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Rheumatology: New Ideas for Ultrasonic Diagnosis of Pulmonary Hypertension Related to Systemic Sclerosis

 Last Update: 2021-10-10
 Source: Internet
 Author: User

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Systemic sclerosis (SSc) is an autoimmune immune disease, wherein the skin and internal organs of vascular injury and fibrosis
.

Obvious or subclinical cardiopulmonary involvement is common in SSc

Immune blood vessel

It compares the positive predictive value (PPV) between the echocardiographic-derived tricuspid annulus plane systolic deviation/systolic pulmonary artery pressure (TAPSE/sPAP) ratio and the DETECT algorithm in a group of SSc patients for PAH screening Check

Correlation between TAPSE/sPAP ratio and age, disease duration, serum uric acid, FVC/DLco, NT-proBNP, DETECT algorithm steps 1 and 2

Research method: 51 SSc patients were screened for PAH using DETECT algorithm and echocardiography
.

Research result:

Echocardiography was recommended by step 1 of the DETECT algorithm for 34 patients (66.

7%)

Research conclusion: In the SSc patients with a total score of >35 in the second step of the DETECT algorithm, the TAPSE/sPAP ratio can be used to further select patients requiring RHC to confirm the diagnosis of PAH

In the second step DETECT algorithm score> SSc patients 35, TAPSE / sPAP ratio may be further used to select patients to confirm RHC PAH diagnosis diagnostic

Article source:

Colalillo A.

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