학술논문

Echocardiographic estimation of pulmonary vascular resistance in advanced lung disease.
Document Type
article
Source
Pulmonary circulation. 13(1)
Subject
chronic obstructive pulmonary disease
hemodynamics
interstitial lung disease
lung transplant
pulmonary hypertension
Cardiovascular
Bioengineering
Heart Disease
Lung
Clinical Research
Respiratory
Good Health and Well Being
Cardiorespiratory Medicine and Haematology
Language
Abstract
Noninvasive assessment of pulmonary hemodynamics is often performed by echocardiographic estimation of the pulmonary artery systolic pressure (ePASP), despite limitations in the advanced lung disease population. Other noninvasive hemodynamic variables, such as echocardiographic pulmonary vascular resistance (ePVR), have not been studied in this population. We performed a retrospective analysis of 147 advanced lung disease patients who received both echocardiography and right heart catheterization for lung transplant evaluation. The ePVR was estimated by four previously described equations. Noninvasive and invasive hemodynamic parameters were compared in terms of correlation, agreement, and accuracy. The ePVR models strongly correlated with invasively determined PVR and had good accuracy with biases of