Echocardiographic Prediction of Pre- versus Postcapillary Pulmonary Hypertension
作者: Michele D’AltoEmanuele RomeoPaola ArgientoAdriana PavelescuChristian MélotAntonello D’AndreaAnna CorreraEduardo BossoneRaffaele CalabròMaria G. RussoRobert Naeije
作者单位: 1Department of Cardiology, Second University of Naples - Monaldi Hospital, Naples, Italy
2Department of Cardiology, Molière Longchamp Hospital, Université Libre de Bruxelles, Brussels, Belgium
3Department of Emergency, Erasme Academic Hospital, Université Libre de Bruxelles, Brussels, Belgium
4Department of Cardiology and Cardiac Surgery, University Hospital “Scuola Medica Salernitana,” Salerno, Italy
5Department of Physiology, Faculty of Medicine, Erasme Academic Hospital, Université Libre de Bruxelles, Brussels, Belgium
刊名: Journal of the American Society of Echocardiography, 2015, Vol.28 (1), pp.108-115
来源数据库: Elsevier Journal
DOI: 10.1016/j.echo.2014.09.004
关键词: Pulmonary hypertensionPrecapillaryPostcapillaryEchocardiographyRight heart catheterization
英文摘要: Background(#br)The differential diagnosis between pre- and postcapillary pulmonary hypertension (PH) is of major therapeutic relevance and thus requires optimal clinical probability assessment with echocardiography.(#br)Methods(#br)We prospectively analyzed 152 consecutive patients referred to a PH center over a 1-year period undergoing quasi-simultaneous (within 1 hour) echocardiography and right heart catheterization. Echocardiography was performed as usually recommended for the assessment of PH and left heart conditions. PH was defined as a mean pulmonary artery pressure ≥ 25 mm Hg. Postcapillary PH was diagnosed on the basis of a pulmonary capillary wedge pressure >15 mm Hg.(#br)Results(#br)Ten of 152 patients (7%) had no PH, 81 of 152 (53%) had precapillary PH, and 61 of 152 (40%)...
全文获取路径: Elsevier  (合作)
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