prikaz prve stranice dokumenta Diagnostic accuracy, sensitivity, and specificity of CT pulmonary artery to aorta diameter ratio in screening for pulmonary hypertension in end-stage COPD patients
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Scientific paper - Original scientific paper
Diagnostic accuracy, sensitivity, and specificity of CT pulmonary artery to aorta diameter ratio in screening for pulmonary hypertension in end-stage COPD patients
Croatian Medical Journal, 62 (2021), 5; 446-445. https://doi.org/10.3325/cmj.2021.62.44
Gašparović, Kristina; Pavliša, Gordana; Hrabak Paar, Maja; Brestovac, Marija; Lovrić Benčić, Martina; Šeparović Hanževački, Jadranka; Miličić, Davor; Samaržija, Mirolsav; Juras, Josip

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Gašparović, K., Pavliša, G., Hrabak Paar, M., Brestovac, M., Lovrić Benčić, M., Šeparović Hanževački, J. ... Juras, J. (2021). Diagnostic accuracy, sensitivity, and specificity of CT pulmonary artery to aorta diameter ratio in screening for pulmonary hypertension in end-stage COPD patients. Croatian Medical Journal, 62. (5), 446-445. doi: 10.3325/cmj.2021.62.44

Gašparović, Kristina, et al. "Diagnostic accuracy, sensitivity, and specificity of CT pulmonary artery to aorta diameter ratio in screening for pulmonary hypertension in end-stage COPD patients." Croatian Medical Journal, vol. 62, no. 5, 2021, pp. 446-445. https://doi.org/10.3325/cmj.2021.62.44

Gašparović, Kristina, Gordana Pavliša, Maja Hrabak Paar, Marija Brestovac, Martina Lovrić Benčić, Jadranka Šeparović Hanževački, Davor Miličić, Mirolsav Samaržija and Josip Juras. "Diagnostic accuracy, sensitivity, and specificity of CT pulmonary artery to aorta diameter ratio in screening for pulmonary hypertension in end-stage COPD patients." Croatian Medical Journal 62, no. 5 (2021): 446-445. https://doi.org/10.3325/cmj.2021.62.44

Gašparović, K., et al. (2021) 'Diagnostic accuracy, sensitivity, and specificity of CT pulmonary artery to aorta diameter ratio in screening for pulmonary hypertension in end-stage COPD patients', Croatian Medical Journal, 62(5), pp. 446-445. doi: 10.3325/cmj.2021.62.44

Gašparović K, Pavliša G, Hrabak Paar M, Brestovac M, Lovrić Benčić M, Šeparović Hanževački J, and sur.. Diagnostic accuracy, sensitivity, and specificity of CT pulmonary artery to aorta diameter ratio in screening for pulmonary hypertension in end-stage COPD patients. Croatian Medical Journal [Internet]. 2021 October 31 [cited 2024 April 20];62(5):446-445. doi: 10.3325/cmj.2021.62.44

K. Gašparović, et al., "Diagnostic accuracy, sensitivity, and specificity of CT pulmonary artery to aorta diameter ratio in screening for pulmonary hypertension in end-stage COPD patients", Croatian Medical Journal, vol. 62, no. 5, pp. 446-445, October 2021. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:105:118708. [Accessed: 20 April 2024]

Metadata
Title (english)Diagnostic accuracy, sensitivity, and specificity of CT pulmonary artery to aorta diameter ratio in screening for pulmonary hypertension in end-stage COPD patients
AuthorKristina Gašparović
AuthorGordana Pavliša
AuthorMaja Hrabak Paar
AuthorMarija Brestovac
AuthorMartina Lovrić Benčić
AuthorJadranka Šeparović Hanževački
AuthorDavor Miličić
AuthorMirolsav Samaržija
AuthorJosip Juras
Author's institutionUniversity of Zagreb
School of Medicine
(Department of Gynecology and Obstetrics)
Author's institutionUniversity of Zagreb
School of Medicine
(Department of Internal Medicine)
Author's institutionUniversity of Zagreb
School of Medicine
(Department of Radiology)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Internal Medicine
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Gynecology and Obstetrics
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Radiology
Abstract (english)
Aim: To determine the diagnostic accuracy of pulmonary artery to aorta ratio in screening for pulmonary hypertension in advanced chronic obstructive pulmonary disease (COPD) patients. ----- Methods: A prospective, diagnostic study was conducted in University Hospital Center Zagreb between January 2015 and March 2018. The study enrolled 100 patients who consecutively underwent chest computed tomography (CT), echocardiographic exam, and right heart catheterization. Two independent observers measured pulmonary artery and ascending aorta diameters. The correlation between the ratio and mean pulmonary artery pressure, measured invasively, was assessed. Patients with echocardiographic signs of moderate systolic or diastolic left ventricular dysfunction were excluded (n=44). ----- Results: Sixty-six patients (55.5% men), with a median age of 61, were identified. Median forced expiratory volume during the first second (FEV1) was 34±12, FEV1/forced vital capacity <0.70. Patients with and without pulmonary hypertension had pulmonary artery diameter of 36±7 mm and 27±4.6 mm, respectively (P<0.001). Median pulmonary artery/aorta (PA/A) ratios for patients with and without pulmonary hypertension were 1.05 and 0.81, respectively (P<0.001). PA/A ratio above 0.95 was an independent predictor of pulmonary hypertension with a specificity of 100% and a sensitivity of 74.51% (area under the curve=0.882; standard error=0.041; P<0.001). ----- Conclusion: PA/A ratio as measured on chest CT images can be used as a screening tool instead of echocardiography.
Keywords (english)
Languageenglish
Publication typeScientific paper - Original scientific paper
Publication statusPublished
Peer reviewPeer review
Publication versionPublished version
Journal titleCroatian Medical Journal
Numberingvol. 62, no. 5, pp. 446-445
p-ISSN0353-9504
e-ISSN1332-8166
DOIhttps://doi.org/10.3325/cmj.2021.62.44
URN:NBNurn:nbn:hr:105:118708
Publication2021-10-31
Document URLhttps://www.ncbi.nlm.nih.gov/labs/pmc/articles/PMC7976884/pdf/CroatMedJ_62_0044.pdf
Type of resourceText
Access conditionsOpen access
Terms of useLicence Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) icon
Created on2021-11-29 08:57:34