Evaluating the radiographic assessment of pulmonary venous hypertension in chronic heart disease

Baumstark, Annette; Swensson, Richard G.; Hessel, Samuel J.; Levin, D.; Grossman, William; Mann, James Tift; Abrams, Herbert L.

doi:10.2214/ajr.142.5.877

Cited by 21 publications

(11 citation statements)

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“…In a next step, both readers together reviewed those studies in which the individual readings differed to reach a consensus. All applied radiographic signs have been previously reported to be associated with pulmonary edema [5,6,9]. The reading protocols used in those studies have been adopted and partially modified to retain as much objectivity as possible for the current evaluation.…”

Section: Adjudicated Hf Diagnosismentioning

confidence: 99%

“…The chest radiograph has proven useful for direct visualization of pulmonary congestion and helpful in distinguishing cardiogenic pulmonary edema from other pulmonary causes of dyspnea [4][5][6][7]. Unfortunately, previous studies dealing with radiographic features of HF have major limitations.…”

Section: Introductionmentioning

confidence: 99%

“…Nowadays, valvular heart disease accounts for less than 10% of HF cases, whereas coronary artery disease (CAD) is implicated as the cause in 50-70% in Western countries [8]. Second, previous studies using invasive pulmonary artery catheterization measurements as the gold standard definition for HF included younger highly selected patients [5,7,9]. In clinical practice, patients presenting with acute dyspnea are elderly patients with extensive comorbidity.…”

Section: Introductionmentioning

confidence: 99%

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Accuracy of chest radiographs in the emergency diagnosis of heart failure

et al. 2008

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The purpose of this study was to determine the diagnostic accuracy of chest radiographic findings of heart failure (HF) in current patients presenting with dyspnea in the emergency department. In a secondary analysis of the BASEL study, initial chest radiographs of 277 patients with acute dyspnea were evaluated by two radiologists blinded to the adjudicated diagnosis (56% had the final diagnosis of HF). Predefined radiographic criteria of HF were used. Statistical analysis included receiver-operating characteristic (ROC) analysis and calculation of a logistic regression model including B-type natriuretic peptide (BNP) levels. The reader's overall impression showed the highest area under the ROC curve for the diagnosis of HF in both supine and erect patient positions (0.855 and 0.857). Among individual radiographic findings, peribronchial cuffing in the supine position (0.829) showed the highest accuracies. The lowest accuracy was found for the vascular pedicle width in the supine position (0.461). Logistic regression analysis showed no significant differences between the reader's overall impression, the radiographic model, and BNP testing. In our study, the combination of radiographic features provided valuable information and was of comparable accuracy as BNP-testing for the diagnosis of HF.

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Section: Adjudicated Hf Diagnosismentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Accuracy of chest radiographs in the emergency diagnosis of heart failure

et al. 2008

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“…Rajaram и соавт. (1979) [17] при обследова-нии больных с митральными пороками, у которых давление в ЛА было измерено при катетеризации сердца, считают более точным рентгенологичес-кий критерий увеличения её объёма, рассчитыва-емого по формуле: n×L×D 2 , 6 где n -число π (3,14); L -ось эллипса второй дуги сердца; D -короткая ось эллипса.…”

Section: обмен клиническим опытомunclassified

“…(1984). Большое значение в выявлении и количес-твенной оценке ЛГ имеет совокупность рентгено-логических критериев [14].…”

Section: обмен клиническим опытомunclassified

Radioechocardiography in the evaluation of pulmonary hypertension

Akberov

Фазылович²,

Зогот³

et al. 2016

Kazan Med J

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Aim. To study the capabilities of radioechocardigraphy in the evaluation of pulmonary hypertension of various causes, early non-invasive detection of pressure increase in the pulmonary artery.Methods. The study included 800 patients with congenital (269) and acquired (217) mitral valve diseases, pulmonary embolism (140), primary pulmonary hypertension (57), coronary heart disease with acute myocardial infarction (117) of different age and gender. Digital radiography, linear tomography of chest, ECG, echocardiography, multidetector computed tomography angiography, and ultrasound of inferior vena cava were performed.Results. Radiocardiography combined with linear tomography and measurement of Moore index, right atrium index, transpulmonary distance, and width of right descending pulmonary artery at the level of intermediate bronchus, allows determining the degree, type (arterial, venous, capillary, and mixed) and cause of pulmonary hypertension. Digital radiography and linear tomography in 80% cases reveal signs of pulmonary embolism. Echocardiography makes it possible to study hemodynamics in pulmonary hypertension, to detect the dilation of the right heart, inferior vena cava, and renal veins, and to calculate the systolic pressure in the right ventricle, pulmonary artery, and right atrium. Radioechocardigraphy allows determining the cause and degree of pulmonary hypertension, and hemodynamic disorders. Sensitivity of the method for diagnosis of pulmonary hypertension is 89%, specificity is 90%, and precision is 92%.Conclusion. Radioechocardigraphy is a highly effective method for diagnosis of pulmonary hypertension; ultrasound of inferior vena cava, iliac veins, and veins of the lower limbs allows to determine the source of pulmonary embolism, to diagnose embologenicity of thromboses and to evaluate the need for vena cava filters.

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