Volume 29, Issue 1 (Avicenna Journal of Clinical Medicine-Spring 2022)
Avicenna J Clin Med 2022, 29(1): 18-25 |
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Homayounfar S, Khansari N, Tale Ghanbarpour H, Seif Rabiee M A, Ghasemi F. Evaluation of Advanced Echocardiographic Parameters of Right Ventricular in Patients with Pulmonary Hypertension. Avicenna J Clin Med 2022; 29 (1) :18-25
URL: http://sjh.umsha.ac.ir/article-1-2311-en.html
URL: http://sjh.umsha.ac.ir/article-1-2311-en.html
Shahram Homayounfar1 
, Nakisa Khansari 2, Hadi Tale Ghanbarpour1 , Mohammad Ali Seif Rabiee3 , Fahimeh Ghasemi4
, Nakisa Khansari 2, Hadi Tale Ghanbarpour1 , Mohammad Ali Seif Rabiee3 , Fahimeh Ghasemi4
1- Department of Cardiology, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran
2- Department of Cardiology, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran , n_kh_80@yahoo.com
3- Department of Social Medicine, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran
4- Clinical Research Development Unit, Farshchian Heart Center, Hamadan, Iran
2- Department of Cardiology, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran , n_kh_80@yahoo.com
3- Department of Social Medicine, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran
4- Clinical Research Development Unit, Farshchian Heart Center, Hamadan, Iran
Abstract: (1163 Views)
Background and Objective: Pulmonary hypertension is an increase in blood pressure of the pulmonary artery which leads to right ventricular dysfunction. Therefore, the present study aimed to compare echocardiographic parameters in the study of right ventricular failure in patients with pulmonary hypertension.
Materials and Methods: In the present descriptive cross-sectional study, data were collected from 100 patients with pulmonary hypertension referred to Farshchian Heart Hospital, Hamadan, Iran between 2017-2019. The cases were detected by two-dimensional echocardiography and tissue Doppler and divided into three groups based on blood pressure of the pulmonary artery. The parameters of PASP, PVR, Tei Index, FAC, IVA, TAPSE, and DTI S Velocity were calculated for each patient.
Results: Out of 100 patients with a mean age of 52. 95 ±16. 62 years, 0. 46% had lung problems. The parameters of PASP, PVR, and Tei Index were positively and significantly correlated with each other. Also, a positive and significant relationship was observed between the parameters of FAC, IVA, TAPSE, and DTI S Velocity. However, the parameters of the first and second groups were negatively and significantly related to each other. The results indicated that the mean difference of all indicators was significant between different groups of pulmonary hypertension. The parameter of PVR parameter was one of the factors affecting pulmonary hypertension based on regression analysis. Also, IVA and Tei Index were more consistent with pulmonary hypertension in terms of abnormal values.
Conclusion: PVR, IVA, and Tei Index were effective parameters for evaluating the right ventricular function and more attention is recommended to be paid to these parameters
Materials and Methods: In the present descriptive cross-sectional study, data were collected from 100 patients with pulmonary hypertension referred to Farshchian Heart Hospital, Hamadan, Iran between 2017-2019. The cases were detected by two-dimensional echocardiography and tissue Doppler and divided into three groups based on blood pressure of the pulmonary artery. The parameters of PASP, PVR, Tei Index, FAC, IVA, TAPSE, and DTI S Velocity were calculated for each patient.
Results: Out of 100 patients with a mean age of 52. 95 ±16. 62 years, 0. 46% had lung problems. The parameters of PASP, PVR, and Tei Index were positively and significantly correlated with each other. Also, a positive and significant relationship was observed between the parameters of FAC, IVA, TAPSE, and DTI S Velocity. However, the parameters of the first and second groups were negatively and significantly related to each other. The results indicated that the mean difference of all indicators was significant between different groups of pulmonary hypertension. The parameter of PVR parameter was one of the factors affecting pulmonary hypertension based on regression analysis. Also, IVA and Tei Index were more consistent with pulmonary hypertension in terms of abnormal values.
Conclusion: PVR, IVA, and Tei Index were effective parameters for evaluating the right ventricular function and more attention is recommended to be paid to these parameters
Keywords: Doppler Echocardiography, Pulmonary Hypertension, Right Ventricle, Two- Dimensional Echocardiography
Type of Study: Original |
Subject:
Cardiovascular Diseases
Extended Abstract [HTML 27 KB] (71 Download)
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