Prevalence of pulmonary hypertension associated with severe acute respiratory distress syndrome: predictive value of computed tomography.

Intensive Care Medicine
Martin BeiderlindenJürgen Peters

Abstract

To evaluate the prevalence of pulmonary hypertension associated with severe acute respiratory distress syndrome (ARDS) and to asses the value of pulmonary artery trunk diameter (PAT) to predict pulmonary hypertension. Prospective study University teaching hospital and ARDS referral center. 103 patients with ARDS, who received both right heart catheterization and chest computed tomography. None. 95 patients (92.2%) with ARDS had pulmonary artery hypertension, 16 of them (16.8%) mild, 72 (75.8%) moderate, and 7 (7.4%) severe, as assessed by right heart catheterization. Of the patients with moderate and severe pulmonary hypertension, 43 had a pulmonary artery trunk diameter >or=29 mm yielding a sensitivity of 0.54 and a specificity of 0.63. Pulmonary artery trunk diameter correlated significantly but weakly with mean pulmonary artery pressure (r=0.34, p=0.0004). The positive predictive value was 0.83, and the negative predictive value was 0.28. The diagnosis of pulmonary hypertension by PAT diameter measurements was incorrect in 43.7% of patients with ARDS. Pulmonary artery hypertension has a high prevalence in patients with severe ARDS. Measurement of PAT diameter on admission CT scan is an unreliable tool for identification of A...Continue Reading

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Citations

Jul 29, 2006·Intensive Care Medicine·Martin BeiderlindenJürgen Peters
Aug 15, 2013·Intensive Care Medicine·D Chiumello, A Pesenti
Jun 11, 2011·Pulmonary Medicine·Rajamma Mathew
Aug 19, 2006·American Journal of Respiratory and Critical Care Medicine·Poongundran NamachivayamLara S Shekerdemian
Mar 31, 2011·BMC Medical Imaging·Andrew L ChanTimothy E Albertson
Apr 17, 2014·Clinical Imaging·Shoichiro MatsushitaYasuo Nakajima
Dec 17, 2009·Toxicology in Vitro : an International Journal Published in Association with BIBRA·Leticia B R ZocratoVirginia S Lemos
Jan 17, 2015·Annals of Intensive Care·Donal RyanPaul McLoughlin
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Dec 15, 2015·Therapeutic Advances in Respiratory Disease·Chiara LazzeriGian Franco Gensini
Mar 8, 2017·Chest·Vasileios ZochiosFang Gao
May 28, 2017·The International Journal of Cardiovascular Imaging·Matthias EberhardThi Dan Linh Nguyen-Kim
Jan 7, 2021·The European Respiratory Journal·Martine Remy-JardinMarc Humbert
Sep 27, 2013·Deutsches Ärzteblatt International·Steffen Weber-CarstensOnnen Moerer
Feb 5, 2021·Frontiers in Molecular Biosciences·Lucy RevercombHarry Karmouty-Quintana
Mar 9, 2021·Journal of Intensive Care Medicine·André BeckerPhilipp M Lepper
Jun 24, 2021·American Journal of Physiology. Lung Cellular and Molecular Physiology·Reece P StevensJi Young Lee
Aug 26, 2021·Chinese Medical Journal·Pan PanUNKNOWN Chinese Critical Ultrasound Study Group (CCUSG)

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