The Cardiac Pulsed Wave Doppler Pattern of the Common Femoral Vein in Diagnosing the Likelihood of Severe Pulmonary Hypertension: Results from a Prospective Multicentric Study
Abstract
:1. Introduction
2. Materials and Methods
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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H-LPH | |||
---|---|---|---|
No | Yes | ||
n (%) | n (%) | ||
RA greater than 18 cm2 | No | 115 (93.5%) | 8 (6.5%) |
Yes | 19 (36.5%) | 33 (63.5%) | |
RV > LV | No | 133 (80.1%) | 33 (19.9%) |
Yes | 1 (11.1%) | 8 (88.9%) | |
Flattening of the septum to the LV | No | 131 (79.9%) | 33 (20.1%) |
Yes | 3 (27.3%) | 8 (72.7%) | |
PA diameter greater than 25 mm or the aortic root diameter | No | 126 (82.4%) | 27 (17.6%) |
Yes | 8 (36.4%) | 14 (63.6%) | |
Right ventricular ejection acceleration time less than 105 ms and/or mesosystolic notching | No | 111 (91.7) | 10 (8.3%) |
Yes | 23 (42.6%) | 31 (57.4%) | |
IVC greater than 21 mm with decreased inspiratory collapse | No | 125 (86.8%) | 19 (13.2%) |
Yes | 9 (29%) | 22 (71%) | |
TAPSE/PASP less than 0.55 | No | 122 (100%) | 0 (0%) |
Yes | 12 (22.6%) | 41 (77.4%) | |
Cardiac pattern of CFV | Respiratory | 120 (96%) | 5 (4%) |
Cardiac | 14 (28%) | 36 (72%) |
Ultrasound Parameters | Pearson Chi-Square | Contingency Coefficient |
---|---|---|
RA greater than 18 cm2 | 66.094 | 0.524 |
RV > LV | 22.663 | 0.339 |
Flattening of the septum to the LV | 15.902 | 0.289 |
PA diameter greater than 25 mm or the aortic root diameter | 22.677 | 0.339 |
Right ventricular ejection acceleration time less than 105 ms and/or mesosystolic notching | 50.263 | 0.472 |
Maximal velocity of early pulmonary regurgitation greater than 2.2 m/s | 33.271 | 0.4 |
IVC greater than 21 mm with decreased inspiratory collapse | 47.46 | 0.462 |
TAPSE/PASP less than 0.55 | 50.57 | 0.473 |
Cardiac pattern of CFV | 92.055 | 0.587 |
Area under the Curve | |||
---|---|---|---|
Test Result Variable(s) | Area | Asymptotic 95% Confidence Interval | |
Lower Bound | Upper Bound | ||
RA greater than 18 cm2 | 0.832 | 0.753 | 0.910 |
RV > LV | 0.594 | 0.487 | 0.701 |
Flattening of the septum to the LV | 0.586 | 0.480 | 0.693 |
Pulmonary artery diameter greater than 25 mm or the aortic root diameter | 0.641 | 0.535 | 0.747 |
Right ventricular ejection acceleration time less than 105 ms and/or mesosystolic notching | 0.792 | 0.707 | 0.877 |
Maximal velocity of early pulmonary regurgitation greater than 2.2 m/s | 0.686 | 0.582 | 0.790 |
IVC greater than 21 mm with decreased inspiratory collapse | 0.735 | 0.635 | 0.835 |
TAPSE/PASP less than 0.55 | 0.955 | 0.926 | 0.985 |
Cardiac pattern of CFV | 0.887 | 0.821 | 0.952 |
Ultrasound Parameters | Sig. | OR | Inferior CI 95% | Superior CI 95% | RR | Sn | Sp | PPV | NPV |
---|---|---|---|---|---|---|---|---|---|
RA greater than 18 cm2 | 0 | 25 | 10.027 | 62.165 | 9.76 | 63% | 93% | 80% | 86% |
RV > LV | 0.001 | 32 | 3.895 | 266.879 | 4.47 | 89% | 80% | 20% | 99% |
Flattening of the septum to the LV | 0.001 | 11 | 2.661 | 42.108 | 3.61 | 73% | 80% | 20% | 98% |
Pulmonary artery diameter greater than 25 mm or the aortic root diameter | 0 | 8 | 3.118 | 21.393 | 3.61 | 64% | 82% | 34% | 94% |
Right ventricular ejection acceleration time less than 105 ms and/or mesosystolic notching | 0 | 15 | 6.443 | 34.739 | 6.95 | 57% | 92% | 76% | 83% |
Maximal velocity of early pulmonary regurgitation greater than 2.2 m/s | 0 | 11 | 4.352 | 27.15 | 4.29 | 67% | 84% | 44% | 93% |
IVC greater than 21 mm with decreased inspiratory collapse | 0 | 16 | 6.451 | 40.09 | 5.38 | 71% | 87% | 54% | 93% |
TAPSE/PASP less than 0.55 | 0.9 | Inf | 77% | 100% | 100% | 91% | |||
Cardiac pattern of CFV | 0 | 61 | 20.813 | 182.991 | 18 | 72% | 96% | 88% | 90% |
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Torres-Arrese, M.; Barberá-Rausell, P.; Li-Zhu, J.-W.O.; Salas-Dueñas, R.; Real-Martín, A.E.; Mata-Martínez, A.; Gonzalo-Moreno, B.; Núñez, J.H.; Luordo, D.; Cano, J.G.S.; et al. The Cardiac Pulsed Wave Doppler Pattern of the Common Femoral Vein in Diagnosing the Likelihood of Severe Pulmonary Hypertension: Results from a Prospective Multicentric Study. J. Clin. Med. 2024, 13, 3860. https://doi.org/10.3390/jcm13133860
Torres-Arrese M, Barberá-Rausell P, Li-Zhu J-WO, Salas-Dueñas R, Real-Martín AE, Mata-Martínez A, Gonzalo-Moreno B, Núñez JH, Luordo D, Cano JGS, et al. The Cardiac Pulsed Wave Doppler Pattern of the Common Femoral Vein in Diagnosing the Likelihood of Severe Pulmonary Hypertension: Results from a Prospective Multicentric Study. Journal of Clinical Medicine. 2024; 13(13):3860. https://doi.org/10.3390/jcm13133860
Chicago/Turabian StyleTorres-Arrese, Marta, Pablo Barberá-Rausell, Jie-Wei Oscar Li-Zhu, Rocío Salas-Dueñas, Alma Elena Real-Martín, Arantzazu Mata-Martínez, Begoña Gonzalo-Moreno, Joaquín Hernández Núñez, Davide Luordo, Juan Gabriel Sánchez Cano, and et al. 2024. "The Cardiac Pulsed Wave Doppler Pattern of the Common Femoral Vein in Diagnosing the Likelihood of Severe Pulmonary Hypertension: Results from a Prospective Multicentric Study" Journal of Clinical Medicine 13, no. 13: 3860. https://doi.org/10.3390/jcm13133860
APA StyleTorres-Arrese, M., Barberá-Rausell, P., Li-Zhu, J.-W. O., Salas-Dueñas, R., Real-Martín, A. E., Mata-Martínez, A., Gonzalo-Moreno, B., Núñez, J. H., Luordo, D., Cano, J. G. S., Villén Villegas, T., Caurcel-Díaz, L., Casasola-Sánchez, G. G. d., & Tung-Chen, Y. (2024). The Cardiac Pulsed Wave Doppler Pattern of the Common Femoral Vein in Diagnosing the Likelihood of Severe Pulmonary Hypertension: Results from a Prospective Multicentric Study. Journal of Clinical Medicine, 13(13), 3860. https://doi.org/10.3390/jcm13133860