medigraphic.com
SPANISH

NCT Neumología y Cirugía de Tórax

ISSN 2594-1526 (Electronic)
Antes Revista del Instituto Nacional de Enfermedades Respiratorias

Ver anteriores al 2010

  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
    • Send manuscript
  • Policies
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2013, Number 2

<< Back Next >>

Neumol Cir Torax 2013; 72 (2)

Echocardiogram and respiratory function tests in the diagnosis of pulmonary hypertension in patients with hypersensitivity pneumonitis

Morales-Villanueva CE, Morales-Cruz VG, Alonso-Martínez D, Suárez-Landa T, Mejía-Ávila M, Carrillo-Rodríguez JG
Full text How to cite this article

Language: Spanish
References: 25
Page: 142-146
PDF size: 194.47 Kb.


Key words:

Pulmonary hypertension, pulmonary function tests, echocardiography, mean pulmonary artery pressure, hypersensitivity pneumonitis.

ABSTRACT

Introduction: In patients with idiopathic pulmonary fibrosis, the calculation to infer the mean pressure of the pulmonary artery with an equation involving function tests respiratory such as forced vital capacity, carbon monoxide diffusing capacity and oxygen saturation ambient air, is considered useful for the diagnosis of pulmonary hypertension, with less variability than echocardiography in relation to cardiac catheterization. Not yet been studied in other interstitial lung diseases. Objective: Estimate the agreement of the equation of pulmonary function tests with echocardiography in the diagnosis of pulmonary hypertension in patients with hypersensitivity pneumonitis. Results: In 40 patients with hypersensitivity pneumonitis by echocardiogram, 80% had pulmonary hypertension and by equation function tests respiratory the 82%; with a concordance of 0.42 (p = 0.007). Conclusions: The concordance of pulmonary hypertension by function tests respiratory equation and echocardiography was statistically significant. The oxygen saturation below 90% and carbon monoxide diffusing capacity less than 40% of predicted was associated more frequently with pulmonary hypertension diagnosed by function tests respiratory.


REFERENCES

  1. Hoeper MM. The new definition of pulmonary hypertension. Eur Respir J 2009;34:790-791.

  2. Schuyler M, Cormier Y. The diagnosis of hipersensitivity pneumonitis. Chest 1997;111:534-536.

  3. Mejía M, Suárez T, Arreola A, et al. Neumonitis por hipersensibilidad. Neumol Cir Torax 2007;66:115-123.

  4. Zisman DA, Ross DJ, Belperio JA, et al. Prediction of pulmonary hypertension in idiopathic pulmonary fibrosis. Respir Med 2007;101:2153-2159.

  5. Modrykamien AM, Gudavalli R, McCarthy K, Parambil J. Echocardiography, 6-minute walk distance, and distance-saturation product as predictors of pulmonary arterial hypertension in idiopathic pulmonary fibrosis. Respiratory Care 2010;55:584-588.

  6. Arcasoy SM, Christie JD, Ferrari VA, et al. Echocardiographic assessment of pulmonary hypertension in patients with advanced lung disease. Am J Respir Crit Care Med 2003;167:735-740.

  7. Nathana SD, Shlobina OA, Barnetta SD, et al. Right ventricular systolic pressure by echocardiography as a predictor of pulmonary hypertension in idiopathic pulmonary fibrosis. Respir Med 2008;102:1305-1310.

  8. Fisher MR, Forfia PR, Chamera E, et al. Accuracy of Doppler echocardiography in the hemodynamic assessment of pulmonary hypertension. Am J Crit Care Med 2009;179:615-621.

  9. Zisman DA, Karlamangla AS, Kawut SM, et al. Validation of a method to screen for pulmonary hypertension in advanced idiopathic pulmonary fibrosis. Chest 2008;133:640-645.

  10. Miller MR, Hankinson J, Brusasco V, et al. Standardization of spirometry. Eur Respir J 2005;26:319-338.

  11. Macintyre N, Crapo RO, Viegi G, et al. Standarization of the single-breath determination of carbon monoxide uptake in the lung. Eur Respir J 2005;26:720-735.

  12. Pérez-Padilla R, Valdivia G, Muiño A, et al. Spirometric referente values in 5 large Latin American cities for subjects aged 40 years or over. Arch Bronconeumol 2006;42:317-325.

  13. Rudski LG, Lai WW, Afilalo J, et al. Guidelines for the echocardiographic assessment of the right heart in adults: a report from the American Society of Echocardiography endorsed by the European Association of Echocardiography, a registered branch of the European Society of Cardiology, and the Canadian Society of Echocardiography. J Am Soc Echocardiogr 2010;23:685-713.

  14. Galié N, Hoeper MM, Humbert M, et al. Guidelines for the diagnosis and treatment of pulmonary hypertension: the Task Force for the Diagnosis and Treatment of Pulmonary Hypertension of the European Society of Cardiology (ESC) and the European Respiratory Society (ERS), endorsed by the International Society or Heart and Lung Transplantation (ISHLT). Eur Heart J 2009;30:2493-2537.

  15. Mejía M, Carrillo G, Rojas-Serrano J, et al. Idiopathic pulmonary fibrosis and emphysema: decreased survival associated with severe pulmonary arterial: hypertension. Chest 2009;136:10-15.

  16. Hamada K, Nagai S, Tanaka S, et al. Significance of pulmonary arterial pressure and diffusion capacity of the lung as prognosticator in patients with idiopathic pulmonary fibrosis. Chest 2007;131:650-656.

  17. Pitsiou G, Papakosta D, Bouros D. Pulmonary hypertension in idiopathic pulmonary fibrosis: a review. Respiration 2011;82:294-304.

  18. Koschel DS, Cardoso C, Wiedemann B, Höffken G, Halank M. Pulmonary hypertension in chronic hypersensitivity pneumonitis. Lung 2012;190:295-302.

  19. Launay D, Mouthon L, Huachulla E, et al. Prevalence and characteristics of moderate to severe pulmonary hypertension in systemic sclerosis with and without interstitial lung disease. J Rheumatol 2007;34:1005-1011.

  20. Lupi-Herrera E, Sandoval J, Bialostozky D, et al. Extrinsic allergic alveolitis caused by pigeon breeding at a high altitude (2,240 meters). Am Rev Respir Dis 1981;124:602-607.

  21. Behr J, Ryu JH. Pulmonary hypertension in interstitial lung disease. Eur Respir J 2008;31:1357-1367.

  22. Papakosta D, Pitsiou G, Daniil Z, et al. Prevalence of pulmonary hypertension in patients with idiopathic pulmonary fibrosis: correlation with physiological parameters. Lung 2011;189:391-399.

  23. Ryu JH, Krowka MJ, Pellikka PA, Swanson KL, McGoon MD. Pulmonary hypertension in patients with interstitial lung diseases. Mayo Clin Proc 2007; 82:342-350.

  24. Lettieri CJ, Nathan SD, Barnett SD, Ahmad S, Shorr AF. Prevalence and outcomes of pulmonary arterial hypertension in advanced idiopathic pulmonary fibrosis. Chest 2006;129:746-752.

  25. Nathan SD. Pulmonary hypertension in interstitial lung disease. Int J Clin Pract suppl 2008;62:160:21-28.




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Neumol Cir Torax. 2013;72