Pulmonary Function Tests in the Detection of Left Heart Failure: Correlation with Pulmonary Artery Wedge Pressure

Respiration ◽  
1986 ◽  
Vol 49 (4) ◽  
pp. 241-250 ◽  
Author(s):  
Andrew L. Ries ◽  
Gabriel Gregoratos ◽  
Paul J. Friedman ◽  
Jack L. Clausen
Keyword(s):  
Heart Failure ◽  
Pulmonary Artery ◽  
Pulmonary Function ◽  
Pulmonary Function Tests ◽  
Left Heart ◽  
Pulmonary Artery Wedge Pressure ◽  
Left Heart Failure ◽  
Function Tests ◽  
Failure Correlation ◽  
Wedge Pressure

scholarly journals Serial pulmonary function tests to diagnose COPD in chronic heart failure

2014 ◽  
Vol 2 (1) ◽  
Author(s):  
Armine G Minasian ◽  
Frank JJ van den Elshout ◽  
PN Richard Dekhuijzen ◽  
Petra JE Vos ◽  
Frank F Willems ◽  
...  
Keyword(s):  
Heart Failure ◽  
Chronic Heart Failure ◽  
Pulmonary Function ◽  
Pulmonary Function Tests ◽  
Function Tests

Noninvasive determination of pulmonary artery wedge pressure in patients with chronic heart failure

2001 ◽  
Vol 87 (10) ◽  
pp. 1213-1215 ◽  
Author(s):  
Michael M Givertz ◽  
Mara T Slawsky ◽  
Denzil L Moraes ◽  
Kevin M McIntyre ◽  
Wilson S Colucci
Keyword(s):  
Heart Failure ◽  
Chronic Heart Failure ◽  
Pulmonary Artery ◽  
Pulmonary Artery Wedge Pressure ◽  
Wedge Pressure

Pulmonary hypertension after ventriculoatrial shunt implantation

2010 ◽  
Vol 113 (6) ◽  
pp. 1279-1283 ◽  
Author(s):  
Stefan Kluge ◽  
Hans Jörg Baumann ◽  
Jan Regelsberger ◽  
Uwe Kehler ◽  
Jan Gliemroth ◽  
...  
Keyword(s):  
Pulmonary Hypertension ◽  
Pulmonary Artery ◽  
Pulmonary Function ◽  
Pulmonary Function Tests ◽  
Significant Proportion ◽  
Systolic Pressure ◽  
Chronic Thromboembolic Pulmonary Hypertension ◽  
Doppler Velocity ◽  
Systolic Pulmonary Artery Pressure ◽  
Function Tests

Object Ventriculoatrial (VA) shunts inserted for the treatment of hydrocephalus are known to be a risk factor for pulmonary hypertension. The aim of this study was to evaluate the incidence of pulmonary hypertension among adult patients with VA shunts. Methods All patients who had received a VA shunt at one of two institutions between 1985 and 2000 were invited for a cardiopulmonary evaluation. The investigation included a thorough history taking, clinical examination, echocardiography, and pulmonary function testing including diffusing capacity of the lung for carbon monoxide (DLCO). Pulmonary hypertension was defined as systolic pulmonary artery pressure > 35 mm Hg at rest. Results The study group consisted of 86 patients, of whom 38 (44%) could be examined. The patients' mean age was 47.1 ± 18.4 years; the median interval between shunt insertion and cardiopulmonary evaluation was 15 years (range 5–20 years). Of the 38 patients, 20 (53%) had Doppler velocity profiles of tricuspid regurgitation that were adequate for the estimation of pulmonary artery systolic pressure. Doppler-defined pulmonary hypertension was observed in 3 patients (8%), 2 of whom underwent right heart catheterization. Chronic thromboembolic pulmonary hypertension was confirmed in both patients, and medical therapy, including anticoagulation, was started. The VA shunt was removed in both cases and replaced with a different type of device. Pulmonary function tests revealed a restrictive pattern in 15% and typical obstructive findings in 9% of patients. In 30% of patients the DLCO was less than 80% of predicted, and blood gas analysis showed hypoxemia in 6% of patients. No significant differences in pulmonary function tests were noted between the patients with and without echocardiographic evidence of pulmonary hypertension. However, patients with pulmonary hypertension had significantly lower DLCO values. Conclusions The authors detected pulmonary hypertension by using Doppler echocardiography in a significant proportion of patients with VA shunts. It is therefore recommended that practitioners perform regular echocardiography and pulmonary function tests, including single-breath DLCO in these patients to screen for pulmonary hypertension to prevent hazardous late cardiopulmonary complications.

Prognostic significance of pulmonary function tests in heart failure

2000 ◽  
Vol 2 ◽  
pp. 29-29
Author(s):  
G. Pontone ◽  
M. Guazzi ◽  
G. Rèina ◽  
R. Brambilla ◽  
P.G. Agostoni ◽  
...  
Keyword(s):  
Heart Failure ◽  
Pulmonary Function ◽  
Pulmonary Function Tests ◽  
Prognostic Significance ◽  
Function Tests
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