Pregled bibliografske jedinice broj: 454159
Mild to moderate pulmonary hypertension in children with sickle cell disease is due to increased pulmonary blood flow secondary to anaemia rather than elevated pulmonary vascular resistance
Mild to moderate pulmonary hypertension in children with sickle cell disease is due to increased pulmonary blood flow secondary to anaemia rather than elevated pulmonary vascular resistance // Thorax
London, Ujedinjeno Kraljevstvo, 2009. str. A19-A19 (predavanje, međunarodna recenzija, sažetak, znanstveni)
CROSBI ID: 454159 Za ispravke kontaktirajte CROSBI podršku putem web obrasca
Naslov
Mild to moderate pulmonary hypertension in children with sickle cell disease is due to increased pulmonary blood flow secondary to anaemia rather than elevated pulmonary vascular resistance
Autori
Chaudry, Rifat ; Cikes, Maja ; Karu, Tia ; Hutchinson, Carmel ; Ball, Sarah ; Sutherland, George ; Rosenthal, Mark ; Bush, Andrew ; Crowley, Suzanne
Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni
Izvornik
Thorax
/ - , 2009, A19-A19
Skup
British Thoracic Society Winter Meeting 2009
Mjesto i datum
London, Ujedinjeno Kraljevstvo, 02.12.2009. - 04.12.2009
Vrsta sudjelovanja
Predavanje
Vrsta recenzije
Međunarodna recenzija
Ključne riječi
Pulmonary hypertension; sickle cell disease; pulmonary vascular resistance
Sažetak
Pulmonary hypertension (PHT) is a common and serious complication in adults with sickle cell disease (SCD). Mortality is estimated to be 40% 40 months from diagnosis. Currently, age of onset and rate of progression are unknown. Our aim was to compare prevalence, severity and progression of PHT in paediatric SCD patients with age-, sex- and ethnically matched controls. We studied 50 patients with SCD, median age 14.0 years (range 10-18) and 50 healthy controls. Echocardiographic measurement of tricuspid regurgitant jet velocity (TRV) was used to estimate peak systolic pulmonary artery pressure (PAP). Pulmonary vascular resistance (PVREST) was estimated by dividing PAP by effective pulmonary blood flow (Qpeff) measured using acetylene rebreathing and respiratory mass spectrometry. 32% of patients (16/50) and 8% of control subjects (4/50) had echocardiographic evidence of PHT (TRV≥ 2.5 m/sec). However, when PAP (minus estimated left atrial pressure) was divided by Qpeff (L/min/m2) to calculate PVREST, SCD children actually had lower values than controls (p<0.05). Repeat echocardiography after a median of 20 months (range16-27.5) showed no overall change in PAP. In conclusion echocardiographic diagnosed PHT is common in children with SCD. However this appears to be secondary to raised cardiac output and not increased pulmonary vascular resistance.
Izvorni jezik
Engleski
Znanstvena područja
Kliničke medicinske znanosti
POVEZANOST RADA
Projekti:
108-1081875-1991 - Doppler miokarda u ranom otkrivanju i praćenju kardiovaskularnih bolesti (Šeparović-Hanževački, Jadranka, MZOS ) ( CroRIS)
Ustanove:
Klinički bolnički centar Zagreb
Profili:
Maja Čikeš
(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