Value of Coronary Sinus During Computed Tomography Pulmonary Angiography for Predicting Pulmonary Hypertension in Patients with Acute Pulmonary Embolism
Objective:. Computed tomography pulmonary angiography (CTPA) parameters are valuable for predicting pulmonary hypertension (PH) in patients with pulmonary embolism (PE). However, few studies have used the coronary sinus ostium area (CSOA), derived from CTPA, to detect PH. This study aimed to compare...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Health/LWW
2023-06-01
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| Series: | Cardiology Discovery |
| Online Access: | http://journals.lww.com/10.1097/CD9.0000000000000090 |
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| author | Chuang Zhang Qian Xin Hongling Xu Xiangyu Wang Zhiqiang Yan Shengtao Sun Xiangmin Shi Mei Tian |
| author_facet | Chuang Zhang Qian Xin Hongling Xu Xiangyu Wang Zhiqiang Yan Shengtao Sun Xiangmin Shi Mei Tian |
| author_sort | Chuang Zhang |
| collection | DOAJ |
| description | Objective:. Computed tomography pulmonary angiography (CTPA) parameters are valuable for predicting pulmonary hypertension (PH) in patients with pulmonary embolism (PE). However, few studies have used the coronary sinus ostium area (CSOA), derived from CTPA, to detect PH. This study aimed to compare the prognostic values of the CSOA, coronary sinus ostium diameter (CSOD), and right ventricular (RV)/left ventricular (LV) ratio for PH.
Methods:. This study retrospectively analyzed 78 patients (mean age, (51.94 ± 12.33) years; 53.8% male) with acute PE confirmed by CTPA at the Sixth and Eighth Medical Centers of the People’s Liberation Army General Hospital between June 2018 and June 2020. Patients were categorized into 2 groups using a pulmonary artery systolic pressure (PASP) cut-off of 30 mmHg. CTPA parameters were compared between these groups.
Results:. Patients with PASP >30 mmHg (n = 22) had a larger CSOA, CSOD, RV diameter, RV/LV ratio, and inferior vena cava diameter compared with patients with PASP ≤30 mmHg (n = 56). The CSOA had an area under the receiver-operating characteristic curve (AUC, 0.84; 95% confidence interval (CI), 0.74–0.94; P < 0.001) similar to that of the RV/LV ratio (AUC, 0.85; 95%CI, 0.73–0.99; P < 0.001), while that of the CSOD was smaller (AUC, 0.66; 95%CI, 0.51–0.81; P < 0.05).
Conclusion:. Both CSOA and CSOD demonstrated a good ability to predict PH, while CSOA better predicted PASP >30 mmHg. |
| format | Article |
| id | doaj-art-c4025ad8f0ce4f94a5be1c73801df21c |
| institution | OA Journals |
| issn | 2096-952X 2693-8499 |
| language | English |
| publishDate | 2023-06-01 |
| publisher | Wolters Kluwer Health/LWW |
| record_format | Article |
| series | Cardiology Discovery |
| spelling | doaj-art-c4025ad8f0ce4f94a5be1c73801df21c2025-08-20T01:54:19ZengWolters Kluwer Health/LWWCardiology Discovery2096-952X2693-84992023-06-0132788410.1097/CD9.0000000000000090202306000-00002Value of Coronary Sinus During Computed Tomography Pulmonary Angiography for Predicting Pulmonary Hypertension in Patients with Acute Pulmonary EmbolismChuang Zhang0Qian Xin1Hongling Xu2Xiangyu Wang3Zhiqiang Yan4Shengtao Sun5Xiangmin Shi6Mei Tian71 Department of Cardiology, The Sixth Medical Center of People’s Liberation Army General Hospital, Beijing 100048, China1 Department of Cardiology, The Sixth Medical Center of People’s Liberation Army General Hospital, Beijing 100048, China2 Department of Cardiology, The Eighth Medical Center of People’s Liberation Army General Hospital, Beijing 100091, China1 Department of Cardiology, The Sixth Medical Center of People’s Liberation Army General Hospital, Beijing 100048, China3 Department of Radiology, The Eighth Medical Center of People’s Liberation Army General Hospital, Beijing 100091, China4 Department of Radiology, The Sixth Medical Center of People’s Liberation Army General Hospital, Beijing 100048, China.1 Department of Cardiology, The Sixth Medical Center of People’s Liberation Army General Hospital, Beijing 100048, China3 Department of Radiology, The Eighth Medical Center of People’s Liberation Army General Hospital, Beijing 100091, ChinaObjective:. Computed tomography pulmonary angiography (CTPA) parameters are valuable for predicting pulmonary hypertension (PH) in patients with pulmonary embolism (PE). However, few studies have used the coronary sinus ostium area (CSOA), derived from CTPA, to detect PH. This study aimed to compare the prognostic values of the CSOA, coronary sinus ostium diameter (CSOD), and right ventricular (RV)/left ventricular (LV) ratio for PH. Methods:. This study retrospectively analyzed 78 patients (mean age, (51.94 ± 12.33) years; 53.8% male) with acute PE confirmed by CTPA at the Sixth and Eighth Medical Centers of the People’s Liberation Army General Hospital between June 2018 and June 2020. Patients were categorized into 2 groups using a pulmonary artery systolic pressure (PASP) cut-off of 30 mmHg. CTPA parameters were compared between these groups. Results:. Patients with PASP >30 mmHg (n = 22) had a larger CSOA, CSOD, RV diameter, RV/LV ratio, and inferior vena cava diameter compared with patients with PASP ≤30 mmHg (n = 56). The CSOA had an area under the receiver-operating characteristic curve (AUC, 0.84; 95% confidence interval (CI), 0.74–0.94; P < 0.001) similar to that of the RV/LV ratio (AUC, 0.85; 95%CI, 0.73–0.99; P < 0.001), while that of the CSOD was smaller (AUC, 0.66; 95%CI, 0.51–0.81; P < 0.05). Conclusion:. Both CSOA and CSOD demonstrated a good ability to predict PH, while CSOA better predicted PASP >30 mmHg.http://journals.lww.com/10.1097/CD9.0000000000000090 |
| spellingShingle | Chuang Zhang Qian Xin Hongling Xu Xiangyu Wang Zhiqiang Yan Shengtao Sun Xiangmin Shi Mei Tian Value of Coronary Sinus During Computed Tomography Pulmonary Angiography for Predicting Pulmonary Hypertension in Patients with Acute Pulmonary Embolism Cardiology Discovery |
| title | Value of Coronary Sinus During Computed Tomography Pulmonary Angiography for Predicting Pulmonary Hypertension in Patients with Acute Pulmonary Embolism |
| title_full | Value of Coronary Sinus During Computed Tomography Pulmonary Angiography for Predicting Pulmonary Hypertension in Patients with Acute Pulmonary Embolism |
| title_fullStr | Value of Coronary Sinus During Computed Tomography Pulmonary Angiography for Predicting Pulmonary Hypertension in Patients with Acute Pulmonary Embolism |
| title_full_unstemmed | Value of Coronary Sinus During Computed Tomography Pulmonary Angiography for Predicting Pulmonary Hypertension in Patients with Acute Pulmonary Embolism |
| title_short | Value of Coronary Sinus During Computed Tomography Pulmonary Angiography for Predicting Pulmonary Hypertension in Patients with Acute Pulmonary Embolism |
| title_sort | value of coronary sinus during computed tomography pulmonary angiography for predicting pulmonary hypertension in patients with acute pulmonary embolism |
| url | http://journals.lww.com/10.1097/CD9.0000000000000090 |
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