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
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.2021.62.446 (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,
Klinički bolnički centar Zagreb
Profili:
Kristina Gašparović
(autor)
Josip Juras
(autor)
Miroslav Samaržija
(autor)
Martina Lovrić Benčić
(autor)
Maja Hrabak Paar
(autor)
Marija Brestovac
(autor)
Davor Miličić
(autor)
Jadranka Šeparović-Hanževački
(autor)
Gordana Pavliša
(autor)
Citiraj ovu publikaciju:
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