Echocardiographic analysis of pulmonary arterial systolic pressure in pulmonary hypertension

被引：0

作者：

Romero-Zertuche, Diana ^{[1
]}

Santos-Martinez, Luis E. ^{[2
,3
]}

Loaiza-Sanchez, Juan F. ^{[1
]}

Moreno-Ruiz, Luis A. ^{[4
]}

Contreras-Rodriguez, Alicia ^{[1
]}

机构：

[1] Hosp Cardiol, Inst Mexicano Seguro Social, Unidad Medica Alta Especialidad, Dept Gabinetes,Ctr Med Nacl Siglo 23, Ciudad De Mexico, Mexico

[2] Hosp Cardiol, Inst Mexicano Seguro Social, Ctr Med Nacl Siglo 23,Inst Mexicano Seguro Social, Dept Hipertens Pulmonar & Corazon Derecho,Unidad, Ciudad De Mexico, Mexico

[3] Inst Nacl Cardiol Ignacio Chavez, Dept Cuidados Intens Posquirurgicos Cardiovasc, Secretaria Salubridad & Asistencia, Ciudad De Mexico, Mexico

[4] Hosp Cardiol, Ctr Medico Nacl Siglo 23, Inst Mexicano Seguro Social, Dept Cardiol,Unidad Medica Alta Especialidad, Ciudad De Mexico, Mexico

来源：

ARCHIVOS DE CARDIOLOGIA DE MEXICO | 2023年 / 93卷 / 03期

关键词：

Pulmonary hypertension; Pulmonary circulation; Altitude; Reproducibility of results; Hemodynamics; RIGHT HEART; DOPPLER-ECHOCARDIOGRAPHY; ACCURACY;

D O I：

10.24875/ACM.22000124

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Introduction: The reliability of pulmonary arterial systolic pressure by transthoracic echocardiography is limited by its variability to define pulmonary hypertension. Objective: To know the variability of pulmonary arterial systolic pressure estimated by echocardiography in pulmonary hypertension. Their demographic variables were obtained. Methods: From 2016-2020 subjects with pulmonary hypertension were recruited, with pulmonary artery systolic pressure estimated by transthoracic echocardiography and by right heart catheterization. Data were analyzed using the Bland-Altman descriptive statistic and the intraclass correlation coefficient (95% confidence interval). Results: 152 subjects, age 60 +/- 12 years, were studied. Body mass index 27.64 +/- 4.69 kg/m(2). The pulmonary artery systolic pressure estimated by transthoracic echocardiography 58.99 +/- 18.62 vs. cardiac catheterization 55.43 +/- 16.79 mmHg. Mean difference (bias) -3.6 (29.1, -36.2) and intraclass correlation coefficient 0.717 (0.610, 0.794). Conclusions: Variability is wide, and agreement is substantial for pulmonary artery systolic pressure. It is recommended to estimate only as screening for pulmonary hypertension.

引用

页码：267 / 275

页数：9

共 25 条

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