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Evaluation of role of computed tomography (CT) in the diagnosis of pulmonary hypertension

• 2019
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Publication Information
Authors Ahmed G. Elgazzara, Mohammad Abd-Elmohsen Elmahdya, Islam M. Elshazlyb, Ahmed M. Ramzyc, Shaimaa M. Abo Youssefa
Keywords Not Available
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publication.type Local
Paper Link Not Available
Supplementary Materials Not Available
Abstract
Introduction Pulmonary hypertension (PH) has significant
morbidity and mortality. Chest computed tomography (CT)
scans are increasingly used in the evaluation of patients with
dyspnea, including those with suspected PH.
Aim The aim was to study the signs of PH shown by CT
scans, and to correlate the data obtained with
echocardiography in suspected patients with PH in a trial to
select patients who are eligible for right-heart catheterization
and to confirm the diagnosis of PH in those patients who
cannot tolerate right-heart catheterization.
Patients and methods This study included 60 patients (50
patients with pulmonary hypertension and 10 patients with no
PH) aged 32–70 years. They underwent high-resolution CT
(23 cases) and computed tomography pulmonary
angiography (37 cases) using 16 multidetector computed
tomography scanner for the evaluation of their pulmonary
parenchyma and mediastinal structures to detect different
diagnostic criteria, causes, associations, and complications
of PH. All the 60 patients underwent echocardiography.