Pulmonary Artery Pulsatility Index As A Predictor Of Cardiac Mortality In Advanced Chronic Heart Failure: Is It Beyond Right Atrial Pressure?

Ali Doğan

doi:10.5798/dicletip.755709

Pulmonary Artery Pulsatility Index As A Predictor Of Cardiac Mortality In Advanced Chronic Heart Failure: Is It Beyond Right Atrial Pressure?

Öz

Objective: The effect of pulmonary artery pulsatility index (PAPi) on mortality in patients with advanced chronic heart failure (HF). Methods: The study included 53 patients with advanced chronic HF, with ejection fraction below 30%, who underwent right and left catheterization. Two groups were formed according to the development of cardiac mortality. Results: Of 53 patients in the study group, 18 patients developed cardiac mortality (33.9%). While male gender and peripheral artery disease were more in the cardiac mortality group, CRP level was also seen more in this group. As stroke volume, aortic pressures, left ventricular systolic pressure were lower in the cardiac mortality group, right atrium pressure (RAP) was higher. PAPi was associated with cardiac mortality and lower in this group (P = 0.001). According to univariate analysis, PAPi and RAP were among predictors of cardiac mortality. However, multivariate analysis indicated that only RAP was an independent predictor. PAPi threshold value for cardiac mortality was calculated as 2.9 (88.9% sensitivity and 74.3% specificity). Conclusion: PAPi is related with cardiac mortality in advanced HF. However, it is not an independent predictor. PAPi is mostly dependent on right atrial pressure.

Anahtar Kelimeler

advanced heart failure,cardiac mortality

Kaynakça

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Ayrıntılar

Birincil Dil

İngilizce

Konular

Sağlık Kurumları Yönetimi

Bölüm

Araştırma Makalesi

Yazarlar

Ali Doğan ^* Bu kişi benim
Türkiye

Yayımlanma Tarihi

17 Haziran 2020

Gönderilme Tarihi

31 Mart 2020

Kabul Tarihi

16 Haziran 2020

Yayımlandığı Sayı

Yıl 2020 Cilt: 47 Sayı: 2

DOI

https://doi.org/10.5798/dicletip.755709

IZ

https://izlik.org/JA73AH74UH

Kaynak Göster

RIS / Bibtex

APA

Doğan, A. (2020). Pulmonary Artery Pulsatility Index As A Predictor Of Cardiac Mortality In Advanced Chronic Heart Failure: Is It Beyond Right Atrial Pressure? Dicle Medical Journal, 47(2), 304-311. https://doi.org/10.5798/dicletip.755709

AMA

1.Doğan A. Pulmonary Artery Pulsatility Index As A Predictor Of Cardiac Mortality In Advanced Chronic Heart Failure: Is It Beyond Right Atrial Pressure? diclemedj. 2020;47(2):304-311. doi:10.5798/dicletip.755709

Chicago

Doğan, Ali. 2020. “Pulmonary Artery Pulsatility Index As A Predictor Of Cardiac Mortality In Advanced Chronic Heart Failure: Is It Beyond Right Atrial Pressure?”. Dicle Medical Journal 47 (2): 304-11. https://doi.org/10.5798/dicletip.755709.

EndNote

Doğan A (01 Haziran 2020) Pulmonary Artery Pulsatility Index As A Predictor Of Cardiac Mortality In Advanced Chronic Heart Failure: Is It Beyond Right Atrial Pressure? Dicle Medical Journal 47 2 304–311.

IEEE

[1]A. Doğan, “Pulmonary Artery Pulsatility Index As A Predictor Of Cardiac Mortality In Advanced Chronic Heart Failure: Is It Beyond Right Atrial Pressure?”, diclemedj, c. 47, sy 2, ss. 304–311, Haz. 2020, doi: 10.5798/dicletip.755709.

ISNAD

Doğan, Ali. “Pulmonary Artery Pulsatility Index As A Predictor Of Cardiac Mortality In Advanced Chronic Heart Failure: Is It Beyond Right Atrial Pressure?”. Dicle Medical Journal 47/2 (01 Haziran 2020): 304-311. https://doi.org/10.5798/dicletip.755709.

JAMA

1.Doğan A. Pulmonary Artery Pulsatility Index As A Predictor Of Cardiac Mortality In Advanced Chronic Heart Failure: Is It Beyond Right Atrial Pressure? diclemedj. 2020;47:304–311.

MLA

Doğan, Ali. “Pulmonary Artery Pulsatility Index As A Predictor Of Cardiac Mortality In Advanced Chronic Heart Failure: Is It Beyond Right Atrial Pressure?”. Dicle Medical Journal, c. 47, sy 2, Haziran 2020, ss. 304-11, doi:10.5798/dicletip.755709.

Vancouver

1.Ali Doğan. Pulmonary Artery Pulsatility Index As A Predictor Of Cardiac Mortality In Advanced Chronic Heart Failure: Is It Beyond Right Atrial Pressure? diclemedj. 01 Haziran 2020;47(2):304-11. doi:10.5798/dicletip.755709