Echocardiographic techniques for assessing pulmonary artery pressure
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Research, Society and Development |
Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/2309 |
Resumo: | This paper aims to perform an analysis of the indirect methods of pulmonary artery pressure assessment based on the scientific literature. Through bibliographic survey, scientific articles were selected according to their relevance to the theme.The assessment of pulmonary artery pressure allows to infer whether the individual has pulmonary arterial hypertension (PAH), which is associated with a poor prognosis in dogs diagnosed with mitral valve degeneration. The standard examination is pulmonary artery catheterization, but this method has not been used in routine veterinary medicine because the clinical status of the animal usually does not allow sedation and it is a costly procedure. The diagnosis of PAH in small animals through Doppler echocardiography can be obtained by evaluating the regurgitation of the tricuspid or pulmonary valve, subjective characteristics and measurement of the acceleration time (AT) and the acceleration time-to-ejection time ratio of pulmonary artery (AT:ET), pulmonary artery-to-pulmonary vein ratio, distensibility of the right pulmonary artery (RAPD), and assessment of right ventricular function, especially TEI index and strain. The aim of this review was to demonstrate the main echocardiographic techniques to estimate PAH, with the intention of contributing to the cardiologist in the diagnosis of PAH. All techniques have positive and negative factors however, it is important to emphasize that there is no ideal technique, and the most assertive way to arrive at the diagnosis is to associate the different techniques. |
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Echocardiographic techniques for assessing pulmonary artery pressureTécnicas ecocardiográficas para la evaluación de la presión de la arteria pulmonarTécnicas ecocardiográficas para la evaluación de la presión de la arteria pulmonarHipertensão Arterial PulmonarÍndice de Distensibilidade da Artéria Pulmonar DireitaRegurgitação da PulmonarRegurgitação da Tricúspide.Hipertensión Arterial PulmonarRegurgitación PulmonarÍndice de Distensibilidad de la Arteria Pulmonar DerechaRegurgitación Tricuspídea.Pulmonary Arterial HypertensionPulmonary RegurgitationRight Pulmonary Artery Distensibility IndexTricuspid Regurgitation.This paper aims to perform an analysis of the indirect methods of pulmonary artery pressure assessment based on the scientific literature. Through bibliographic survey, scientific articles were selected according to their relevance to the theme.The assessment of pulmonary artery pressure allows to infer whether the individual has pulmonary arterial hypertension (PAH), which is associated with a poor prognosis in dogs diagnosed with mitral valve degeneration. The standard examination is pulmonary artery catheterization, but this method has not been used in routine veterinary medicine because the clinical status of the animal usually does not allow sedation and it is a costly procedure. The diagnosis of PAH in small animals through Doppler echocardiography can be obtained by evaluating the regurgitation of the tricuspid or pulmonary valve, subjective characteristics and measurement of the acceleration time (AT) and the acceleration time-to-ejection time ratio of pulmonary artery (AT:ET), pulmonary artery-to-pulmonary vein ratio, distensibility of the right pulmonary artery (RAPD), and assessment of right ventricular function, especially TEI index and strain. The aim of this review was to demonstrate the main echocardiographic techniques to estimate PAH, with the intention of contributing to the cardiologist in the diagnosis of PAH. All techniques have positive and negative factors however, it is important to emphasize that there is no ideal technique, and the most assertive way to arrive at the diagnosis is to associate the different techniques.Este artículo tiene como objetivo realizar un análisis de los métodos indirectos de evaluación de la presión de la arteria pulmonar con base en la literatura científica. A través de la encuesta bibliográfica, los artículos científicos se seleccionaron de acuerdo con su relevancia para el tema. La evaluación de la presión de la arteria pulmonar permite inferir si el individuo tiene hipertensión arterial pulmonar (HAP), que se asocia con un mal pronóstico en perros diagnosticados con degeneración de la válvula mitral. El examen estándar es el cateterismo de la arteria pulmonar, pero este método no se ha utilizado rutinariamente en medicina veterinaria porque el estado clínico del animal generalmente no permite la sedación y es un procedimiento costoso. El diagnóstico de HAP en animales pequeños a través de la ecocardiografía Doppler puede obtenerse evaluando la regurgitación de la válvula tricúspide o pulmonar, las características subjetivas y la medición del tiempo de aceleración (AT) y la relación tiempo de aceleración / tiempo de expulsión de la arteria pulmonar (TA:TE), relación arteria pulmonar-vena pulmonar, distensibilidad de la arteria pulmonar derecha (RAPD) y evaluación de la función ventricular derecha, especialmente el índice TEI y strain. El objetivo de esta revisión fue demostrar las principales técnicas ecocardiográficas para estimar la HAP, con la intención de ayudar al cardiólogo en el diagnóstico de la HAP. Todas las técnicas tienen factores positivos y negativos, sin embargo es importante enfatizar que no existe una técnica ideal, y la forma más asertiva de llegar al diagnóstico es asociar las diferentes técnicas.O presente trabalho tem como objetivo realizar uma análise dos métodos indiretos da avaliação da pressão da artéria pulmonar com base na literatura científica. Por meio de levantamento bibliográfico, artigos científicos foram selecionados conforme a sua relevância para o tema. A avaliação da pressão da artéria pulmonar permite inferir se o paciente apresenta hipertensão arterial pulmonar (HAP), a qual está associada a um prognóstico ruim em cães. O exame padrão é a cateterização da artéria pulmonar, porém este método não tem sido utilizado na rotina da medicina veterinária porque o quadro clínico do animal comumente não permite a sedação e por se tratar de um procedimento oneroso. O diagnóstico da HAP em pequenos animais por meio da ecodopplercardiografia pode ser obtido com a avaliação da regurgitação da valva tricúspide ou pulmonar, características subjetivas e mensuração do tempo de aceleração (TA) e relação entre o tempo de aceleração e o tempo de ejeção do fluxo pulmonar (TA:TE), relação entre a artéria pulmonar e a veia pulmonar, distensibilidade da artéria pulmonar direita (RPAD), e ainda por avaliação da função do ventrículo direito, principalmente o índice de TEI e o strain. O objetivo desta revisão foi demonstrar as principais técnicas ecocardiográficas para estimar HAP, com o intuito de contribuir com o cardiologista no diagnóstico da HAP. Todas as técnicas apresentam fatores positivos e negativos, porém é importante ressaltar que não existe uma técnica ideal, e a forma mais assertiva de se chegar ao diagnóstico é associando as diversas técnicas.Research, Society and Development2020-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/230910.33448/rsd-v9i3.2309Research, Society and Development; Vol. 9 No. 3; e44932309Research, Society and Development; Vol. 9 Núm. 3; e44932309Research, Society and Development; v. 9 n. 3; e449323092525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIenghttps://rsdjournal.org/index.php/rsd/article/view/2309/1901Copyright (c) 2019 Tamyris Beluqueinfo:eu-repo/semantics/openAccessBeluque, TamyrisCosta, Bruna Natali daVila, Beatriz de Carvalho PatoSilva, Vinícius Bentivóglio CostaSousa, Marlos Gonçalves2020-08-20T18:07:57Zoai:ojs.pkp.sfu.ca:article/2309Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:26:58.976257Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
dc.title.none.fl_str_mv |
Echocardiographic techniques for assessing pulmonary artery pressure Técnicas ecocardiográficas para la evaluación de la presión de la arteria pulmonar Técnicas ecocardiográficas para la evaluación de la presión de la arteria pulmonar |
title |
Echocardiographic techniques for assessing pulmonary artery pressure |
spellingShingle |
Echocardiographic techniques for assessing pulmonary artery pressure Beluque, Tamyris Hipertensão Arterial Pulmonar Índice de Distensibilidade da Artéria Pulmonar Direita Regurgitação da Pulmonar Regurgitação da Tricúspide. Hipertensión Arterial Pulmonar Regurgitación Pulmonar Índice de Distensibilidad de la Arteria Pulmonar Derecha Regurgitación Tricuspídea. Pulmonary Arterial Hypertension Pulmonary Regurgitation Right Pulmonary Artery Distensibility Index Tricuspid Regurgitation. |
title_short |
Echocardiographic techniques for assessing pulmonary artery pressure |
title_full |
Echocardiographic techniques for assessing pulmonary artery pressure |
title_fullStr |
Echocardiographic techniques for assessing pulmonary artery pressure |
title_full_unstemmed |
Echocardiographic techniques for assessing pulmonary artery pressure |
title_sort |
Echocardiographic techniques for assessing pulmonary artery pressure |
author |
Beluque, Tamyris |
author_facet |
Beluque, Tamyris Costa, Bruna Natali da Vila, Beatriz de Carvalho Pato Silva, Vinícius Bentivóglio Costa Sousa, Marlos Gonçalves |
author_role |
author |
author2 |
Costa, Bruna Natali da Vila, Beatriz de Carvalho Pato Silva, Vinícius Bentivóglio Costa Sousa, Marlos Gonçalves |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Beluque, Tamyris Costa, Bruna Natali da Vila, Beatriz de Carvalho Pato Silva, Vinícius Bentivóglio Costa Sousa, Marlos Gonçalves |
dc.subject.por.fl_str_mv |
Hipertensão Arterial Pulmonar Índice de Distensibilidade da Artéria Pulmonar Direita Regurgitação da Pulmonar Regurgitação da Tricúspide. Hipertensión Arterial Pulmonar Regurgitación Pulmonar Índice de Distensibilidad de la Arteria Pulmonar Derecha Regurgitación Tricuspídea. Pulmonary Arterial Hypertension Pulmonary Regurgitation Right Pulmonary Artery Distensibility Index Tricuspid Regurgitation. |
topic |
Hipertensão Arterial Pulmonar Índice de Distensibilidade da Artéria Pulmonar Direita Regurgitação da Pulmonar Regurgitação da Tricúspide. Hipertensión Arterial Pulmonar Regurgitación Pulmonar Índice de Distensibilidad de la Arteria Pulmonar Derecha Regurgitación Tricuspídea. Pulmonary Arterial Hypertension Pulmonary Regurgitation Right Pulmonary Artery Distensibility Index Tricuspid Regurgitation. |
description |
This paper aims to perform an analysis of the indirect methods of pulmonary artery pressure assessment based on the scientific literature. Through bibliographic survey, scientific articles were selected according to their relevance to the theme.The assessment of pulmonary artery pressure allows to infer whether the individual has pulmonary arterial hypertension (PAH), which is associated with a poor prognosis in dogs diagnosed with mitral valve degeneration. The standard examination is pulmonary artery catheterization, but this method has not been used in routine veterinary medicine because the clinical status of the animal usually does not allow sedation and it is a costly procedure. The diagnosis of PAH in small animals through Doppler echocardiography can be obtained by evaluating the regurgitation of the tricuspid or pulmonary valve, subjective characteristics and measurement of the acceleration time (AT) and the acceleration time-to-ejection time ratio of pulmonary artery (AT:ET), pulmonary artery-to-pulmonary vein ratio, distensibility of the right pulmonary artery (RAPD), and assessment of right ventricular function, especially TEI index and strain. The aim of this review was to demonstrate the main echocardiographic techniques to estimate PAH, with the intention of contributing to the cardiologist in the diagnosis of PAH. All techniques have positive and negative factors however, it is important to emphasize that there is no ideal technique, and the most assertive way to arrive at the diagnosis is to associate the different techniques. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/2309 10.33448/rsd-v9i3.2309 |
url |
https://rsdjournal.org/index.php/rsd/article/view/2309 |
identifier_str_mv |
10.33448/rsd-v9i3.2309 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/2309/1901 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2019 Tamyris Beluque info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2019 Tamyris Beluque |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Research, Society and Development |
publisher.none.fl_str_mv |
Research, Society and Development |
dc.source.none.fl_str_mv |
Research, Society and Development; Vol. 9 No. 3; e44932309 Research, Society and Development; Vol. 9 Núm. 3; e44932309 Research, Society and Development; v. 9 n. 3; e44932309 2525-3409 reponame:Research, Society and Development instname:Universidade Federal de Itajubá (UNIFEI) instacron:UNIFEI |
instname_str |
Universidade Federal de Itajubá (UNIFEI) |
instacron_str |
UNIFEI |
institution |
UNIFEI |
reponame_str |
Research, Society and Development |
collection |
Research, Society and Development |
repository.name.fl_str_mv |
Research, Society and Development - Universidade Federal de Itajubá (UNIFEI) |
repository.mail.fl_str_mv |
rsd.articles@gmail.com |
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1797052823016308736 |