Assessment of right ventricle in pulmonary arterial hypertension with three-dimensional echocardiography and cardiovascular magnetic resonance.
J Cardiovasc Med (Hagerstown)
; 22(12): 929-936, 2021 Dec 01.
Article
en En
| MEDLINE
| ID: mdl-34482325
ABSTRACT
AIM:
To correlate 3-D Echo and CMR RV parameters and to verify whether they are similarly related to the clinical conditions of patients with pulmonary arterial hypertension (PAH), a disease in which the RV plays a crucial prognostic role.METHODS:
We enrolled 34 consecutive PAH patients followed by our PAH clinics. All patients underwent a 3-D Echo and CMR assessment of RV volumes and functions in the same day. The presence or absence of correlation between major findings was investigated; functional RV parameters were also analyzed in relation to 6-min walking test (6MWT) results and BNP/Nt-proBNP plasma levels. Twenty-four subjects served as controls.RESULTS:
Good agreement was found between 3-D Echo and CMR measures of RV volumes [RV-end-diastolic volume (râ=â0.72, Pâ<â0.0001), RV-end-systolic volume (ESV) (râ=â0.80, Pâ<â0.0001)] and function [RV-EF (râ=â0.73, Pâ<â0.0001), RV-ESV/SV (râ=â0.83, Pâ=â0.001)] for all the subjects of the study. These correlations were stronger in PAH patients than in control subjects. Importantly, 3-D Echo and CMR RV-EF and RV to pulmonary arterial coupling (RV-ESV/SV) similarly correlated with BNP/Nt-proBNP levels and with functional capacity measured at 6MWT in the PAH patients group.CONCLUSIONS:
3-D Echo demonstrated a significant agreement with CMR in the assessment of RV volume and function in PAH patients. Both techniques showed a similar correlation with clinical and prognostic parameters. The use of 3-D Echo should be amply boosted in the real-world clinical evaluation of PAH patients.
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Volumen Sistólico
/
Función Ventricular Derecha
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Imagen por Resonancia Cinemagnética
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Ecocardiografía Tridimensional
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Hipertensión Arterial Pulmonar
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Ventrículos Cardíacos
Tipo de estudio:
Diagnostic_studies
/
Prognostic_studies
Límite:
Female
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Humans
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Male
/
Middle aged
Idioma:
En
Revista:
J Cardiovasc Med (Hagerstown)
Asunto de la revista:
ANGIOLOGIA
/
CARDIOLOGIA
Año:
2021
Tipo del documento:
Article