Evaluating the radiographic assessment of pulmonary venous hypertension in chronic heart disease

Journal Article · Tue May 01 04:00:00 EDT 1984 · AJR, Am. J. Roentgenol.; (United States)

DOI:https://doi.org/10.2214/ajr.142.5.877· OSTI ID:7015001

Baumstark, A; Swensson, R G; Hessel, S J; Levin, D C; Grossman, W; Mann, III, J T; Abrams, H L

This study evaluated how accurately the chest film could be used to determine pulmonary capillary wedge pressure (PCW) in patients with chronic heart disease. Six experienced readers interpreted the erect posteroanterior chest radiographs of 50 patients whose measured PCWs ranged from 6 to 38 mm Hg. Direct numeric estimates of PCW from the films were closely related to measured levels of PCW. A combination of the judged degree of pulmonary blood flow redistribution (PFR) and three particular signs of pulmonary venous hypertension (PVH), basal and perihilar vascular blurring and alveolar edema, adequately summarized the radiographic information about PCW. These combined judgment of PFR/PVH identified films from patients with higher and lower PCW levels as accurately as readers' numeric estimates of PCW.

• Research Organization: Harvard Medical School, Boston, MA
• OSTI ID: 7015001
• Journal Information: AJR, Am. J. Roentgenol.; (United States), Journal Name: AJR, Am. J. Roentgenol.; (United States) Vol. 142:5; ISSN AAJRD
• Country of Publication: United States
• Language: English

Related Subjects

550602* -- Medicine-- External Radiation in Diagnostics-- (1980-)
550900 -- Pathology
59 BASIC BIOLOGICAL SCIENCES
62 RADIOLOGY AND NUCLEAR MEDICINE
BIOMEDICAL RADIOGRAPHY
BLOOD PRESSURE
BODY
CARDIOVASCULAR DISEASES
CARDIOVASCULAR SYSTEM
DIAGNOSIS
DIAGNOSTIC TECHNIQUES
DISEASES
HEART
HYPERTENSION
MEDICINE
NUCLEAR MEDICINE
ORGANS
PATHOLOGY
PATIENTS
RADIOLOGY
SYMPTOMS
VASCULAR DISEASES