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Journals / Medical Network Klinik Bilimler ve Doktor / 2001 / Cilt: 7 - Sayı: 4

Contrast echocardiography and pulmonary perfusion scintigraphy in the diagnosis of hepatopulmonary syndrome

Hepatopulmoner sendrom tanısında kontrast ekokardiografi ve akciğer perfüzyon sintigrafisi

M. Derya ONUK
Ersin AKARSU
Mustafa YILDIRIM
Engin KURT
Pages
458–460
DOI
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CONCLUSION: We concluded that both contrast echocardiography and pulmonary perfusion scintigraphy may be used to diagnose HPS in the patients with cirrhosis, but contrast echocardiography may be more sensitive.

📌 3 Key Takeaways

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Objective & Hypothesis:AIM: In this study, contrast echocardiography and pulmonary perfusion scintigraphy were compared with each other to diagnose hepatopulmonary syndrome(HPS) in patients with cirrhosis.MATERIALS AND METHODS: Sixteen patients with cirrhosis (10 males and 6 females, mean age 55.8 ± 13.6, range 19 - 70) underwent contrast echocardiography and pulmonary perfusion scintigraphy to determine hepatopulmonary syndrome, then the methods were compared with each other.
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Key Findings & Data:RESULTS: There were 12 patients (75 %) who met HPS criteria with contrast echocardiography, compared to 7 patients (56 %) with pulmonary perfusion scintigraphy (p<0.05).
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Conclusion & Impact:CONCLUSION: We concluded that both contrast echocardiography and pulmonary perfusion scintigraphy may be used to diagnose HPS in the patients with cirrhosis, but contrast echocardiography may be more sensitive.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Karaciğer sirozu · Hepatopulmoner sendrom · Ekokardiyografi

Abstract

AIM: In this study, contrast echocardiography and pulmonary perfusion scintigraphy were compared with each other to diagnose hepatopulmonary syndrome(HPS) in patients with cirrhosis.MATERIALS AND METHODS: Sixteen patients with cirrhosis (10 males and 6 females, mean age 55.8 ± 13.6, range 19 - 70) underwent contrast echocardiography and pulmonary perfusion scintigraphy to determine hepatopulmonary syndrome, then the methods were compared with each other. RESULTS: There were 12 patients (75 %) who met HPS criteria with contrast echocardiography, compared to 7 patients (56 %) with pulmonary perfusion scintigraphy (p<0.05). In three patients who were diagnosed as HPS by both methods, PaO<sub>2</sub> was above 70 mmHg. Other patients were hypoxemic (pO<sub>2</sub> <70 mmHg). The findings of HPS did not differ in Child-Pugh classes. CONCLUSION: We concluded that both contrast echocardiography and pulmonary perfusion scintigraphy may be used to diagnose HPS in the patients with cirrhosis, but contrast echocardiography may be more sensitive.

Özet

AMAÇ: Bu çalışmada karaciğer sirozu olgularında hepatopulmoner sendrom (HPS) tanısında kontrast ekokardiografi ve akciğer perfüzyon sintigrafisi karşılaştırıldı. GEREÇ VE YÖNTEM: Çalışmaya yaşları 19-70 arasında değişen (ort 55.8 ± 13.6) 10'u erkek 6'sı kadın 16 hasta ile yaşları 34-58 arasında değişen (ort 48.4 ± 11.2) sağlıklı kontrol grubu alındı. Kontrast ekokardiografi ve sintigrafi ile HPS bulguları karşılaştırıldı. BULGULAR: Kontrast ekokardiografi ile HPS tanı kriterlerini karşılayan hasta sayısı 12 (% 75) iken bu sayı akciğer perfüzyon sintigrafisi ile yedi (%56.25) bulundu (p 2 >70 mmHg bulunurken diğer olgular HPS da beklendiği şekilde hipoksemikti (pO 2 <70 mmHg). HPS bulguları Child-Pugh gruplarında farklı değildi. SONUÇ: Siroz olgularında HPS tanısı için hem kontrast ekokardiografinin hem de akciğer perfüzyon sintigrafisinin kullanılabileceği, ancak kontrast ekokardiografinin daha duyarlı olabileceği sonucuna vardık.

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Cite This Article

ONUK, M. D., AKARSU, E., YILDIRIM, M., KURT, E. (2001). Contrast echocardiography and pulmonary perfusion scintigraphy in the diagnosis of hepatopulmonary syndrome. Medical Network Klinik Bilimler ve Doktor, Cilt: 7 - Sayı: 4, 458–460. https://ajindex.com/articles/278675

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