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Pregled bibliografske jedinice broj: 1156931

Diagnostic accuracy, sensitivity, and specificity of CT pulmonary artery to aorta diameter ratio in screening for pulmonary hypertension in end-stage COPD patients


Gašparović, Kristina; Pavliša, Gordana; Hrabak Paar, Maja; Brestovac, Marija; Lovrić Benčić, Martina; Šeparović Hanževački, Jadranka; Miličić, Davor; Samaržija, Miroslav; Juras, Josip
Diagnostic accuracy, sensitivity, and specificity of CT pulmonary artery to aorta diameter ratio in screening for pulmonary hypertension in end-stage COPD patients // Croatian medical journal, 62 (2021), 5; 446-456 doi:10.3325/cmj.2021.62 (međunarodna recenzija, članak, znanstveni)


CROSBI ID: 1156931 Za ispravke kontaktirajte CROSBI podršku putem web obrasca

Naslov
Diagnostic accuracy, sensitivity, and specificity of CT pulmonary artery to aorta diameter ratio in screening for pulmonary hypertension in end-stage COPD patients

Autori
Gašparović, Kristina ; Pavliša, Gordana ; Hrabak Paar, Maja ; Brestovac, Marija ; Lovrić Benčić, Martina ; Šeparović Hanževački, Jadranka ; Miličić, Davor ; Samaržija, Miroslav ; Juras, Josip

Izvornik
Croatian medical journal (0353-9504) 62 (2021), 5; 446-456

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
pulmonary Hypertension ; CT pulmonary angiography

Sažetak
Aim: To determine the diagnostic accuracy of pulmonary artery to aorta ratio in screening for pulmonary hypertension in advanced chronic obstructive pulmonary disease (COPD) patients. Methods: 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). Results: 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 <0.70. Patients with and without pulmonary hypertension had pulmonary artery diameter of 36±7 mm and 27±4.6 mm, respectively (P<0.001). Median pulmonary artery/aorta (PA/A) ratios for patients with and without pulmonary hypertension were 1.05 and 0.81, respectively (P<0.001). PA/A ratio above 0.95 was an independent predictor of pulmonary hypertension with a specificity of 100% and a sensitivity of 74.51% (area under the curve=0.882 ; standard error=0.041 ; P<0.001). Conclusion: PA/A ratio as measured on chest CT images can be used as a screening tool instead of echocardiography.

Izvorni jezik
Engleski

Znanstvena područja
Temeljne medicinske znanosti



POVEZANOST RADA


Ustanove:
Medicinski fakultet, Zagreb

Poveznice na cjeloviti tekst rada:

doi www.cmj.hr

Citiraj ovu publikaciju:

Gašparović, Kristina; Pavliša, Gordana; Hrabak Paar, Maja; Brestovac, Marija; Lovrić Benčić, Martina; Šeparović Hanževački, Jadranka; Miličić, Davor; Samaržija, Miroslav; Juras, Josip
Diagnostic accuracy, sensitivity, and specificity of CT pulmonary artery to aorta diameter ratio in screening for pulmonary hypertension in end-stage COPD patients // Croatian medical journal, 62 (2021), 5; 446-456 doi:10.3325/cmj.2021.62 (međunarodna recenzija, članak, znanstveni)
Gašparović, K., Pavliša, G., Hrabak Paar, M., Brestovac, M., Lovrić Benčić, M., Šeparović Hanževački, J., Miličić, D., Samaržija, M. & Juras, J. (2021) Diagnostic accuracy, sensitivity, and specificity of CT pulmonary artery to aorta diameter ratio in screening for pulmonary hypertension in end-stage COPD patients. Croatian medical journal, 62 (5), 446-456 doi:10.3325/cmj.2021.62.
@article{article, author = {Ga\v{s}parovi\'{c}, Kristina and Pavli\v{s}a, Gordana and Hrabak Paar, Maja and Brestovac, Marija and Lovri\'{c} Ben\v{c}i\'{c}, Martina and \v{S}eparovi\'{c} Han\v{z}eva\v{c}ki, Jadranka and Mili\v{c}i\'{c}, Davor and Samar\v{z}ija, Miroslav and Juras, Josip}, year = {2021}, pages = {446-456}, DOI = {10.3325/cmj.2021.62}, keywords = {pulmonary Hypertension, CT pulmonary angiography}, journal = {Croatian medical journal}, doi = {10.3325/cmj.2021.62}, volume = {62}, number = {5}, issn = {0353-9504}, title = {Diagnostic accuracy, sensitivity, and specificity of CT pulmonary artery to aorta diameter ratio in screening for pulmonary hypertension in end-stage COPD patients}, keyword = {pulmonary Hypertension, CT pulmonary angiography} }
@article{article, author = {Ga\v{s}parovi\'{c}, Kristina and Pavli\v{s}a, Gordana and Hrabak Paar, Maja and Brestovac, Marija and Lovri\'{c} Ben\v{c}i\'{c}, Martina and \v{S}eparovi\'{c} Han\v{z}eva\v{c}ki, Jadranka and Mili\v{c}i\'{c}, Davor and Samar\v{z}ija, Miroslav and Juras, Josip}, year = {2021}, pages = {446-456}, DOI = {10.3325/cmj.2021.62}, keywords = {pulmonary Hypertension, CT pulmonary angiography}, journal = {Croatian medical journal}, doi = {10.3325/cmj.2021.62}, volume = {62}, number = {5}, issn = {0353-9504}, title = {Diagnostic accuracy, sensitivity, and specificity of CT pulmonary artery to aorta diameter ratio in screening for pulmonary hypertension in end-stage COPD patients}, keyword = {pulmonary Hypertension, CT pulmonary angiography} }

Časopis indeksira:


  • Current Contents Connect (CCC)
  • Web of Science Core Collection (WoSCC)
    • Science Citation Index Expanded (SCI-EXP)
    • SCI-EXP, SSCI i/ili A&HCI
  • Scopus
  • MEDLINE


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