Reappraisal of the transthoracic echocardiographic algorithm in predicting pulmonary hypertension redefined by updated pulmonary artery mean pressure threshold

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dc.authorid0000-0001-6560-6503
dc.contributor.authorTanyeri, Seda
dc.contributor.authorTokgöz, Hacer Ceren
dc.contributor.authorKaragöz, Ali
dc.contributor.authorAkbal, Özgür Yaşar
dc.contributor.authorKeskin, Berhan
dc.contributor.authorKültürsay, Barkın
dc.contributor.authorHakgör, Aykun
dc.contributor.authorKülahçıoğlu, Şeyhmus
dc.contributor.authorÇeneli, Doğancan
dc.contributor.authorTosun, Ayhan
dc.contributor.authorEfe, Süleyman
dc.contributor.authorBayram, Zübeyde
dc.date.accessioned2023-06-19T13:10:16Z
dc.date.available2023-06-19T13:10:16Z
dc.date.issued2023
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Kardiyoloji Ana Bilim Dalı
dc.description.abstractBACKGROUND: Although an adopted echocardiography algorithm based on tricuspid regurgitation jet peak velocity and suggestive findings for pulmonary hypertension has been utilized in the non-invasive prediction of pulmonary hypertension probability, the reliability of this approach for the updated hemodynamic definition of pulmonary hypertension remains to be determined. In this study, for the first time, we aimed to evaluate the tricuspid regurgitation jet peak velocity and suggestive findings in predicting the probability of pulmonary hypertension as defined by mean pulmonary arterial pressure > 20 mm Hg and > 25 mm Hg, respectively. METHODS: Our study group was comprised of the retrospectively evaluated 1300 patients (age 53.1 ± 18.8 years, female 62.1%) who underwent right heart catheterization with different indications between 2006 and 2018. All echocardiographic and right heart catheterization assessments were performed in accordance with the European Society of Cardiology/European Respiratory Society 2015 Pulmonary Hypertension Guidelines. RESULTS: Although tricuspid regurgitation jet peak velocity showed a significant relation with mean pulmonary arterial pressure in both definitions, suggestive findings offered a significant contribution only in predicting mean pulmonary arterial pressure ? 25 mm Hg but not for mean pulmonary arterial pressure > 20 mm Hg. In predicting the mean pulmonary arterial pressure > 20 mm Hg, tricuspid regurgitation jet peak velocity and suggestive findings showed an odds ratio of 2.57 (1.59-4.14, P <.001) and 1.25 (0.86-1.82, P =.16), respectively. In predicting the mean pulmonary arterial pressure ? 25 mm Hg, tricuspid regurgitation jet peak velocity, and suggestive findings showed an odds ratio of 2.33 (1.80-3.04, P <.001) and 1.54 (1.15-2.08, P [removed] 2.8 m/s and tricuspid regurgitation jet peak velocity > 3.4 m/s were associated with 70% and 84% probability of mean pulmonary arterial pressure > 20 mm Hg and 60% and 76% probability of mean pulmonary arterial pressure ? 25 mm Hg, respectively. CONCLUSIONS: In contrast to those in predicting the mean pulmonary arterial pressure ? 25 mm Hg, suggestive findings did not provide a significant contribution to the probability of mean pulmonary arterial pressure > 20 mm Hg predicted by tricuspid regurgitation jet peak velocity solely. The impact of the novel mean pulmonary arterial pressure threshold on the echocardiographic prediction of pulmonary hypertension remains to be clarified by future studies.
dc.identifier.citationTanyeri, S., Tokgöz, H. C., Karagöz, A., Akbal, Ö. Y., Keskin, B., Kültürsay, B. ... Bayram, Z. (2023). Reappraisal of the transthoracic echocardiographic algorithm in predicting pulmonary hypertension redefined by updated pulmonary artery mean pressure threshold. Anatolian journal of Cardiology, 27(6), 348-359. https://doi.org/10.14744/AnatolJCardiol.2023.2435
dc.identifier.doi10.14744/AnatolJCardiol.2023.2435
dc.identifier.endpage359
dc.identifier.issn2149-2263
dc.identifier.issn2149-2271
dc.identifier.issue6
dc.identifier.pmid37257005
dc.identifier.scopus2-s2.0-85160715383
dc.identifier.scopusqualityQ3
dc.identifier.startpage348
dc.identifier.trdizinid1179805
dc.identifier.urihttps://doi.org/10.14744/AnatolJCardiol.2023.2435
dc.identifier.urihttps://hdl.handle.net/20.500.12511/11106
dc.identifier.volume27
dc.identifier.wos001070506600009en_US
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakTR-Dizin
dc.indekslendigikaynakPubMed
dc.institutionauthorHakgör, Aykun
dc.language.isoen
dc.publisherNLM (Medline)
dc.relation.ispartofAnatolian journal of Cardiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsAttribution-NonCommercial 4.0 International*
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0/*
dc.subjectEchocardiography
dc.subjectPulmonary Arterial Pressure
dc.subjectPulmonary Hypertension
dc.subjectRedefinition
dc.subjectTricuspid Regurgitation
dc.titleReappraisal of the transthoracic echocardiographic algorithm in predicting pulmonary hypertension redefined by updated pulmonary artery mean pressure threshold
dc.typeArticle

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