Non-invasive pulmonary artery pressure estimation by electrical impedance tomography in a controlled hypoxemia study in healthy subjects.

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Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_BF706E6E9D8F
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Non-invasive pulmonary artery pressure estimation by electrical impedance tomography in a controlled hypoxemia study in healthy subjects.
Journal
Scientific reports
Author(s)
Proença M., Braun F., Lemay M., Solà J., Adler A., Riedel T., Messerli F.H., Thiran J.P., Rimoldi S.F., Rexhaj E.
ISSN
2045-2322 (Electronic)
ISSN-L
2045-2322
Publication state
Published
Issued date
08/12/2020
Peer-reviewed
Oui
Volume
10
Number
1
Pages
21462
Language
english
Notes
Publication types: Clinical Trial ; Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: epublish
Abstract
Pulmonary hypertension is a hemodynamic disorder defined by an abnormal elevation of pulmonary artery pressure (PAP). Current options for measuring PAP are limited in clinical practice. The aim of this study was to evaluate if electrical impedance tomography (EIT), a radiation-free and non-invasive monitoring technique, can be used for the continuous, unsupervised and safe monitoring of PAP. In 30 healthy volunteers we induced gradual increases in systolic PAP (SPAP) by exposure to normobaric hypoxemia. At various stages of the protocol, the SPAP of the subjects was estimated by transthoracic echocardiography. In parallel, in the pulmonary vasculature, pulse wave velocity was estimated by EIT and calibrated to pressure units. Within-cohort agreement between both methods on SPAP estimation was assessed through Bland-Altman analysis and at subject level, with Pearson's correlation coefficient. There was good agreement between the two methods (inter-method difference not significant (P > 0.05), bias ± standard deviation of - 0.1 ± 4.5 mmHg) independently of the degree of PAP, from baseline oxygen saturation levels to profound hypoxemia. At subject level, the median per-subject agreement was 0.7 ± 3.8 mmHg and Pearson's correlation coefficient 0.87 (P < 0.05). Our results demonstrate the feasibility of accurately assessing changes in SPAP by EIT in healthy volunteers. If confirmed in a patient population, the non-invasive and unsupervised day-to-day monitoring of SPAP could facilitate the clinical management of patients with pulmonary hypertension.
Keywords
Adult, Arterial Pressure, Electric Impedance, Female, Healthy Volunteers, Humans, Hypertension, Pulmonary/diagnostic imaging, Hypertension, Pulmonary/physiopathology, Hypoxia/diagnostic imaging, Hypoxia/physiopathology, Male, Pulmonary Artery/diagnostic imaging, Pulmonary Artery/physiology, Pulmonary Artery/physiopathology, Tomography/methods
Pubmed
Web of science
Open Access
Yes
Create date
14/12/2020 9:52
Last modification date
08/08/2024 6:39
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