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Right Ventricular Dysfunction Compromises Accuracy of Echocardiographic Diagnosis of Pulmonary Hypertension in Heart Failure
Abstract Background The Swan-Ganz catheter and echocardiography (ECHO) are commonly used to measure pulmonary artery systolic pressure. It is unknown how right ventricular dysfunction influences the accuracy of ECHO-derived estimation of pulmonary hypertension in patients with severe left ventricula...
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| Published in: | Journal of cardiac failure 2011-12, Vol.17 (12), p.1023-1027 |
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| container_end_page | 1027 |
| container_issue | 12 |
| container_start_page | 1023 |
| container_title | Journal of cardiac failure |
| container_volume | 17 |
| creator | McClanahan, Angela, DO Guglin, Maya, MD |
| description | Abstract Background The Swan-Ganz catheter and echocardiography (ECHO) are commonly used to measure pulmonary artery systolic pressure. It is unknown how right ventricular dysfunction influences the accuracy of ECHO-derived estimation of pulmonary hypertension in patients with severe left ventricular systolic dysfunction. Methods and Results We analyzed a limited-access dataset from the ESCAPE (Evaluation Study of Congestive Heart Failure and Pulmonary Artery Catheterization Effectiveness) trial provided by the National Heart, Lung, and Blood Institute. Patients enrolled in this trial had left ventricular ejection fraction |
| doi_str_mv | 10.1016/j.cardfail.2011.08.011 |
| format | article |
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It is unknown how right ventricular dysfunction influences the accuracy of ECHO-derived estimation of pulmonary hypertension in patients with severe left ventricular systolic dysfunction. Methods and Results We analyzed a limited-access dataset from the ESCAPE (Evaluation Study of Congestive Heart Failure and Pulmonary Artery Catheterization Effectiveness) trial provided by the National Heart, Lung, and Blood Institute. Patients enrolled in this trial had left ventricular ejection fraction <30% and decompensated heart failure (HF). Preserved and depressed right ventricular function was defined as fractional area change ≥30% and <30%, respectively. Pearson correlation coefficient, sensitivity, and specificity were calculated. In 106 patients, there were serial measurements of pulmonary artery systolic pressure with both Swan-Ganz catheter and ECHO. For all points of time, including admission for HF decompensation, next day (subcompensation), and the last day of hemodynamic measurements (compensation), correlation was better for preserved than for depressed right ventricular function. Conclusions Accuracy of echocardiographic estimation of pulmonary hypertension in patients with systolic HF is better when right ventricular systolic function is preserved.</description><identifier>ISSN: 1071-9164</identifier><identifier>EISSN: 1532-8414</identifier><identifier>DOI: 10.1016/j.cardfail.2011.08.011</identifier><identifier>PMID: 22123366</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Blood Pressure ; Cardiovascular ; Catheterization, Swan-Ganz ; Disease Progression ; echocardiography ; Echocardiography - instrumentation ; Female ; heart failure ; Heart Failure - diagnostic imaging ; Heart Failure - pathology ; Humans ; Hypertension, Pulmonary - diagnostic imaging ; Hypertension, Pulmonary - pathology ; Male ; Middle Aged ; Prognosis ; Pulmonary hypertension ; Retrospective Studies ; right ventricular function ; Statistics as Topic ; Stroke Volume ; Tricuspid Valve Insufficiency ; Ventricular Dysfunction, Right - diagnostic imaging ; Ventricular Dysfunction, Right - pathology ; Ventricular Function, Left</subject><ispartof>Journal of cardiac failure, 2011-12, Vol.17 (12), p.1023-1027</ispartof><rights>Elsevier Inc.</rights><rights>2011 Elsevier Inc.</rights><rights>Copyright © 2011 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c422t-612c5695251c2f245dd748353310b0dd383ba402bdfadcabeab189b05dbfa87b3</citedby><cites>FETCH-LOGICAL-c422t-612c5695251c2f245dd748353310b0dd383ba402bdfadcabeab189b05dbfa87b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22123366$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>McClanahan, Angela, DO</creatorcontrib><creatorcontrib>Guglin, Maya, MD</creatorcontrib><title>Right Ventricular Dysfunction Compromises Accuracy of Echocardiographic Diagnosis of Pulmonary Hypertension in Heart Failure</title><title>Journal of cardiac failure</title><addtitle>J Card Fail</addtitle><description>Abstract Background The Swan-Ganz catheter and echocardiography (ECHO) are commonly used to measure pulmonary artery systolic pressure. It is unknown how right ventricular dysfunction influences the accuracy of ECHO-derived estimation of pulmonary hypertension in patients with severe left ventricular systolic dysfunction. Methods and Results We analyzed a limited-access dataset from the ESCAPE (Evaluation Study of Congestive Heart Failure and Pulmonary Artery Catheterization Effectiveness) trial provided by the National Heart, Lung, and Blood Institute. Patients enrolled in this trial had left ventricular ejection fraction <30% and decompensated heart failure (HF). Preserved and depressed right ventricular function was defined as fractional area change ≥30% and <30%, respectively. Pearson correlation coefficient, sensitivity, and specificity were calculated. In 106 patients, there were serial measurements of pulmonary artery systolic pressure with both Swan-Ganz catheter and ECHO. For all points of time, including admission for HF decompensation, next day (subcompensation), and the last day of hemodynamic measurements (compensation), correlation was better for preserved than for depressed right ventricular function. Conclusions Accuracy of echocardiographic estimation of pulmonary hypertension in patients with systolic HF is better when right ventricular systolic function is preserved.</description><subject>Blood Pressure</subject><subject>Cardiovascular</subject><subject>Catheterization, Swan-Ganz</subject><subject>Disease Progression</subject><subject>echocardiography</subject><subject>Echocardiography - instrumentation</subject><subject>Female</subject><subject>heart failure</subject><subject>Heart Failure - diagnostic imaging</subject><subject>Heart Failure - pathology</subject><subject>Humans</subject><subject>Hypertension, Pulmonary - diagnostic imaging</subject><subject>Hypertension, Pulmonary - pathology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Prognosis</subject><subject>Pulmonary hypertension</subject><subject>Retrospective Studies</subject><subject>right ventricular function</subject><subject>Statistics as Topic</subject><subject>Stroke Volume</subject><subject>Tricuspid Valve Insufficiency</subject><subject>Ventricular Dysfunction, Right - diagnostic imaging</subject><subject>Ventricular Dysfunction, Right - pathology</subject><subject>Ventricular Function, Left</subject><issn>1071-9164</issn><issn>1532-8414</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><recordid>eNqFUU1v1DAUjBCIlsJfqHzjlOCPfF4Q1bZlK1UC8XW1nOeXXS-JvdgxUiR-PI627YELp7HkefNm5mXZJaMFo6x-dyhAeT0oMxacMlbQtkjwLDtnleB5W7LyeXrThuUdq8uz7FUIB0ppW9LmZXbGOeNC1PV59ueL2e1n8gPt7A3EUXlyvYQhWpiNs2TjpqN3kwkYyBVA9AoW4gZyA3u3GjBu59Vxb4BcG7WzLpiwfn-O4-Ss8gvZLkf0M9qwqhlLtqj8TG6T7-jxdfZiUGPANw94kX2_vfm22eb3nz7eba7ucyg5n_OacajqruIVAz7wstK6KVtRCcFoT7UWrehVSXmf-tCgelQ9a7ueVrofVNv04iJ7e9JNWX5FDLNMiQDHUVl0MciONlQwUXeJWZ-Y4F0IHgd59GZKQSSjci1eHuRj8XItXtJWJkiDlw8rYj-hfhp7bDoRPpwImIL-NuhlAIMWUBuPMEvtzP93vP9HAkZjDajxJy4YDi56m2qUTAYuqfy6nn-9PkuiyUUj_gJmDq85</recordid><startdate>20111201</startdate><enddate>20111201</enddate><creator>McClanahan, Angela, DO</creator><creator>Guglin, Maya, MD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20111201</creationdate><title>Right Ventricular Dysfunction Compromises Accuracy of Echocardiographic Diagnosis of Pulmonary Hypertension in Heart Failure</title><author>McClanahan, Angela, DO ; Guglin, Maya, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c422t-612c5695251c2f245dd748353310b0dd383ba402bdfadcabeab189b05dbfa87b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Blood Pressure</topic><topic>Cardiovascular</topic><topic>Catheterization, Swan-Ganz</topic><topic>Disease Progression</topic><topic>echocardiography</topic><topic>Echocardiography - instrumentation</topic><topic>Female</topic><topic>heart failure</topic><topic>Heart Failure - diagnostic imaging</topic><topic>Heart Failure - pathology</topic><topic>Humans</topic><topic>Hypertension, Pulmonary - diagnostic imaging</topic><topic>Hypertension, Pulmonary - pathology</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Prognosis</topic><topic>Pulmonary hypertension</topic><topic>Retrospective Studies</topic><topic>right ventricular function</topic><topic>Statistics as Topic</topic><topic>Stroke Volume</topic><topic>Tricuspid Valve Insufficiency</topic><topic>Ventricular Dysfunction, Right - diagnostic imaging</topic><topic>Ventricular Dysfunction, Right - pathology</topic><topic>Ventricular Function, Left</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>McClanahan, Angela, DO</creatorcontrib><creatorcontrib>Guglin, Maya, MD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of cardiac failure</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>McClanahan, Angela, DO</au><au>Guglin, Maya, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Right Ventricular Dysfunction Compromises Accuracy of Echocardiographic Diagnosis of Pulmonary Hypertension in Heart Failure</atitle><jtitle>Journal of cardiac failure</jtitle><addtitle>J Card Fail</addtitle><date>2011-12-01</date><risdate>2011</risdate><volume>17</volume><issue>12</issue><spage>1023</spage><epage>1027</epage><pages>1023-1027</pages><issn>1071-9164</issn><eissn>1532-8414</eissn><abstract>Abstract Background The Swan-Ganz catheter and echocardiography (ECHO) are commonly used to measure pulmonary artery systolic pressure. It is unknown how right ventricular dysfunction influences the accuracy of ECHO-derived estimation of pulmonary hypertension in patients with severe left ventricular systolic dysfunction. Methods and Results We analyzed a limited-access dataset from the ESCAPE (Evaluation Study of Congestive Heart Failure and Pulmonary Artery Catheterization Effectiveness) trial provided by the National Heart, Lung, and Blood Institute. Patients enrolled in this trial had left ventricular ejection fraction <30% and decompensated heart failure (HF). Preserved and depressed right ventricular function was defined as fractional area change ≥30% and <30%, respectively. Pearson correlation coefficient, sensitivity, and specificity were calculated. In 106 patients, there were serial measurements of pulmonary artery systolic pressure with both Swan-Ganz catheter and ECHO. For all points of time, including admission for HF decompensation, next day (subcompensation), and the last day of hemodynamic measurements (compensation), correlation was better for preserved than for depressed right ventricular function. Conclusions Accuracy of echocardiographic estimation of pulmonary hypertension in patients with systolic HF is better when right ventricular systolic function is preserved.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>22123366</pmid><doi>10.1016/j.cardfail.2011.08.011</doi><tpages>5</tpages></addata></record> |
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| ispartof | Journal of cardiac failure, 2011-12, Vol.17 (12), p.1023-1027 |
| issn | 1071-9164 1532-8414 |
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| subjects | Blood Pressure Cardiovascular Catheterization, Swan-Ganz Disease Progression echocardiography Echocardiography - instrumentation Female heart failure Heart Failure - diagnostic imaging Heart Failure - pathology Humans Hypertension, Pulmonary - diagnostic imaging Hypertension, Pulmonary - pathology Male Middle Aged Prognosis Pulmonary hypertension Retrospective Studies right ventricular function Statistics as Topic Stroke Volume Tricuspid Valve Insufficiency Ventricular Dysfunction, Right - diagnostic imaging Ventricular Dysfunction, Right - pathology Ventricular Function, Left |
| title | Right Ventricular Dysfunction Compromises Accuracy of Echocardiographic Diagnosis of Pulmonary Hypertension in Heart Failure |
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