USAUniv Texas San Antonio TX USA 78284 horac Surg, San Antonio, TX 78284 USA S Texas Vet Hlth Care Syst, Audie L Murphy Div, San Antonio, TX USA S Texas Vet Hlth Care Syst San Antonio TX USA y Div, San Antonio, TX USA
Titolo Testata:
JOURNAL OF HEART AND LUNG TRANSPLANTATION
fascicolo: 8, volume: 20, anno: 2001,
pagine: 833 - 839
SICI:
1053-2498(200108)20:8<833:PASPEB>2.0.ZU;2-X
Fonte:
ISI
Lingua:
ENG
Soggetto:
TWO-DIMENSIONAL ECHOCARDIOGRAPHY; DOPPLER-ECHOCARDIOGRAPHY; TRICUSPID REGURGITATION; VENTRICULAR FUNCTION; SYSTEMIC-SCLEROSIS; HYPERTENSION; IMPROVEMENT; FIBROSIS; DISEASE; HEART;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
29
Recensione:
Indirizzi per estratti:
Indirizzo: Homma, A Audie L Murphy VA Hosp, Pulm Dis Sect 111E, 7400 Merton Minter Blvd, San Antonio, TX 78284 USA Audie L Murphy VA Hosp 7400 Merton Minter Blvd San Antonio TX USA 78284
Citazione:
A. Homma et al., "Pulmonary artery systolic pressures estimated by echocardiogram vs cardiaccatheterization in patients awaiting lung transplantation", J HEART LUN, 20(8), 2001, pp. 833-839

Abstract

Background: At many lung transplant centers, right heart catheterization and transthoracic echocardiogram are part of the routine pre-transplant evaluation to measure pulmonary pressures. Because decisions regarding single vs bilateral lung transplant procedures and the need for cardiopulmonary bypass are often made based on pulmonary artery systolic pressures, we sought to examine the relationship between estimated and measured pulmonary arterysystolic pressures using echocardiogram and catheterization, respectively. Methods: We retrospectively reviewed all patients in our program who had measured pulmonary hypertension (n = 57). Patients with both echocardiogram-estimated and catheterization-measured pulmonary artery systolic pressures performed within 2 weeks of each other were included (n = 19). We analyzed results for correlation and linear regression in the entire group and in the patients with primary pulmonary hypertension (n = 8) and pulmonary fibrosis (n = 8). Results: In patients with primary pulmonary hypertension, pulmonary arterysystolic pressure was 94 +/- 27 and 95 +/- 15 mm Hg by echocardiogram and catheterization, respectively, with r(2) = 0.11; in patients with pulmonaryfibrosis, 57 +/- 23 and 58 +/- 12 mm Hg with r(2) = 0.22; and in the wholegroup, 76 +/- 29 and 75 +/- 23 mm Hg with r(2) = 0.50. Thirty-two additional patients had mean pulmonary artery systolic pressure = 48 +/- 16 turn Hgby catheterization but either had no evidence of tricuspid regurgitation by echocardiogram (n = 22) or the pulmonary artery systolic pressure could not be measured (n = 10). Conclusions: In patients with pulmonary hypertension awaiting transplant, pulmonary artery systolic pressures estimated by echocardiogram correspond but do not serve as an accurate predictive model of pulmonary artery systolic pressures measured by catheterization. Technical limitations of the echocardiogram. in this patient population often preclude estimating pulmonary artery systolic pressure.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 15/07/20 alle ore 06:31:08