The usefulness of subxiphoid view in the evaluation of acceleration time and pulmonary hypertension in ICU patients.
Background: Pulmonary hypertension (PHT) is very frequent in ICUs. Estimation of systolic pulmonary artery pressure (PASP) by using tricuspid regurgitation velocity (TRV) is impossible in 25% of patients. However, it may be possible to estimate PHT in these patients by obtaining subxiphoid imaging o...
| Publicado en: | Echocardiography Vol. 37; no. 9; pp. 1345 - 1353 |
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| Autores principales: | , , , , , |
| Formato: | diagnostic images research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Sep2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=146119755&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 146119755 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 07422822 GSE jtl: Echocardiography issn: 07422822 maglogo: Y pubinfo: dt: Sep2020 vid: 37 iid: 9 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 146119755 145873269 146119755 146119755 10.1111/echo.14822 146119755 ppf: 1345 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: The usefulness of subxiphoid view in the evaluation of acceleration time and pulmonary hypertension in ICU patients. aug: au: Gürsel, Gül Özdemir, Uğur Güney, Tuba Karaarslan, Nur Tekin, Ömer Öztürk, Burcu affil: Department of Pulmonary Critical Care Medicine, Gazi University School of Medicine, Ankara, Turkey sug: subj: Echocardiography Methods Pulmonary Wedge Pressure Evaluation Hypertension, Pulmonary Intensive Care Units Pulmonary Artery Anatomy and Histology Critically Ill Patients Human Prospective Studies Nonexperimental Studies Tertiary Health Care Academic Medical Centers Descriptive Statistics Respiration, Artificial Heart Ventricle, Right Pathology ab: Background: Pulmonary hypertension (PHT) is very frequent in ICUs. Estimation of systolic pulmonary artery pressure (PASP) by using tricuspid regurgitation velocity (TRV) is impossible in 25% of patients. However, it may be possible to estimate PHT in these patients by obtaining subxiphoid imaging of short axis (SX‐SAX) and measuring pulmonary artery diameter (PAD) and right ventricular outflow tract (RVOT) acceleration time (AT). We first aimed to compare the values of AT and PAD measured at the parasternal short axis view (PSAX) and SX‐SAX and then to compare AT measurements obtained in the RVOT and pulmonary artery (PA) in ICU patients. Methods: This prospective observational study was conducted in a 7‐bed ICU of a tertiary academic teaching hospital. Measurements of TRV, PAD, and AT in parasternal and subxiphoid SAX were obtained. AT was measured in RVOT and PA locations. We measured other echocardiographic signs of PHT to assess the probability of PHT in addition to TRV measurements. Results: The study consisted of 61 patients. TRV was measured in 85% of the patients, and SX‐SAX was visualized in 78%. The probability of PHT was high (49%) in this study population. There were agreement and no proportional bias between the measurements of PAD and AT at both SX‐SAX and PSAX. Measurements of AT in the RVOT and PA were similar, as well. Conclusion: These results suggested that measurements of AT in the PSAX and SX‐SAX and RVOT and PA were similar in the ICU patients. pubtype: Academic Journal doctype: diagnostic images research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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