Limitations and Strengths of Doppler/Echo Pulmonary Artery Systolic Pressure-Right Heart Catheterization Correlations: A Systematic Literature Review

Aims Because many recent studies have questioned the accuracy of Doppler echocardiography (D) in determining pulmonary artery systolic pressure (PASP), we performed a detailed literature analysis attempting add clarity. Methods and Results Studies through 2011 comparing D and right heart catheteriza...

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Veröffentlicht in:	Echocardiography (Mount Kisco, N.Y.) N.Y.), 2015-01, Vol.32 (1), p.10-18
Hauptverfasser:	Finkelhor, Robert S., Lewis, Steven A., Pillai, Dilip
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Blood Pressure Blood Pressure Determination - methods Blood Pressure Determination - statistics & numerical data Cardiac Catheterization - statistics & numerical data cardiac hemodynamics diagnostic accuracy Doppler echocardiography Echocardiography, Doppler - methods Echocardiography, Doppler - statistics & numerical data Female Heart Ventricles - physiopathology Humans Hypertension, Pulmonary - diagnostic imaging Hypertension, Pulmonary - epidemiology Hypertension, Pulmonary - physiopathology Male Middle Aged Pulmonary Artery - diagnostic imaging Pulmonary Artery - physiopathology pulmonary hypertension Reproducibility of Results Sensitivity and Specificity
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Zusammenfassung:	Aims Because many recent studies have questioned the accuracy of Doppler echocardiography (D) in determining pulmonary artery systolic pressure (PASP), we performed a detailed literature analysis attempting add clarity. Methods and Results Studies through 2011 comparing D and right heart catheterization (RHC) PASP, with at least 25 studied patients and reporting correlation coefficients (r) were identified. Patient demographics, study characteristics, the percent of patients studied for left or right heart pathologies, and study biases were determined. After adjusting for differing study sizes, each study's r value was used as a single datapoint and dichotomized above or below the entire cohort's mean values. From 32 studies 2604 D‐RHC parings were reported. Their overall weighted r was 0.68 ± 0.19. Poorer correlations were found for right heart pathologies compared to left heart pathologies (r = 0.58 vs. 0.84, P
ISSN:	0742-2822 1540-8175
DOI:	10.1111/echo.12594