Volume 4 Issue 4 (July - August), 2018

Original Articles

Retrospective Evaluation of Doppler-Defined Risk Factors for Pulmonary Hypertension Patients Admitted to Medical Intensive Care Unit Patients- A Clinical Study
Niranjan Bapusaheb Patil, Nitin Dashrath Wadhwani

Background: Pulmonary hypertension (PH) is a one of the systemic diseases which has serious outcomes. Though clinical assessment plays an important role in diagnosis especially in initial stages, echocardiography is a key screening tool in the diagnostic algorithm. It has the advantages of being safe, portable and repeatable as compared to invasive measurements. The present study was conducted to retrospectively assess Doppler-defined risk factors for pulmonary hypertension patients admitted to medical intensive care unit. Materials & methods: The present retrospective study comprised of 162 patients with pulmonary hypertension of both genders. Patients with end stage liver, kidney or heart diseases were excluded from the study. General information such as age, name etc. was retrieved from case history performas. Echocardiograms were performed as a routine diagnostic tool and were interpreted by a cardiologist. Patients with tricuspid regurgitant (TR) jet velocity and ejection fraction were considered. There medical records were evaluated for the presence of previous history of mechanical ventilator use, laboratory reports, pre- existing abnormalities, history of renal replacement therapy, blood transfusion especially RBC, any vasoconstrictor medication. Results: Common reasons for patient admission was renal related in group I (23) and group II (19), heart related in group I (45) and group II (48), renal failure in group I (22) and group II (13), cirrhosis in group I (3) and group II (7), neurology related in group I (2) and group II (1), malignancy in group I (1) and group II (2), diabetes mellitus in group I (4) and group II (3), drug overdose in group I (2) and group II (1), GIT related in group I (5) and group II (6) and others in group I (55) and group II (60). Conclusion: Approximately one-third of adults screened with echocardiography have PH, defined as an elevated tricuspid regurgitant jet velocity (TRV) of ≥2.5 m/s.
Key words: Doppler, Intensive care unit, Pulmonary hypertension

Received:  10 May 2018                                                   Revised: 14 June 2018                                        Accepted: 18 June 2018

Correspondence to: Dr. Nitin Dashrath Wadhwani,  Professor & Head, Department of Radio-diagnosis, DY Patil Medical College & hospital, Kolhapur, Maharashtra, India

This article may be cited as: Patil NB, Wadhwani ND. Retrospective Evaluation of Doppler-Defined Risk Factors for Pulmonary Hypertension Patients Admitted To Medical Intensive Care Unit Patients: A Clinical Study. Int J Res Health Allied Sci 2018; 4(4):101-104.

 
Abstract View | Download PDF | Current Issue