An Alternative Echocardiographic Method to Estimate Mean Pulmonary Artery Pressure: Diagnostic and Clinical Implications

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• 作者：Javier F. Aduen ; MD^a ; Ramon Castello ; MD^b ; ^{castello.ramon@gmail.com} ; Marcelo M. Lozano ; MD^b ; George N. Hepler ; RDCS^b ; Cesar A. Keller ; MD^a ; Francisco Alvarez ; MD^a ; Robert E. Safford ; MD^b ; Julia E. Crook ; PhD^c ; Michael G. Heckman ; MS^c ; Charles D. Burger ; MD^a
• 关键词：Doppler echocardiography ; Mean pulmonary pressure ; Pulmonary hypertension
• 刊名：Journal of the American Society of Echocardiography
• 出版年：2009
• 出版时间：July 2009
• 年：2009
• 卷：22
• 期：7
• 页码：814-819
• 全文大小：406 K

文摘

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Background

The aim of this study was to evaluated an alternative echocardiographic method to calculate mean pulmonary arterial pressure (MPAP).

Methods

One hundred two patients were studied with simultaneous right-heart catheterization (RHC) and echocardiography. MPAP was calculated by adding the right ventricular¨Cright atrial mean systolic gradient to right atrial pressure.

Results

The mean difference between MPAP calculated using this method and RHC-derived MPAP was ?.6 mm Hg, less than that of traditional systolic pulmonary arterial pressure (SPAP; ?.4 mm Hg) and MPAP estimated using the pulmonary regurgitation method (?3.9 mm Hg). The median absolute percentage difference of the MPAP calculations relative to RHC was significantly less with this method than with the pulmonary regurgitation method (18 % vs 71 % ; P < .001) and similar to the SPAP method (both 18 % ; P = .30).

Conclusion

MPAP calculated using the proposed method is as accurate as SPAP calculation and less variable than previous methods, thus allowing widespread clinical use.