Prediction of the development of pulmonary arterial hypertension with Tei Index in congenital heart diseases with left-to-right shunt

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dc.contributor.authorYucel, Mehmet
dc.contributor.authorAlp, Hayrullah
dc.contributor.authorYorulmaz, Alaaddin
dc.contributor.authorKaraarslan, Sevim
dc.contributor.authorBaysal, Tamer
dc.date.accessioned2024-02-23T14:41:43Z
dc.date.available2024-02-23T14:41:43Z
dc.date.issued2019
dc.departmentNEÜen_US
dc.description.abstractObjective: The aim of this study was to determine the usefulness of the Tei Index, an echocardiographic parameter, in the early determination of pulmonary artery pressure (PAP) in congenital heart disease (CHD) with a left-to-right shunt. Methods: Right and left ventricular functions were evaluated using Tei Index values determined with tissue Doppler echocardiography. Cardiac catheterization was performed in all cases. The presence of pulmonary arterial hypertension (PAH) was defined as a mean PAP of >= 25 mm Hg and a pulmonary vascular resistance index of >3 WU/m(2). Patients with a pulmonary/systemic blood flow ratio of >= 2 were considered candidates for surgery. Results: The Tei Index values measured from the left ventricular posterior wall and the right ventricular anterior wall were found to be significantly higher in the patients with PAH (0.68 +/- 0.18, 0.67 +/- 0.16, respectively) compared with the patients without PAH (0.56 +/- 0.16, p=0.027; 0.51 +/- 0.12 p=0.001). A significant correlation was detected between the Tei Index value measured from the left ventricular posterior wall and the mean PAP (correlation coefficient: 0.491). Conclusion: The right ventricular Tei Index values in children with CHD and a left-to-right shunt can be used as a parameter to follow up on the potential development of PAH, to make a diagnosis in the early period, and to make a timely decision about surgery.en_US
dc.identifier.doi10.5543/tkda.2019.33558
dc.identifier.endpage475en_US
dc.identifier.issn1016-5169
dc.identifier.issue6en_US
dc.identifier.pmid31483301en_US
dc.identifier.scopus2-s2.0-85071752097en_US
dc.identifier.scopusqualityQ4en_US
dc.identifier.startpage466en_US
dc.identifier.urihttps://doi.org/10.5543/tkda.2019.33558
dc.identifier.urihttps://hdl.handle.net/20.500.12452/16961
dc.identifier.volume47en_US
dc.identifier.wosWOS:000484379600007en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTurkish Soc Cardiologyen_US
dc.relation.ispartofTurk Kardiyoloji Dernegi Arsivi-Archives Of The Turkish Society Of Cardiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectChildrenen_US
dc.subjectDoppler Echocardiographyen_US
dc.subjectPulmonary Arterial Hypertensionen_US
dc.subjectTei Indexen_US
dc.titlePrediction of the development of pulmonary arterial hypertension with Tei Index in congenital heart diseases with left-to-right shunten_US
dc.typeArticleen_US

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