Value of pulmonary artery compliance in acute respiratory distress syndrome

MENG Chao; FAN Zhiqiang; TONG Qing; ZHU Guijun; ZHU Hui

doi:10.7619/jcmp.20211055

Journal of Clinical Medicine in Practice > 2021 > 25(19): 62-65, 73. > DOI: 10.7619/jcmp.20211055

MENG Chao, FAN Zhiqiang, TONG Qing, ZHU Guijun, ZHU Hui. Value of pulmonary artery compliance in acute respiratory distress syndrome[J]. Journal of Clinical Medicine in Practice, 2021, 25(19): 62-65, 73. DOI: 10.7619/jcmp.20211055

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Value of pulmonary artery compliance in acute respiratory distress syndrome

1.
ICU of Internal Medicine, Qinhuangdao First Hospital in Hebei Province, Qinhuangdao, Hebei, 066000
2.
Department of Critical Care Medicine, the Fourth Hospital of Hebei Medical University, Shijiazhuang, Hebei, 050010

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Received Date: March 11, 2021
Available Online: October 27, 2021
Published Date: October 14, 2021

Graphical Abstract

Abstract

Abstract

Objective To detect pulmonary artery compliance and right heart function in patients with acute respiratory distress syndrome (ARDS), and to explore the relationships between pulmonary artery compliance and right heart function as well as short-term prognosis of ARDS.
Methods A total of 135 ARDS patients (observation group) and 46 healthy subjects (control group) were selected as subjects. According to the prognosis of 30 days, they were divided into death group (n=89) and survival group (n=46). Pulmonary artery systolic pressure (PASP) was measured, atrial septal defect area index (ASD-AI) and pulmonary arterial compliance index (PACI) were calculated, and PACI was used as indicators to evaluate the compliance of pulmonary artery; stroke volume (RVSV) and other indicators of right heart function were measured; the correlation between PACI and right heart function was analyzed; the levels of PASP, ASD-AI and PACI in patients with different prognosis were compared; the value of PACI in predicting short-term prognosis ARDS of patients was analyzed.
Results PASP, ASD-AI, right ventricular end-diastolic volume (RVEDV) and arterial partial pressure of carbon dioxide[p_a(CO₂)] in the observation group were significantly higher, and PACI, right ventricular ejection fraction (RVEF), right ventricular end-systolic volume (RVESV), mean arterial pressure (MAP), arterial partial pressure of oxygen[p_a(O₂)] and oxygenation index[p_a(O₂) to FiO₂] were significantly lower than those in the control group (P < 0.05). In ARDS patients, PACI was positively correlated with RVEF, RVESV and p_a(O₂)/FiO₂ (P < 0.05), and negatively correlated with RVEDV (P < 0.05). PASP and ASD-AI levels in the death group were significantly higher, PACI and p_a(O₂)/FiO₂ levels were significantly lower than those in the survival group (P < 0.05). Receiver operating characteristic (ROC) curve showed that the area under the curve (AUC) of PACI for the short-term prognosis of ARDS was 0.844, the sensitivity was 70.8%, and the specificity was 80.4%.
Conclusion In ARDS patients, pulmonary artery compliance and right heart function both decrease. PACI has a certain correlation with right heart function, and PACI can play a role in predicting the short-term prognosis of ARDS patients.
- acute respiratory distress syndrome,
- pulmonary artery compliance,
- right heart function,
- short-term prognosis

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References (20)

References

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