Echocardiographic parameters associated with pulmonary congestion in outpatients with Chagas' cardiomyopathy and non-chagasic cardiomyopathy
INTRODUCTION: Despite significant left ventricular (LV) systolic dysfunction and cardiomegaly, pulmonary congestion does not seem to be a major finding in Chagas' cardiomyopathy (CC). This study sought to identify echocardiographic parameters associated with pulmonary congestion in CC and in di...
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ftdoajarticles:oai:doaj.org/article:def9b7598d7d459fb2521feeda946041 2023-05-15T15:13:52+02:00 Echocardiographic parameters associated with pulmonary congestion in outpatients with Chagas' cardiomyopathy and non-chagasic cardiomyopathy Marselha Marques Barral Maria do Carmo Pereira Nunes Marcia Melo Barbosa Cid Sérgio Ferreira Wilson Campos Tavares Júnior Manoel Otávio da Costa Rocha 2012-04-01T00:00:00Z https://doi.org/10.1590/S0037-86822012000200015 https://doaj.org/article/def9b7598d7d459fb2521feeda946041 EN eng Sociedade Brasileira de Medicina Tropical (SBMT) http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822012000200015&lng=en&tlng=en https://doaj.org/toc/1678-9849 1678-9849 doi:10.1590/S0037-86822012000200015 https://doaj.org/article/def9b7598d7d459fb2521feeda946041 Revista da Sociedade Brasileira de Medicina Tropical, Vol 45, Iss 2, Pp 215-219 (2012) Miocardiopatia chagásica Congestão pulmonar Miocardiopatia dilatada Ecocardiografia Arctic medicine. Tropical medicine RC955-962 article 2012 ftdoajarticles https://doi.org/10.1590/S0037-86822012000200015 2022-12-31T03:20:48Z INTRODUCTION: Despite significant left ventricular (LV) systolic dysfunction and cardiomegaly, pulmonary congestion does not seem to be a major finding in Chagas' cardiomyopathy (CC). This study sought to identify echocardiographic parameters associated with pulmonary congestion in CC and in dilated cardiomyopathy of other etiologies, such as non-CC (NCC), and to compare pulmonary venous hypertension between the two entities. METHODS: A total of 130 consecutive patients with CC and NCC, with similar echocardiographic characteristics, were assessed using Doppler echocardiography and chest radiography. Pulmonary venous vessel abnormalities were graded using a previously described pulmonary congestion score, and this score was compared with Doppler echocardiographic parameters. RESULTS: NCC patients were older than CC patients (62.4 ± 13.5 × 47.8 ± 11.2, p = 0.00), and there were more male subjects in the CC group (66.2% × 58.5%, p = 0.4). Pulmonary venous hypertension was present in 41 patients in the CC group (63.1%) and in 63 (96.9%) in the NCC group (p = 0.0), the mean lung congestion score being 3.2 ± 2.3 and 5.9 ± 2.6 (p = 0.0), respectively. On linear regression multivariate analysis, the E/e' ratio (β = 0.13; p = 0.0), LV diastolic diameter (β = 0.06; p = 0.06), left atrial diameter (β = 0.51; p = 0.08), and right ventricular (RV) end-diastolic diameter (β = 0.02; p = 0.48) were the variables that correlated with pulmonary congestion in both groups. CONCLUSIONS: Pulmonary congestion was less significant in patients with CC. The degree of LV of systolic and diastolic dysfunction and the RV diameter correlated with pulmonary congestion in both groups. The E/e' ratio was the hallmark of pulmonary congestion in both groups. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Revista da Sociedade Brasileira de Medicina Tropical 45 2 215 219 |
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Open Polar |
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Directory of Open Access Journals: DOAJ Articles |
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ftdoajarticles |
language |
English |
topic |
Miocardiopatia chagásica Congestão pulmonar Miocardiopatia dilatada Ecocardiografia Arctic medicine. Tropical medicine RC955-962 |
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Miocardiopatia chagásica Congestão pulmonar Miocardiopatia dilatada Ecocardiografia Arctic medicine. Tropical medicine RC955-962 Marselha Marques Barral Maria do Carmo Pereira Nunes Marcia Melo Barbosa Cid Sérgio Ferreira Wilson Campos Tavares Júnior Manoel Otávio da Costa Rocha Echocardiographic parameters associated with pulmonary congestion in outpatients with Chagas' cardiomyopathy and non-chagasic cardiomyopathy |
topic_facet |
Miocardiopatia chagásica Congestão pulmonar Miocardiopatia dilatada Ecocardiografia Arctic medicine. Tropical medicine RC955-962 |
description |
INTRODUCTION: Despite significant left ventricular (LV) systolic dysfunction and cardiomegaly, pulmonary congestion does not seem to be a major finding in Chagas' cardiomyopathy (CC). This study sought to identify echocardiographic parameters associated with pulmonary congestion in CC and in dilated cardiomyopathy of other etiologies, such as non-CC (NCC), and to compare pulmonary venous hypertension between the two entities. METHODS: A total of 130 consecutive patients with CC and NCC, with similar echocardiographic characteristics, were assessed using Doppler echocardiography and chest radiography. Pulmonary venous vessel abnormalities were graded using a previously described pulmonary congestion score, and this score was compared with Doppler echocardiographic parameters. RESULTS: NCC patients were older than CC patients (62.4 ± 13.5 × 47.8 ± 11.2, p = 0.00), and there were more male subjects in the CC group (66.2% × 58.5%, p = 0.4). Pulmonary venous hypertension was present in 41 patients in the CC group (63.1%) and in 63 (96.9%) in the NCC group (p = 0.0), the mean lung congestion score being 3.2 ± 2.3 and 5.9 ± 2.6 (p = 0.0), respectively. On linear regression multivariate analysis, the E/e' ratio (β = 0.13; p = 0.0), LV diastolic diameter (β = 0.06; p = 0.06), left atrial diameter (β = 0.51; p = 0.08), and right ventricular (RV) end-diastolic diameter (β = 0.02; p = 0.48) were the variables that correlated with pulmonary congestion in both groups. CONCLUSIONS: Pulmonary congestion was less significant in patients with CC. The degree of LV of systolic and diastolic dysfunction and the RV diameter correlated with pulmonary congestion in both groups. The E/e' ratio was the hallmark of pulmonary congestion in both groups. |
format |
Article in Journal/Newspaper |
author |
Marselha Marques Barral Maria do Carmo Pereira Nunes Marcia Melo Barbosa Cid Sérgio Ferreira Wilson Campos Tavares Júnior Manoel Otávio da Costa Rocha |
author_facet |
Marselha Marques Barral Maria do Carmo Pereira Nunes Marcia Melo Barbosa Cid Sérgio Ferreira Wilson Campos Tavares Júnior Manoel Otávio da Costa Rocha |
author_sort |
Marselha Marques Barral |
title |
Echocardiographic parameters associated with pulmonary congestion in outpatients with Chagas' cardiomyopathy and non-chagasic cardiomyopathy |
title_short |
Echocardiographic parameters associated with pulmonary congestion in outpatients with Chagas' cardiomyopathy and non-chagasic cardiomyopathy |
title_full |
Echocardiographic parameters associated with pulmonary congestion in outpatients with Chagas' cardiomyopathy and non-chagasic cardiomyopathy |
title_fullStr |
Echocardiographic parameters associated with pulmonary congestion in outpatients with Chagas' cardiomyopathy and non-chagasic cardiomyopathy |
title_full_unstemmed |
Echocardiographic parameters associated with pulmonary congestion in outpatients with Chagas' cardiomyopathy and non-chagasic cardiomyopathy |
title_sort |
echocardiographic parameters associated with pulmonary congestion in outpatients with chagas' cardiomyopathy and non-chagasic cardiomyopathy |
publisher |
Sociedade Brasileira de Medicina Tropical (SBMT) |
publishDate |
2012 |
url |
https://doi.org/10.1590/S0037-86822012000200015 https://doaj.org/article/def9b7598d7d459fb2521feeda946041 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista da Sociedade Brasileira de Medicina Tropical, Vol 45, Iss 2, Pp 215-219 (2012) |
op_relation |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822012000200015&lng=en&tlng=en https://doaj.org/toc/1678-9849 1678-9849 doi:10.1590/S0037-86822012000200015 https://doaj.org/article/def9b7598d7d459fb2521feeda946041 |
op_doi |
https://doi.org/10.1590/S0037-86822012000200015 |
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Revista da Sociedade Brasileira de Medicina Tropical |
container_volume |
45 |
container_issue |
2 |
container_start_page |
215 |
op_container_end_page |
219 |
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