Cardiac MRI in pulmonary artery hypertension: correlations between morphological and functional parameters and invasive measurements.

Abstract:

OBJECTIVE:To compare cardiac MRI with right heart catheterisation in patients with pulmonary hypertension (PH) and to evaluate its ability to assess PH severity. MATERIALS AND METHODS:Forty patients were included. MRI included cine and phase-contrast sequences, study of ventricular function, cardiac cavity areas and ratios, position of the interventricular septum (IVS) in systole and diastole, and flow measurements. We defined four groups according to the severity of PH and three groups according to IVS position: A, normal position; B, abnormal in diastole; C, abnormal in diastole and systole. RESULTS:IVS position was correlated with pulmonary artery pressures and PVR (pulmonary vascular resistance). Median pulmonary artery pressures and resistance were significantly higher in patients with an abnormal septal position compared with those with a normal position. Correlations were good between the right ventricular ejection fraction and PVR, right ventricular end-systolic volume and PAP, percentage of right ventricular area change and PVR, and diastolic and systolic ventricular area ratio and PVR. These parameters were significantly associated with PH severity. CONCLUSION:Cardiac MRI can help to assess the severity of PH.

journal_name

Eur Radiol

journal_title

European radiology

authors

Alunni JP,Degano B,Arnaud C,Tétu L,Blot-Soulétie N,Didier A,Otal P,Rousseau H,Chabbert V

doi

10.1007/s00330-009-1664-3

subject

Has Abstract

pub_date

2010-05-01 00:00:00

pages

1149-59

issue

5

eissn

0938-7994

issn

1432-1084

journal_volume

20

pub_type

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