Does the Eccentricity Index identify pulmonary arterial hypertension in children after repair of complete atrioventricular septal defects?
Children after repair of complete atrioventricular septal defects (AVSD)
Eccentricity Index (EI) measurement (EIs and EIm)
Otherwise healthy children and children without pulmonary arterial hypertension (PAH)
Identification of pulmonary arterial hypertension (PAH)surrogate
Eccentricity Index (specifically EIs > 1.28) can serve as a useful non-invasive screening tool to identify pulmonary arterial hypertension in children following AVSD repair.
After AVSD repair, EIs and EIm are elevated compared to those of otherwise healthy children. However, significant elevation (Eis > 1.28) may still be useful to differentiate those with and without PAH. A multiparametric approach may be needed for borderline EIs (1.09-1.28). These findings support EI as a non-invasive screening tool to identify PAH in children after AVSD repair.
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Charles T. Simpkin
Marissa DeLima
Morgan MacBeth
Echocardiography
University of Colorado Denver
Children's Hospital Colorado
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Simpkin et al. (Wed,) studied this question.
www.synapsesocial.com/papers/69d896a46c1944d70ce08298 — DOI: https://doi.org/10.1111/echo.70451