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Assessment of the role of computed tomography versus echocardiography in pulmonary hypertension

Egyptian Journal of Bronchology volume 13, pages 743–746 (2019)Cite this article

Abstract

Background

The era of diagnosing pulmonary arterial hypertension is rapidly evolving. There are changes in the definition, screening, diagnostic modalities, and disease staging.

Aim

This study aims to assess pulmonary hypertension using computed tomography (CT) and echocardiography.

Design

This is a cross-sectional study.

Participants and methods

This study included 30 cases diagnosed with pulmonary artery hypertension according to the inclusion and exclusion criteria. All patients were subjected to a careful assessment of history, a skillful clinical examination, and investigations: (a) complete blood picture, liver kidney functions, bleeding profile, and arterial blood gases. (b) Spirometry. (c) Echocardiogram. (d) CT chest.

Results

The correlation between the ratio of main pulmonary artery and aorta to other study parameters was statistically significant. There was a negative statistically significant correlation between the mP/Ao ratio and oxygen saturation (P=0.001); however, we found a positive significant correlation between the mP/Ao ratio and ejection fraction (P=0.006), systolic pulmonary artery pressure (P<0.0001), and mean pulmonary artery pressure (P<0.0001). In contrast, the correlation was nonsignificant when the mP/Ao ratio was compared with other parameters (P>0.05), and a nonsignificant correlation was also found between systolic pulmonary artery pressure and duration of dyspnea (P>0.05).

Conclusion

This study has shown that combining CT and echocardiography in the diagnosis of pulmonary hypertension can be a reliable technique to measure mean pulmonary artery pressure than if any of both tests done separately.

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Authors and Affiliations

  1. Chest Diseases Hospitals, Egyptian Ministry of Health, Cairo, Egypt

    Ahmed Z. E. Abdelhafiz

  2. Department of Cardiovascular Diseases, Faculty of Medicine, Fayoum University, Fayoum, Egypt

    Khaled A. Al Khashab

  3. Department of Chest Medicine, Faculty of Medicine, Fayoum University, Fayoum, Egypt

    Assem F. Elessawy & Radwa A. Elhefny

  4. Department of Chest Medicine, Faculty of Medicine, Helwan University, Ain Helwan, Helwan, Cairo, 11795, Egypt

    Fatmaalzahraa S. Abdalrazik MD

Authors
  1. Ahmed Z. E. Abdelhafiz
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  2. Khaled A. Al Khashab
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  3. Assem F. Elessawy
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  4. Radwa A. Elhefny
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  5. Fatmaalzahraa S. Abdalrazik MD
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Corresponding author

Correspondence to Fatmaalzahraa S. Abdalrazik MD.

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Abdelhafiz, A.Z.E., Al Khashab, K.A., Elessawy, A.F. et al. Assessment of the role of computed tomography versus echocardiography in pulmonary hypertension. Egypt J Bronchol 13, 743–746 (2019). https://doi.org/10.4103/ejb.ejb_56_19

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  • DOI: https://doi.org/10.4103/ejb.ejb_56_19

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