Abstract
Introduction: patients with heart failure Stage D, candidates for heart transplantation were performed to determine the pressure in the pulmonary artery by CCD, considered the gold standard test. However, there are noninvasive methods such as the ECO TT.
Methods: retrospective study. The information about patients who were receiving a heart transplant in the FCI-IC between 2005-2013, and the correlation between systolic pulmonary evaluated by ECO TT and CCD was determined.
Results: 46 patients were included. The estimated PSAP CCD was 48.3 ± 13.1 mmHg vs. 45.1 ± 12.1 mmHg ECO TT. The concordance of the PSAP determined by both methods was 0.475 (I, C: 0256-0694), the intraclass correlation coefficient was 0.090, indicating low concordance.
Conclusion: the determination of pulmonary pressures determined by ECO TT has poor agreement with those obtained by CCD
Licence
Authors should declare no conflicts of interest either for reasons of financing the project which is the result of the article; as well as intellectuals, academics, moral and investigative reasons.
The Journal of Andean Research is home to the ethical rules for publications issued by the COPE: http://publicationethics.org/resources/code-conduct
References
2. Gary S. Francis, Barry H. Greenberg, Daphne T. Hsu, Brian E.Jaski, Mariell Jessup, Martin M. LeWinter, Francis D. Pagani, Ileana L. Piña, Marc J. Semigran,Mary Norine Walsh, David H. Wiener and Clyde W. Yancy, Jr. ACCF/AHA/ACP/HFSA/ISHLT 2010 Clinical Competence Statement on Management of Patients With Advanced Heart Failure and Cardiac Transplant: A Report of the ACCF/ AHA/ACP Task Force on Clinical Competence and Training. Circulation. 2010; 122:644-672.
3. Galie N, Hoeper MM, Humbert M, Torbicki A, Vachiery JL, Barberá JA, et al. Guidelines for the diagnosis and treatment of pulmonary hypertension: The Task Force for the Diagnosis and Treatment of Pulmonary Hypertension of the European Society of Cardiology (ESC) and the European Respiratory Society (ERS), endorsed by the International Society of Heart and Lung Transplantation (ISHLT). Eur Heart J. 2009; 30:2493-537.
4. Enríquez-Sarano M, Rossi A, Seward JB, Bailey KR, Tajik AJ. Determinants of pulmonary hypertension in left ventricular dysfunction. J Am CollCardiol. 1997; 29:153-9.
5. Lawrence G. Wyman W. Jonathan A. Guidelines for the Echocardiographic Assessment of the Right Heart in Adults: A Report from the American Society of Echocardiography. J Am SocEchocardiogr 2010; 23:685-713.
6. Masuyama T, Kodama K, Kitabatake A, et al. Continuous-wave Doppler echocardiographic detection of pulmonary regurgitation and Referencias its application to noninvasive estimation of pulmonary artery pressure. Circulation. 1986. 74:484-492.
7. Chan KL, Currie PJ, Seward JB, et. al. Comparison of three Doppler ultrasound methods in the prediction of pulmonary artery pressure. J Am CollCardiol. 1987; 9:549-554.
8. Mogollón M, Escoresca A, Cabeza M, et al. Correlation of Echocardiographic and Hemodynamic Parameters in Pulmonary Hypertension Assessment Prior to Heart Transplantation Proc. 2008. 40: 3023-3024.
9. Kuppahally S, Michaels A, Tandar A. Et al. Can Echocardiographic Evaluation of Cardiopulmonary Hemodynamics Decrease Right Heart Catheterizations in End-Stage Heart Failure Patients Awaiting Transplantation? Am J Cardiol 2010; 106:1657–1662.
10. Attaran R, Ramaraj R, Sorrell VL, et al. Poor correlation of pulmonary systolic pressure using echocardiography versus right heart catheterization. Am J Cardiol. 2009. 23:243- 245.
11. Stein J. Neumann A. Preston L. Et al. Echocardiography for Hemodynamic Assessment of Patients With Advanced Heart Failure and Potential Heart Transplant Recipients. J Am CollCardiol 1997; 30:1765– 1772.
12. Fisher MR, Forfia PR, Chamera E, HoustenHarris T, Champion HC, Girgis RE, et al. Accuracy of Doppler echocardiography in the hemodynamic assessment of pulmonary hypertension. Am J RespirCrit Care Med. 2009; 179:615-621.
13. Kitabatake A, Inoue M, Asao M, et al Noninvasive evaluation of pulmonary hypertension by apulsed Doppler technique. Circulation. 1983; 68:302-309.
14. McGoon M., Gutterman D, Steen V, et al. Screening, early detection, and diagnosis of pulmonary arterial hypertension. ACCP. Evidence-Based Clinical Practice Guidelines. CHEST. 2004; 126:14S-34S.