Diagnostic accuracy, sensitivity, and specificity of CT pulmonary artery to aorta diameter ratio in screening for pulmonary hypertension in end-stage COPD patients
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| Title: | Diagnostic accuracy, sensitivity, and specificity of CT pulmonary artery to aorta diameter ratio in screening for pulmonary hypertension in end-stage COPD patients |
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| Authors: | Gašparović, Kristina, Pavliša, Gordana, Hrabak Paar, Maja, Brestovac, Marija, Lovrić Benčić, Martina, Šeparović Hanževački, Jadranka, Miličić, Davor, Samaržija, Miroslav, Juras, Josip |
| Source: | Croat Med J Croatian Medical Journal CODEN CMEJEN Volume 62 Issue 5 |
| Publisher Information: | Croatian Medical Journals, 2021. |
| Publication Year: | 2021 |
| Subject Terms: | Male, Pulmonary Artery / diagnostic imaging, Hypertension, Pulmonary, CT pulmonary angiography, Hypertension, Pulmonary* / etiology, pulmonary hypertension, Pulmonary Artery, Pulmonary Disease, Chronic Obstructive* / diagnostic imaging, 3. Good health, Hypertension, Pulmonary* / diagnostic imaging, Pulmonary Disease, Chronic Obstructive* / complications, Pulmonary Disease, Chronic Obstructive, 03 medical and health sciences, 0302 clinical medicine, Humans, Female, Prospective Studies, Tomography, X-Ray Computed, Aorta, Research Article, Retrospective Studies |
| Description: | To determine the diagnostic accuracy of pulmonary artery to aorta ratio in screening for pulmonary hypertension in advanced chronic obstructive pulmonary disease (COPD) patients.A prospective, diagnostic study was conducted in University Hospital Center Zagreb between January 2015 and March 2018. The study enrolled 100 patients who consecutively underwent chest computed tomography (CT), echocardiographic exam, and right heart catheterization. Two independent observers measured pulmonary artery and ascending aorta diameters. The correlation between the ratio and mean pulmonary artery pressure, measured invasively, was assessed. Patients with echocardiographic signs of moderate systolic or diastolic left ventricular dysfunction were excluded (n=44).Sixty-six patients (55.5% men), with a median age of 61, were identified. Median forced expiratory volume during the first second (FEV1) was 34±12, FEV1/forced vital capacity |
| Document Type: | Article Other literature type |
| File Description: | application/pdf |
| ISSN: | 1332-8166 0353-9504 |
| DOI: | 10.3325/cmj.2021.62.446 |
| DOI: | 10.3325/cmj.2021.62.44 |
| Access URL: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8596476/pdf/CroatMedJ_62_0446.pdf https://pubmed.ncbi.nlm.nih.gov/34730884 https://www.bib.irb.hr/1156931 https://doi.org/10.3325/cmj.2021.62.446 https://hrcak.srce.hr/278464 https://doi.org/10.3325/cmj.2021.62.446 https://www.ncbi.nlm.nih.gov/pubmed/34730884 https://pubmed.ncbi.nlm.nih.gov/34730884/ https://europepmc.org/article/MED/34730884 https://urn.nsk.hr/urn:nbn:hr:105:118708 https://doi.org/10.3325/cmj.2021.62.44 https://hrcak.srce.hr/278464 https://doi.org/10.3325/cmj.2021.62.44 https://hrcak.srce.hr/file/403174 https://hrcak.srce.hr/278464 |
| Rights: | CC BY NC ND URL: http://creativecommons.org/licenses/by/2.5/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
| Accession Number: | edsair.doi.dedup.....5efbafd1938c05e71ead8b5e471b81e6 |
| Database: | OpenAIRE |
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Nájsť tento článok vo Web of Science | Abstract: | To determine the diagnostic accuracy of pulmonary artery to aorta ratio in screening for pulmonary hypertension in advanced chronic obstructive pulmonary disease (COPD) patients.A prospective, diagnostic study was conducted in University Hospital Center Zagreb between January 2015 and March 2018. The study enrolled 100 patients who consecutively underwent chest computed tomography (CT), echocardiographic exam, and right heart catheterization. Two independent observers measured pulmonary artery and ascending aorta diameters. The correlation between the ratio and mean pulmonary artery pressure, measured invasively, was assessed. Patients with echocardiographic signs of moderate systolic or diastolic left ventricular dysfunction were excluded (n=44).Sixty-six patients (55.5% men), with a median age of 61, were identified. Median forced expiratory volume during the first second (FEV1) was 34±12, FEV1/forced vital capacity |
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| ISSN: | 13328166 03539504 |
| DOI: | 10.3325/cmj.2021.62.446 |