[Evaluation of three multiple regression equations of rheogram of pulmonary impedance for pulmonary artery pressure measurement].
This paper reports the use of 3 multiple regression equations (designated as A, B, and C), established by right cardiac catheterization and rheogram of pulmonary impedance examination simultaneously, for the determination of mean pulmonary artery pressure (PAP) in 100 healthy persons and 129 cases of chronic cor pulmonale on exacerbation. By analysis and comparison of the PAP values obtained from these 3 equations, the results showed that on equation B the upper limit of the PAP in 95% normal value range was 2.439 kPa (18.34 mmHg), which correspond to the upper limit of normal value range of the PAP 2.394 kPa (18.0 mmHg) as measured by right cardiac catheterization. Also, the range 1.032-2.597 kPa (7.761-19.530 mmHg) and standard deviation 0.383 kPa (+/- 2.88 mmHg) of PAP value in healthy persons, using the equation B for measurement were less than those on equation A and C. Thus, it was illustrated that the values of PAP were more stable on equation B than those on the other equations. On the other hand, the results obtained from the PAP test with these 3 equations in 100 healthy persons and 129 cases of chronic cor pulmonale on exacerbation, indicated that the specificity on equation B for healthy persons was higher, while using equation B the sensitivity and specificity for cor pulmonale patients were higher than those equation A or C. Therefore, we suggest that equation B is more conformable to the actual circumstances and suitable for clinical application.
Chen
W B
WB
Ji
C M
CM
Li
T Q
TQ
Huang
S Z
SZ
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001794:Blood Pressure; D001795:Blood Pressure Determination; D005260:Female; D006801:Humans; D008297:Male; D008433:Mathematics; D008875:Middle Aged; D010992:Plethysmography, Impedance; D011651:Pulmonary Artery / Q000503:physiopathology*; D011660:Pulmonary Heart Disease / Q000503:physiopathology*; D012044:Regression Analysis