Comparing certain echocardiographic measurements with catheterization in children with pulmonary hypertension due to left-to-right cardiac shunt
Background: Children with left-to-right cardiac shunt are at increasing risk of developing pulmonary hypertension and it's degree will guides the line of management of those patients. However, cardiac catheterization is the standard way to investigate PHT, and echocardiography shows an increasi...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2020-01-01
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| Series: | Medical Journal of Babylon |
| Subjects: | |
| Online Access: | http://www.medjbabylon.org/article.asp?issn=1812-156X;year=2020;volume=17;issue=1;spage=79;epage=83;aulast=Tuky |
| _version_ | 1819182659825303552 |
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| author | Haider Sahib Humady Tuky Mohanad Kudhair Shukur Alghanimi Ban Abbas Semender |
| author_facet | Haider Sahib Humady Tuky Mohanad Kudhair Shukur Alghanimi Ban Abbas Semender |
| author_sort | Haider Sahib Humady Tuky |
| collection | DOAJ |
| description | Background: Children with left-to-right cardiac shunt are at increasing risk of developing pulmonary hypertension and it's degree will guides the line of management of those patients. However, cardiac catheterization is the standard way to investigate PHT, and echocardiography shows an increasing role in diagnosis. Objectives: To check the consistency of noninvasive echocardiographic parameters with that is measured by conventional cardiac catheterization in assessing children with pulmonary hypertension due to congenital heart disease (PHT-CHD). Materials and Methods: This prospective cross-sectional study included 60 children with PHT-CHD we assessed six echocardiographic parameters; pulmonary vascular resistance (PVR), mean pulmonary artery pressure (MPAP), pulmonary capillary wedge pressure (PCWP), pulmonary to systemic flow (QP/QS), acceleration time of right ventricular outflow tract, and shunt gradients. Then these data were compared with same catheterization parameters. Results: There insignificant difference among PVR, MPAP, PCWP, and QP/QS measured by catheterization and the same parameters measured by echocardiography with P > 0.05. The total sensitivity of echocardiographic measurements was 94.23%, specificity 91.45%, positive predictive value 90.71%, and negative predictive value 87.35%. Conclusion: Echocardiographic measurements show respectable similarity to catheterization results in patients with PHT-CHD. |
| first_indexed | 2024-12-22T22:49:39Z |
| format | Article |
| id | doaj.art-6bc28d95bebf41ff92728e0d72e3c5e5 |
| institution | Directory Open Access Journal |
| issn | 1812-156X 2312-6760 |
| language | English |
| last_indexed | 2024-12-22T22:49:39Z |
| publishDate | 2020-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Medical Journal of Babylon |
| spelling | doaj.art-6bc28d95bebf41ff92728e0d72e3c5e52022-12-21T18:10:00ZengWolters Kluwer Medknow PublicationsMedical Journal of Babylon1812-156X2312-67602020-01-01171798310.4103/MJBL.MJBL_53_19Comparing certain echocardiographic measurements with catheterization in children with pulmonary hypertension due to left-to-right cardiac shuntHaider Sahib Humady TukyMohanad Kudhair Shukur AlghanimiBan Abbas SemenderBackground: Children with left-to-right cardiac shunt are at increasing risk of developing pulmonary hypertension and it's degree will guides the line of management of those patients. However, cardiac catheterization is the standard way to investigate PHT, and echocardiography shows an increasing role in diagnosis. Objectives: To check the consistency of noninvasive echocardiographic parameters with that is measured by conventional cardiac catheterization in assessing children with pulmonary hypertension due to congenital heart disease (PHT-CHD). Materials and Methods: This prospective cross-sectional study included 60 children with PHT-CHD we assessed six echocardiographic parameters; pulmonary vascular resistance (PVR), mean pulmonary artery pressure (MPAP), pulmonary capillary wedge pressure (PCWP), pulmonary to systemic flow (QP/QS), acceleration time of right ventricular outflow tract, and shunt gradients. Then these data were compared with same catheterization parameters. Results: There insignificant difference among PVR, MPAP, PCWP, and QP/QS measured by catheterization and the same parameters measured by echocardiography with P > 0.05. The total sensitivity of echocardiographic measurements was 94.23%, specificity 91.45%, positive predictive value 90.71%, and negative predictive value 87.35%. Conclusion: Echocardiographic measurements show respectable similarity to catheterization results in patients with PHT-CHD.http://www.medjbabylon.org/article.asp?issn=1812-156X;year=2020;volume=17;issue=1;spage=79;epage=83;aulast=Tukycongenital heart diseaseechocardiographypulmonary hypertension |
| spellingShingle | Haider Sahib Humady Tuky Mohanad Kudhair Shukur Alghanimi Ban Abbas Semender Comparing certain echocardiographic measurements with catheterization in children with pulmonary hypertension due to left-to-right cardiac shunt Medical Journal of Babylon congenital heart disease echocardiography pulmonary hypertension |
| title | Comparing certain echocardiographic measurements with catheterization in children with pulmonary hypertension due to left-to-right cardiac shunt |
| title_full | Comparing certain echocardiographic measurements with catheterization in children with pulmonary hypertension due to left-to-right cardiac shunt |
| title_fullStr | Comparing certain echocardiographic measurements with catheterization in children with pulmonary hypertension due to left-to-right cardiac shunt |
| title_full_unstemmed | Comparing certain echocardiographic measurements with catheterization in children with pulmonary hypertension due to left-to-right cardiac shunt |
| title_short | Comparing certain echocardiographic measurements with catheterization in children with pulmonary hypertension due to left-to-right cardiac shunt |
| title_sort | comparing certain echocardiographic measurements with catheterization in children with pulmonary hypertension due to left to right cardiac shunt |
| topic | congenital heart disease echocardiography pulmonary hypertension |
| url | http://www.medjbabylon.org/article.asp?issn=1812-156X;year=2020;volume=17;issue=1;spage=79;epage=83;aulast=Tuky |
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