Elassal, M., Samy, T., Aglan, B., Ibraheem, G. (2024). Study the correlation between Echocardiographic assessment of Pulmonary pressure and Outcome of Acute Respiratory Distress syndrome. Benha Journal of Applied Sciences, 9(10), 45-52. doi: 10.21608/bjas.2024.325304.1513
Mohamed Elassal; Tarek Samy; Basem Mofreh Aglan; Gehan Said Ibraheem. "Study the correlation between Echocardiographic assessment of Pulmonary pressure and Outcome of Acute Respiratory Distress syndrome". Benha Journal of Applied Sciences, 9, 10, 2024, 45-52. doi: 10.21608/bjas.2024.325304.1513
Elassal, M., Samy, T., Aglan, B., Ibraheem, G. (2024). 'Study the correlation between Echocardiographic assessment of Pulmonary pressure and Outcome of Acute Respiratory Distress syndrome', Benha Journal of Applied Sciences, 9(10), pp. 45-52. doi: 10.21608/bjas.2024.325304.1513
Elassal, M., Samy, T., Aglan, B., Ibraheem, G. Study the correlation between Echocardiographic assessment of Pulmonary pressure and Outcome of Acute Respiratory Distress syndrome. Benha Journal of Applied Sciences, 2024; 9(10): 45-52. doi: 10.21608/bjas.2024.325304.1513
Study the correlation between Echocardiographic assessment of Pulmonary pressure and Outcome of Acute Respiratory Distress syndrome
1professor and Head of Internal Medicine Department Faculty of medicine – Benha University
2professor of Chest Disease Faculty of medicine – Benha University
3Assistant Professor of Cardiothoracic surgery Faculty of Medicine -Benha University
4MBBCh
Abstract
Background: Inflammation, noncardiogenic pulmonary edema, and injury to the alveolar epithelium and the endothelial barrier of the pulmonary arteries lead to sudden respiratory failure in a clinical entity known as respiratory distress syndrome (ARDS). Finding out how well PH evaluated by transthoracic echocardiography predicts 30-day in intensive care unit (ICU) patients with respiratory distress syndrome was the primary goal of study. Methods: Hundred individuals diagnosed with respiratory distress syndrome were included in observational research. Group I consisted of patients with ARDS and PH, group II consisted of patients with normal PASP. Each group received an equal number of patients. Results: (r = 0.801, P < 0.001) and LVEF (r = 0.767, P <0.001) were positively correlated with PaO2/FiO2 in a substantial way. The results showed clear negative relationships with TR maximal PG (r = -0.848, P < 0.001), RAP (r = -0.625, P < 0.001), and PASP (r = -0.986, P < 0.001). For the purpose of predicting in ARDS patients with PHT, ROC analysis was performed for . A significant under the curve (AUC) of 0.917 was shown, with a 95% confidence range ranging from 0.843 to 0.991 (P < 0.001). With a sensitivity of 74.3% and a specificity of 100%, respectively, the optimal cutoff was < 1.5. Conclusions: A major predictor of 30-day in patients admitted to the ICU with ARDS is echocardiographic measurement of pulmonary hypertension (PH).
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