Format

Send to

Choose Destination
J Cardiovasc Med (Hagerstown). 2017 Apr;18(4):237-243. doi: 10.2459/JCM.0000000000000485.

A simple echocardiographic score for the diagnosis of pulmonary vascular disease in heart failure.

Author information

1
aDepartment of Cardiology, Second University of Naples, Monaldi Hospital, Naples, Italy bDepartment of Cardiology, Moliére-Longchamp Hospital, Université Libre de Bruxelles, Belgium cDepartment of Radiology, Monaldi Hospital, Naples dDepartment of Cardiology and Cardiac Surgery, 'San Giovanni di Dio e Ruggi d'Aragona' University Hospital, Salerno, Italy eDepartment of Cardiology, Erasme University Hospital, Brussels, Belgium.

Abstract

AIMS:

A simple echocardiographic score was designed for diagnosing precapillary vs postcapillary pulmonary hypertension and for discriminating between isolated postcapillary pulmonary hypertension (Ipc-PH) and combined precapillary and postcapillary pulmonary hypertension (Cpc-PH).

METHODS:

The score comprised 7 points (2 for E/e' ratio ≤10, 2 for a dilated non-collapsible inferior vena cava, 1 for a left ventricular eccentricity index ≥1.2, 1 for a right-to-left heart chamber dimension ratio >1 and 1 for the right ventricle forming the heart apex) and was applied to 230 consecutive patients referred for evaluation of pulmonary hypertension.

RESULTS:

Precapillary pulmonary hypertension and postcapillary pulmonary hypertension were diagnosed in 160 and 70 patients, respectively. In the latter, Ipc-PH was found in 51 and Cpc-PH in 19. The echo score was higher in precapillary vs postcapillary pulmonary hypertension patients (4.2 ± 1.7 vs 1.6 ± 1.7, P < 0.001) and in patients with Cpc-PH vs Ipc-PH (2.7 ± 2.1 vs 1.2 ± 1.3, P = 0.001). The sensitivity and specificity of the echo score at least 2 for precapillary pulmonary hypertension were 99 and 54%, respectively (area under the curve 0.85). In patients with postcapillary pulmonary hypertension, the sensitivity and specificity of the echo score at least 2 for Cpc-PH were 63 and 82% (area under the curve 0.73).

CONCLUSION:

A simple echocardiographic score helps in the differential diagnosis between precapillary and postcapillary pulmonary hypertension, and between Ipc-PH and Cpc-PH.

PMID:
27841823
DOI:
10.2459/JCM.0000000000000485
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Wolters Kluwer
Loading ...
Support Center