1. Diagnostic Value of Right Pulmonary Artery Distensibility Index in Dogs with Pulmonary Hypertension: Comparison with Doppler Echocardiographic Estimates of Pulmonary Arterial Pressure
- Author
-
Joshua A. Stern, Lance C. Visser, Lynelle R. Johnson, and M. K. Im
- Subjects
Male ,Standard Article ,030204 cardiovascular system & hematology ,Doppler echocardiography ,Cardiovascular ,Canine ,0403 veterinary science ,0302 clinical medicine ,Pulmonary vascular resistance ,Dog Diseases ,Prospective Studies ,Lung ,screening and diagnosis ,lcsh:Veterinary medicine ,medicine.diagnostic_test ,Doppler ,04 agricultural and veterinary sciences ,Pulmonary ,Echocardiography, Doppler ,Standard Articles ,Detection ,medicine.anatomical_structure ,Echocardiography ,Hypertension ,Cardiology ,symbols ,Female ,Doppler effect ,4.2 Evaluation of markers and technologies ,medicine.medical_specialty ,040301 veterinary sciences ,Hypertension, Pulmonary ,Right pulmonary artery distensibility ,Regurgitation (circulation) ,Pulmonary Artery ,03 medical and health sciences ,symbols.namesake ,Dogs ,Internal medicine ,medicine.artery ,medicine ,Animals ,Veterinary Sciences ,Aorta ,General Veterinary ,business.industry ,Blood Pressure Determination ,medicine.disease ,Pulmonary hypertension ,Right pulmonary artery ,Pulmonary artery ,Vascular resistance ,lcsh:SF600-1100 ,SMALL ANIMAL ,business ,Prediction - Abstract
© 2016 American College of Veterinary Internal Medicine. Background: Noninvasive diagnosis of pulmonary hypertension (PH) primarily relies upon Doppler echocardiography of tricuspid regurgitation (TR). However, TR might be absent or difficult to measure. Hypothesis/Objectives: To determine the diagnostic value of right pulmonary artery distensibility (RPAD) index for prediction of Doppler-derived estimates of pulmonary artery (PA) pressure compared to other indices of PH in dogs. Animals: Sixty-nine client-owned dogs with TR. Methods: Prospective observational study. Dogs were allocated to groups according to TR pressure gradient (TRPG): TRPG 75 mmHg (n = 17). Right pulmonary artery distensibility index, acceleration time to peak PA flow (AT), AT: ejection time of PA flow (AT:ET) and main PA size: aorta size (MPA:Ao) were calculated in each dog. Results: Right pulmonary artery distensibility index demonstrated the strongest correlation (r = -0.90; P < .0001) to TRPG followed by MPA:Ao (r = 0.78; P < .0001), AT (r = -0.69; P < .0001) and AT:ET (r = -0.68; P < .0001). RPAD index possessed the most accurate cutoff (50 mmHg compared to AT (1.04; Sn 0.94, Sp 0.74). All intra- and interobserver measurement variabilities exhibited coefficients of variation ≤13%. Conclusions and Clinical Importance: Right pulmonary artery distensibility index is an accurate predictor of TRPG and should be particularly useful if TR is absent or difficult to measure.
- Published
- 2015