Login
Search
Search
0 Dates
2024
2023
2022
2021
2020
2019
2018
0 Events
CPC 2018
CPC 2019
Curso de Atualização em Medicina Cardiovascular 2019
Reunião Anual Conjunta dos Grupos de Estudo de Cirurgia Cardíaca, Doenças Valvulares e Ecocardiografia da SPC
CPC 2020
CPC 2021
CPC 2022
CPC 2023
CPC 2024
0 Topics
A. Basics
B. Imaging
C. Arrhythmias and Device Therapy
D. Heart Failure
E. Coronary Artery Disease, Acute Coronary Syndromes, Acute Cardiac Care
F. Valvular, Myocardial, Pericardial, Pulmonary, Congenital Heart Disease
G. Aortic Disease, Peripheral Vascular Disease, Stroke
H. Interventional Cardiology and Cardiovascular Surgery
I. Hypertension
J. Preventive Cardiology
K. Cardiovascular Disease In Special Populations
L. Cardiovascular Pharmacology
M. Cardiovascular Nursing
N. E-Cardiology / Digital Health, Public Health, Health Economics, Research Methodology
O. Basic Science
P. Other
0 Themes
01. History of Cardiology
02. Clinical Skills
03. Imaging
04. Arrhythmias, General
05. Atrial Fibrillation
06. Supraventricular Tachycardia (non-AF)
07. Syncope and Bradycardia
08. Ventricular Arrhythmias and Sudden Cardiac Death (SCD)
09. Device Therapy
10. Chronic Heart Failure
11. Acute Heart Failure
12. Coronary Artery Disease (Chronic)
13. Acute Coronary Syndromes
14. Acute Cardiac Care
15. Valvular Heart Disease
16. Infective Endocarditis
17. Myocardial Disease
18. Pericardial Disease
19. Tumors of the Heart
20. Congenital Heart Disease and Pediatric Cardiology
21. Pulmonary Circulation, Pulmonary Embolism, Right Heart Failure
22. Aortic Disease
23. Peripheral Vascular and Cerebrovascular Disease
24. Stroke
25. Interventional Cardiology
26. Cardiovascular Surgery
27. Hypertension
28. Risk Factors and Prevention
29. Rehabilitation and Sports Cardiology
30. Cardiovascular Disease in Special Populations
31. Pharmacology and Pharmacotherapy
32. Cardiovascular Nursing
33. e-Cardiology / Digital Health
34. Public Health and Health Economics
35. Research Methodology
36. Basic Science
37. Miscellanea
0 Resources
Abstract
Slides
Vídeo
Report
CLEAR FILTERS
Echocardiographic predictors of pulmonary hypertension in patients with severe aortic steno
Session:
Posters 1 - Écran 09 - Ecocardiografia
Speaker:
Tiago Graça Rodrigues
Congress:
CPC 2018
Topic:
B. Imaging
Theme:
03. Imaging
Subtheme:
03.1 Echocardiography
Session Type:
Posters
FP Number:
---
Authors:
Tiago Graça Rodrigues; Nelson P. Cunha; Afonso Nunes Ferreira; Rafael Santos; Joana Rigueira; Inês Aguiar Ricardo; Inês Gonçalves; João Pedro Ribeiro Agostinho; Cláudio David; Fausto José Pinto; Ana G. Almeida
Abstract
<p><strong>Purpose</strong>: The aim of this study is to determine the prevalence of pulmonary hypertension (PH) in patients with severe aortic stenosis (AS) and to find echocardiographic predictors of pulmonary artery systolic pressure (PASP).</p> <p><strong>Methods</strong>: We retrospectively studied consecutive patients in a 5-year period, with severe isolated AS diagnosed by conventional echocardiography-Doppler, using the EAE criteria for severity.</p> <p>Patients with non-sinus rhythm, ejection fraction <50% and inconclusive assessment of PASP were excluded. In all patients we assessed: left ventricle (LV) end-diastolic and end-systolic dimensions and wall thickness, fractional shortening, left and right atrium dimensions, biplane ejection fraction and PASP. LV diastolic function was assessed according to the EACVI guidelines and using the transmitral flow, annulus tissue Doppler E’, left atrium volume and velocity of tricuspid valve regurgitation.</p> <p><strong>Results</strong>: 270 patients (117 male, 72±11 year-old) were included. Intermediate to high echocardiographic probability of PH was found in 29% of the population, 8% was high. In 72% of patients, diastolic dysfunction patterns were found. PASP was correlated with left atrial (R=0.41,p=0.03) dimension (R=0.29,P=0.04), inversely with mitral inflow velocities E (R=0.45, P=0.01), with A (R=0.36, P=0.04), E deceleration time (R=0.31, P=0.038) and mean E’ (r=0.47, p=0.001). More severe degrees of diastolic dysfunction had higher values of PASP (0=0.001). We found a significant correlation between PASP and the E/E’ ratio (R=0.63,p=0.001). No correlation was found between the values PASP and the severity of the aortic stenosis, indexed LV mass or LV ejection fraction.</p> <p><strong>Conclusions</strong>: Our findings emphasize the role of diastolic dysfunction in the genesis of PH with possible impact in the prognosis of patients with severe aortic stenosis.</p>
Slides
Our mission: To reduce the burden of cardiovascular disease
Visit our site