PMID- 36181031 OWN - NLM STAT- MEDLINE DCOM- 20221004 LR - 20230103 IS - 1536-5964 (Electronic) IS - 0025-7974 (Print) IS - 0025-7974 (Linking) VI - 101 IP - 39 DP - 2022 Sep 30 TI - Evaluation of right ventricular function in patients with pulmonary arterial hypertension by different right ventricular-pulmonary artery coupling methods. PG - e30873 LID - 10.1097/MD.0000000000030873 [doi] LID - e30873 AB - To compare the accuracy of end-systolic elasticity (Ees)/arterial elasticity (Ea) ratio measured by single beat estimation, pressure-volume loop and cardiac magnetic resonance (CMR) combined volume method in patients with pulmonary artery hypertension, and to find a feasible and reliable method to quantitatively evaluate the function of right ventricle in patients with pulmonary artery hypertension. Forty-nine pulmonary artery hypertension patients enrolled between May 2017 and May 2018 in our hospital were retrospectively analyzed. Firstly, measure Ees/Ea ratio by single beat estimation, pressure-volume loop and CMR combined volume method, then, compare Ees/Ea ratio with New York Heart Association (NYHA) classification and NT-proBNP value respectively to evaluate the accuracy of the 3 methods. Ees/Ea ratio measured by single beat estimation is 2.07 +/- 1.01, correlation analysis is not statistically significant when compare with NYHA classification and NT-proBNP value (P > .05). Ees/Ea ratio measured by pressure-volume loop is 2.64 +/- 1.48, correlation analysis is not statistically significant when compare with NYHA classification and NT-proBNP value (P > .05). Ees/Ea ratio measured by CMR combined volume method is 0.72 +/- 0.43, correlation analysis is statistically significant when compare with NYHA classification and NT-proBNP with negative correlation (P < .05). Ees/Ea ratio decrease according to the increase of NT-proBNP value and the NYHA classification. There is linear regression equation between Ees/Ea ratio measured by CMR combined volume method and log (NT-proBNP) value: Y = -0.257X + 1.45, and the linear regression equation is statistically significant (P = .001). Ees/Ea ratio measured by CMR combined volume method is a feasible and reliable method to quantitatively evaluate the function of right ventricule in patients with pulmonary artery hypertension, which might be further verified in a larger patient population. CI - Copyright (c) 2022 the Author(s). Published by Wolters Kluwer Health, Inc. FAU - Dong, Yaling AU - Dong Y AD - Department of Cardiology, Wuhan Asia Heart Hospital, Wuhan, PR China. FAU - Li, Yu AU - Li Y AUID- ORCID: 0000-0001-8229-8477 FAU - Song, Laichun AU - Song L AUID- ORCID: 0000-0001-6524-7475 LA - eng PT - Journal Article PL - United States TA - Medicine (Baltimore) JT - Medicine JID - 2985248R SB - IM MH - Familial Primary Pulmonary Hypertension/complications MH - Heart Ventricles/diagnostic imaging MH - Humans MH - *Hypertension, Pulmonary MH - *Pulmonary Arterial Hypertension MH - Pulmonary Artery/diagnostic imaging MH - Retrospective Studies MH - Stroke Volume MH - *Ventricular Dysfunction, Right/complications MH - Ventricular Function, Right PMC - PMC9524992 COIS- The authors have no conflicts of interest to disclose. EDAT- 2022/10/02 06:00 MHDA- 2022/10/05 06:00 PMCR- 2022/09/30 CRDT- 2022/10/01 01:02 PHST- 2022/10/01 01:02 [entrez] PHST- 2022/10/02 06:00 [pubmed] PHST- 2022/10/05 06:00 [medline] PHST- 2022/09/30 00:00 [pmc-release] AID - 00005792-202209300-00029 [pii] AID - 10.1097/MD.0000000000030873 [doi] PST - ppublish SO - Medicine (Baltimore). 2022 Sep 30;101(39):e30873. doi: 10.1097/MD.0000000000030873.