[Diagnostic capabilities of impedance cardiography method in pulmonary hypertension]. 2010

Saulius Sadauskas, and Albinas Naudžiūnas, and Alvydas Unikauskas, and Liudas Gargasas, and Rimtautas Ruseckas, and Rūta Jurkonienė
Department of Internal Diseases, Medical Academy, Lithuanian University of Health Sciences, Josvainių 2, 47144 Kaunas, Lithuania. ssadauskas@gmail.com

THE OBJECTIVE OF THIS STUDY was to investigate the associations among clinical, impedance cardiography, echocardiography, and chest roentgenography data in diagnosis of pulmonary hypertension for patients with cardiovascular and pulmonary diseases. METHODS Pulmonary artery pressure was measured by impedance cardiography method in 181 patients: 80 patients with cardiovascular pathology when pulmonary hypertension was determined by echocardiography, 69 patients with cardiovascular pathology when pulmonary hypertension was not observed using echocardiography, 19 patients with pulmonary pathology when pulmonary hypertension was determined by echocardiography, and 13 patients with pulmonary pathology when pulmonary hypertension was not observed using echocardiography. Clinical data, parameters of impedance cardiography, echocardiography, and chest roentgenography were evaluated. RESULTS Pulmonary hypertension (impedance cardiography) was diagnosed by computed mean blood pressure in pulmonary artery with a sensitivity and specificity of 72% and 90%, respectively, and by systolic blood pressure with a sensitivity and specificity of 96% and 90%, respectively. A mathematical model of binary regression was developed with a 96.7% accuracy to diagnose pulmonary hypertension. The most important parameters of impedance cardiography were systolic blood pressure in pulmonary artery and systolic time index. CONCLUSIONS Mean and systolic blood pressures in the pulmonary artery, assessed by a computerized impedance cardiogram, are diagnostically valuable parameters. In diagnostic algorithms of pulmonary hypertension, the following features can be used: atrial fibrillation; thrombosis of deep veins; dyspnea; cyanosis; accent of II tone at the auscultation point of the pulmonary valve; systolic murmur at the tricuspid valve area; increased diameter of the pulmonary artery more than ≥ 18 mm on chest x-ray; increased diameter of the right ventricle; systolic blood pressure in the pulmonary artery and systolic time index measured by impedance cardiography method.

UI MeSH Term Description Entries
D006976 Hypertension, Pulmonary Increased VASCULAR RESISTANCE in the PULMONARY CIRCULATION, usually secondary to HEART DISEASES or LUNG DISEASES. Pulmonary Hypertension
D008297 Male Males
D002307 Cardiography, Impedance A type of impedance plethysmography in which bioelectrical impedance is measured between electrodes positioned around the neck and around the lower thorax. It is used principally to calculate stroke volume and cardiac volume, but it is also related to myocardial contractility, thoracic fluid content, and circulation to the extremities. Impedance, Transthoracic,Plethysmography, Impedance, Transthoracic,Impedance Cardiography,Impedance Plethysmography, Transthoracic,Plethysmography, Transthoracic Impedance,Transthoracic Impedance Plethysmography,Cardiographies, Impedance,Impedance Cardiographies,Impedance Plethysmographies, Transthoracic,Impedances, Transthoracic,Plethysmographies, Transthoracic Impedance,Transthoracic Impedance,Transthoracic Impedance Plethysmographies,Transthoracic Impedances
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man

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