Klinik Araştırma
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Yıl 2024, Cilt: 7 Sayı: 1, 17 - 22, 11.03.2024
https://doi.org/10.36516/jocass.1422888

Öz

Kaynakça

  • 1. Weisberg, I. S., & Jacobson, I. M. (2011). Cardiovascular Diseases and the Liver. Clinics in Liver Disease, 15(1), 1–20. doi:10.1016/j.cld.2010.09.010
  • 2. Asrani SK, Asrani NS, Freese DK, Phillips SD, Warnes CA, Heimbach J, Kamath PS. Congenital heart disease and the liver. Hepatology. 2012 Sep;56(3):1160-9.
  • 3. Evlice M, Bedir Ö, Coşkun M, Paçacı E, Cerşit S, Öcal L, Gürsoy MO, Şen Ö, Kurt İH. The relationship between echocardiographic parameters and albumin bilirubin (ALBI) score in patients with isolated secundum type atrial septal defect. Echocardiography. 2023 Apr 1.
  • 4. Engelings CC, Helm PC, Abdul-Khaliq H, et al. Cause of death in adults with congenital heart disease - An analysis of the German National Register for Congenital Heart Defects. Int J Cardiol 2016;211:31-6. 10.1016/j.ijcard.2016.02.133
  • 5. Asrani SK, Warnes CA, Kamath PS. Hepatocellular carcinoma after the Fontan procedure. N Engl J Med 2013;368:1756-7. 10.1056/NEJMc1214222
  • 6. Correale M, Tarantino N, Petrucci R, et al. Liver disease and heart failure: Back and forth. Eur J Intern Med 2018;48:25-34. 10.1016/j.ejim.2017.10.016
  • 7. Alonso-Gonzalez R. Liver dysfunction and congenital heart disease: Are we ready for the epidemic? Int J Cardiol 2017;249:169-70. 10.1016/j.ijcard.2017.08.050
  • 8. Austin, C., Alassas, K., Burger, C., Safford, R., Pagan, R., Duello, K., … Shapiro, B. (2015). Echocardiographic Assessment of Estimated Right Atrial Pressure and Size Predicts Mortality in Pulmonary Arterial Hypertension. Chest, 147(1), 198–208. doi:10.1378/chest.13-3035
  • 9. Benza RL , Gomberg-Maitland M , Miller DP , et al . Th e REVEAL Registry risk score calculator in patients newly diagnosed with pulmonary arterial hypertension . Chest . 2012 ; 141 ( 2 ): 354 - 362 .
  • 10. Farber HW , Foreman AJ , Miller DP , McGoon MD . REVEAL Registry: correlation of right heart catheterization and echocardiography in patients with pulmonary arterial hypertension . Congest Heart Fail . 2011 ; 17 ( 2 ): 56 - 64 .
  • 11. Prekker ME , Scott NL , Hart D , Sprenkle MD , Leatherman JW . Point-of-care ultrasound to estimate central venous pressure: a comparison of three techniques . Crit Care Med . 2013 ; 41 ( 3 ): 833 - 841
  • 12. Demirtas, A.O., Koc, A.S., Sumbul, H.E. et al. Liver stiffness obtained by ElastPQ ultrasound shear wave elastography independently determines mean right atrial pressure. Abdom Radiol 44, 3030–3039 (2019).
  • 13. Aspromonte, N.; Fumarulo, I.; Petrucci, L.; Biferali, B.; Liguori, A.; Gasbarrini, A.; Massetti, M.; Miele, L. The Liver in Heart Failure: From Biomarkers to Clinical Risk. Int. J. Mol. Sci. 2023, 24, 15665. https:// doi.org/10.3390/ijms242115665
  • 14. Sterling RK, Lissen E, Clumeck N, Sola R, Correa MC, Montaner J, Sulkowski MS, Torriani FJ, Dieterich DT, Thomas DL, Messinger D. Development of a simple noninvasive index to predict significant fibrosis in patients with HIV/HCV coinfection. Hepatology 2006; 43: 1317–1325.
  • 15. Sumida Y, Yoneda M, Hyogo H, Itoh Y, Ono M, Fujii H, Eguchi Y, Suzuki Y, Aoki N, Kanemasa K, Fujita K, Chayama K, Saibara T, Kawada N, Fujimoto K, Kohgo Y, Yoshikawa T, Okanoue T. Validation of the FIB4 index in a Japanese nonalcoholic fatty liver disease population. BMC Gastroenterol 2012; 12: 2.
  • 16. Iwasaki Y, Tomiyama H, Shiina K, Matsumoto C, Kimura K, Fujii M, Takata Y, Yamashina A, Chikamori T. Liver stiffness and arterial stiffness/abnormal central hemodynamics in the early stage of heart failure. Int J Cardiol Heart Vasc 2018; 20: 32–37.
  • 17. Maeda D, Sakane K, Ito T, Kanzaki Y, Sohmiya K, Hoshiga M. Fibrosis-4 index reflects right-sided filling pressure in patients with heart failure. Heart Vessels 2020; 35: 376–383.
  • 18. Sato Y, Yoshihisa A, Kanno Y, Watanabe S, Yokokawa T, Abe S, Misaka T, Sato T, Suzuki S, Oikawa M, Kobayashi A, Yamaki T, Kunii H, Nakazato K, Saitoh SI, Takeishi Y. Liver stiffness assessed by Fibrosis-4 index predicts mortality in patients with heart failure. Open heart 2017; 4: e000598.
  • 19. Mitchell C, Rahko PS, Blauwet LA, Canaday B, Finstuen JA, Foster MC, Horton K, Ogunyankin KO, Palma RA, Velazquez EJ. Guidelines for performing a comprehensive transthoracic echocardiographic examination in adults: recommendations from the American Society of Echocardiography. Journal of the American Society of Echocardiography. 2019 Jan 1;32(1):1-64.
  • 20. EVLİCE, Uzm Dr Mert, and İbrahim Halil KURT. "2. Pulmoner Hipertansiyonda Transtorasik Ekokardiyografinin Yeri."
  • 21. EVLİCE, Uzm Dr Mert, and İbrahim Halil KURT. "3. Sağ/Sol Kalp Kateterizasyonu ve Vazoreaktivite Testi."
  • 22. Humbert M, Kovacs G, Hoeper MM, Badagliacca R, Berger RM, Brida M, Carlsen J, Coats AJ, Escribano-Subias P, Ferrari P, Ferreira DS. 2022 ESC/ERS Guidelines for the diagnosis and treatment of pulmonary hypertension: Developed by the task force for the diagnosis and treatment of pulmonary hypertension of the European Society of Cardiology (ESC) and the European Respiratory Society (ERS). Endorsed by the International Society for Heart and Lung Transplantation (ISHLT) and the European Reference Network on rare respiratory diseases (ERN-LUNG). European heart journal. 2022 Oct 7;43(38):3618-731.
  • 23. Forsgren MF, Nasr P, Karlsson M, Dahlström N, Norén B, Ignatova S, Sinkus R, Cedersund G, Leinhard OD, Ekstedt M, Kechagias S, Lundberg P. Biomarkers of liver fibrosis: prospective comparison of multimodal magnetic resonance, serum algorithms and transient elastography. Scand J Gastroenterol 2020; 55: 848–859.
  • 24. Millonig G, Friedrich S, Adolf S, Fonouni H, Golriz M, Mehrabi A, Stiefel P, Poschl G, Buchler MW, Seitz HK, Mueller S. Liver stiffness is directly influenced by central venous pressure. J Hepatol 2010; 52: 206–210
  • 25. Beigel R, Cercek B, Luo H, Siegel RJ. Noninvasive evaluation of right atrial pressure. Journal of the American Society of Echocardiography. 2013 Sep 1;26(9):1033-42.
  • 26. Jalal Z, Iriart X, De Lédinghen V, Barnetche T, Hiriart JB, Vergniol J, Foucher J, Thambo JB. Liver stiffness measurements for evaluation of central venous pressure in congenital heart diseases. Heart. 2015 Jun 17.
  • 27. Pascall E, Tulloh RM. Pulmonary hypertension in congenital heart disease. Future cardiology. 2018 Jul;14(4):343-53
  • 28. Rudski LG, Lai WW, Lai AJ, Hua L, Handschumacher MD, Chandrasekaran K, Solomon SD, Louie EK, Schiller NB. Guidelines for the echocardiographic assessment of the right heart in adults: a report from the American Society of Echocardiography endorsed by the European Association of Echocardiography, a registered branch of the European Society of Cardiology, and the Canadian Society of Echocardiography. J Am Soc Echocardiogr 2010; 23: 685–713.
  • 29. Saito Y, Kato M, Nagashima K, Monno K, Aizawa Y, Okumura Y, Matsumoto N, Moriyama M, Hirayama A. Prognostic relevance of liver stiffness assessed by transient elastography in patients with acute decompensated heart failure. Circ J 2018; 82: 1822–1829
  • 30. Kerkütlüoğlu M. Fibrosis-4 Index as an Independent Predictor of Mortality in Pulmonary Arterial Hypertension. E Journal of Cardiovascular Medicine. 2023 Jul 1;11(3).

Evaluation of the relationship between estimated right atrial pressure and fibrosis-4 index in patients with congenital heart disease

Yıl 2024, Cilt: 7 Sayı: 1, 17 - 22, 11.03.2024
https://doi.org/10.36516/jocass.1422888

Öz

Objective: The fibrosis-4 index is a non-invasive and reproducible approach to assess liver stiffness (LS). LS has been reported to be associated with fibrosis but mean right atrial pressure can also influence LS values. We aimed to evaluate the relationship between fibrosis-4 index and echocardiographically estimated right atrial pressure in adults with congenital heart disease.
Methods: This study was conducted at a tertiary heart center between January 2021 and January 2023. A total of 127 patients with congenital heart disease were included in the study. The fibrosis 4 index was calculated. The fibrosis-4 index was calculated as follows: Fibrosis-4 index = age (years) × AST (U/L)/[ALT (U/L)1/2 × platelet count (109/L)](14). Echocardiographic measurements were analyzed. The inferior vena diameter and collapsibility index were calculated and the estimated right atrial pressure was evaluated.
Results: Study patients included 75 women (59%) with a mean age of 50 ± 9.9 years. Fibrosis-4 index was significantly correlated with TRV max (r = 0.51, p < 0.001), estimated right atrial pressure (r = 0.63, p < 0.001), estimated systolic pulmonary artery pressure (r = 0.42, p < 0.001), IVC diameter (r = 0.62, p < 0.001), IVC collapsibility (r = 0.464, p < 0.001), and NT-proBNp value (r = 0.624, p < 0.001). The fibrosis-4 index was also significantly correlated with the degree of tricuspid valve insufficiency(r = 0.342, p < 0.001), RV basal diameter (r = 0.294, p = 0.001), ASD diameter(r = 0.27, p = 0.002), Qp/Qs (r = 0.271, p = 0.003). However; the fibrosis 4 index was not significantly correlated with high-sensitive troponin (r = 0.11, p = 0.43). The fibrosis-4 index greater than 1.23 was associated with increased estimated right atrial pressure (IVC diameter > 21mm and IVC collapsibility < 50%), with a sensitivity of 95 % and a specificity of 74 % (AUC= 0.88; p<0.001; 95% CI: 0.82-0.94).
Conclusion: The fibrosis-4 index, which is a marker of liver congestion/stiffness/fibrosis, may be an important indicator in the echocardiographic determination of estimated mean right atrial pressure and the possibility of pulmonary hypertension in patients with congenital heart disease.

Kaynakça

  • 1. Weisberg, I. S., & Jacobson, I. M. (2011). Cardiovascular Diseases and the Liver. Clinics in Liver Disease, 15(1), 1–20. doi:10.1016/j.cld.2010.09.010
  • 2. Asrani SK, Asrani NS, Freese DK, Phillips SD, Warnes CA, Heimbach J, Kamath PS. Congenital heart disease and the liver. Hepatology. 2012 Sep;56(3):1160-9.
  • 3. Evlice M, Bedir Ö, Coşkun M, Paçacı E, Cerşit S, Öcal L, Gürsoy MO, Şen Ö, Kurt İH. The relationship between echocardiographic parameters and albumin bilirubin (ALBI) score in patients with isolated secundum type atrial septal defect. Echocardiography. 2023 Apr 1.
  • 4. Engelings CC, Helm PC, Abdul-Khaliq H, et al. Cause of death in adults with congenital heart disease - An analysis of the German National Register for Congenital Heart Defects. Int J Cardiol 2016;211:31-6. 10.1016/j.ijcard.2016.02.133
  • 5. Asrani SK, Warnes CA, Kamath PS. Hepatocellular carcinoma after the Fontan procedure. N Engl J Med 2013;368:1756-7. 10.1056/NEJMc1214222
  • 6. Correale M, Tarantino N, Petrucci R, et al. Liver disease and heart failure: Back and forth. Eur J Intern Med 2018;48:25-34. 10.1016/j.ejim.2017.10.016
  • 7. Alonso-Gonzalez R. Liver dysfunction and congenital heart disease: Are we ready for the epidemic? Int J Cardiol 2017;249:169-70. 10.1016/j.ijcard.2017.08.050
  • 8. Austin, C., Alassas, K., Burger, C., Safford, R., Pagan, R., Duello, K., … Shapiro, B. (2015). Echocardiographic Assessment of Estimated Right Atrial Pressure and Size Predicts Mortality in Pulmonary Arterial Hypertension. Chest, 147(1), 198–208. doi:10.1378/chest.13-3035
  • 9. Benza RL , Gomberg-Maitland M , Miller DP , et al . Th e REVEAL Registry risk score calculator in patients newly diagnosed with pulmonary arterial hypertension . Chest . 2012 ; 141 ( 2 ): 354 - 362 .
  • 10. Farber HW , Foreman AJ , Miller DP , McGoon MD . REVEAL Registry: correlation of right heart catheterization and echocardiography in patients with pulmonary arterial hypertension . Congest Heart Fail . 2011 ; 17 ( 2 ): 56 - 64 .
  • 11. Prekker ME , Scott NL , Hart D , Sprenkle MD , Leatherman JW . Point-of-care ultrasound to estimate central venous pressure: a comparison of three techniques . Crit Care Med . 2013 ; 41 ( 3 ): 833 - 841
  • 12. Demirtas, A.O., Koc, A.S., Sumbul, H.E. et al. Liver stiffness obtained by ElastPQ ultrasound shear wave elastography independently determines mean right atrial pressure. Abdom Radiol 44, 3030–3039 (2019).
  • 13. Aspromonte, N.; Fumarulo, I.; Petrucci, L.; Biferali, B.; Liguori, A.; Gasbarrini, A.; Massetti, M.; Miele, L. The Liver in Heart Failure: From Biomarkers to Clinical Risk. Int. J. Mol. Sci. 2023, 24, 15665. https:// doi.org/10.3390/ijms242115665
  • 14. Sterling RK, Lissen E, Clumeck N, Sola R, Correa MC, Montaner J, Sulkowski MS, Torriani FJ, Dieterich DT, Thomas DL, Messinger D. Development of a simple noninvasive index to predict significant fibrosis in patients with HIV/HCV coinfection. Hepatology 2006; 43: 1317–1325.
  • 15. Sumida Y, Yoneda M, Hyogo H, Itoh Y, Ono M, Fujii H, Eguchi Y, Suzuki Y, Aoki N, Kanemasa K, Fujita K, Chayama K, Saibara T, Kawada N, Fujimoto K, Kohgo Y, Yoshikawa T, Okanoue T. Validation of the FIB4 index in a Japanese nonalcoholic fatty liver disease population. BMC Gastroenterol 2012; 12: 2.
  • 16. Iwasaki Y, Tomiyama H, Shiina K, Matsumoto C, Kimura K, Fujii M, Takata Y, Yamashina A, Chikamori T. Liver stiffness and arterial stiffness/abnormal central hemodynamics in the early stage of heart failure. Int J Cardiol Heart Vasc 2018; 20: 32–37.
  • 17. Maeda D, Sakane K, Ito T, Kanzaki Y, Sohmiya K, Hoshiga M. Fibrosis-4 index reflects right-sided filling pressure in patients with heart failure. Heart Vessels 2020; 35: 376–383.
  • 18. Sato Y, Yoshihisa A, Kanno Y, Watanabe S, Yokokawa T, Abe S, Misaka T, Sato T, Suzuki S, Oikawa M, Kobayashi A, Yamaki T, Kunii H, Nakazato K, Saitoh SI, Takeishi Y. Liver stiffness assessed by Fibrosis-4 index predicts mortality in patients with heart failure. Open heart 2017; 4: e000598.
  • 19. Mitchell C, Rahko PS, Blauwet LA, Canaday B, Finstuen JA, Foster MC, Horton K, Ogunyankin KO, Palma RA, Velazquez EJ. Guidelines for performing a comprehensive transthoracic echocardiographic examination in adults: recommendations from the American Society of Echocardiography. Journal of the American Society of Echocardiography. 2019 Jan 1;32(1):1-64.
  • 20. EVLİCE, Uzm Dr Mert, and İbrahim Halil KURT. "2. Pulmoner Hipertansiyonda Transtorasik Ekokardiyografinin Yeri."
  • 21. EVLİCE, Uzm Dr Mert, and İbrahim Halil KURT. "3. Sağ/Sol Kalp Kateterizasyonu ve Vazoreaktivite Testi."
  • 22. Humbert M, Kovacs G, Hoeper MM, Badagliacca R, Berger RM, Brida M, Carlsen J, Coats AJ, Escribano-Subias P, Ferrari P, Ferreira DS. 2022 ESC/ERS Guidelines for the diagnosis and treatment of pulmonary hypertension: Developed by the task force for the diagnosis and treatment of pulmonary hypertension of the European Society of Cardiology (ESC) and the European Respiratory Society (ERS). Endorsed by the International Society for Heart and Lung Transplantation (ISHLT) and the European Reference Network on rare respiratory diseases (ERN-LUNG). European heart journal. 2022 Oct 7;43(38):3618-731.
  • 23. Forsgren MF, Nasr P, Karlsson M, Dahlström N, Norén B, Ignatova S, Sinkus R, Cedersund G, Leinhard OD, Ekstedt M, Kechagias S, Lundberg P. Biomarkers of liver fibrosis: prospective comparison of multimodal magnetic resonance, serum algorithms and transient elastography. Scand J Gastroenterol 2020; 55: 848–859.
  • 24. Millonig G, Friedrich S, Adolf S, Fonouni H, Golriz M, Mehrabi A, Stiefel P, Poschl G, Buchler MW, Seitz HK, Mueller S. Liver stiffness is directly influenced by central venous pressure. J Hepatol 2010; 52: 206–210
  • 25. Beigel R, Cercek B, Luo H, Siegel RJ. Noninvasive evaluation of right atrial pressure. Journal of the American Society of Echocardiography. 2013 Sep 1;26(9):1033-42.
  • 26. Jalal Z, Iriart X, De Lédinghen V, Barnetche T, Hiriart JB, Vergniol J, Foucher J, Thambo JB. Liver stiffness measurements for evaluation of central venous pressure in congenital heart diseases. Heart. 2015 Jun 17.
  • 27. Pascall E, Tulloh RM. Pulmonary hypertension in congenital heart disease. Future cardiology. 2018 Jul;14(4):343-53
  • 28. Rudski LG, Lai WW, Lai AJ, Hua L, Handschumacher MD, Chandrasekaran K, Solomon SD, Louie EK, Schiller NB. Guidelines for the echocardiographic assessment of the right heart in adults: a report from the American Society of Echocardiography endorsed by the European Association of Echocardiography, a registered branch of the European Society of Cardiology, and the Canadian Society of Echocardiography. J Am Soc Echocardiogr 2010; 23: 685–713.
  • 29. Saito Y, Kato M, Nagashima K, Monno K, Aizawa Y, Okumura Y, Matsumoto N, Moriyama M, Hirayama A. Prognostic relevance of liver stiffness assessed by transient elastography in patients with acute decompensated heart failure. Circ J 2018; 82: 1822–1829
  • 30. Kerkütlüoğlu M. Fibrosis-4 Index as an Independent Predictor of Mortality in Pulmonary Arterial Hypertension. E Journal of Cardiovascular Medicine. 2023 Jul 1;11(3).
Toplam 30 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Kardiyoloji
Bölüm Makaleler
Yazarlar

Mert Evlıce 0000-0003-4733-6348

Yayımlanma Tarihi 11 Mart 2024
Gönderilme Tarihi 20 Ocak 2024
Kabul Tarihi 26 Şubat 2024
Yayımlandığı Sayı Yıl 2024 Cilt: 7 Sayı: 1

Kaynak Göster

APA Evlıce, M. (2024). Evaluation of the relationship between estimated right atrial pressure and fibrosis-4 index in patients with congenital heart disease. Journal of Cukurova Anesthesia and Surgical Sciences, 7(1), 17-22. https://doi.org/10.36516/jocass.1422888
https://dergipark.org.tr/tr/download/journal-file/11303