Abstract
The purpose of the study was to study the pulmonary vessels in patients with pulmonary hypertension using Computed Tomography scan (CT) This is a prospective ,analytical study. this study was conducted at Khartoum Hospital (Sudan); in the period between November 2020 - January 2021 a sample of (100) patients with clinically diagnosed as pulmonary hypertension was enrolled, their mean ages were (47.92 ± 19.03) years, the sample included both genders, (42) patients were females while (58) were males and their ages were ranged from (3 - 80) years old. (CTPA) scans were acquired, all patients were examined by using multislice (CT) scanner, the data collected by special designed sheet from findings and analyzed statistically by using an (SPSS) Statistics software package.
 The sample was directed to study the relationship of pulmonary hypertension with the presence of pulmonary vessels measurements; the patient's age and gender correlation with the pulmonary hypertension were investigated. The results find that the right and left main pulmonary arteries diameters changes were found to be significantly related to the presence of pulmonary hypertension, while there was no significant difference in the main pulmonary artery diameters measurements. The study concluded that CT for pulmonary artery plays an important role in the diagnostic evaluation of patients with pulmonary hypertension this due to it is easily accessible and excellent non-invasive method for the visualization and measurement of pulmonary artery and to know the possible cause of pulmonary hypertension.
Highlights
Pulmonary vascular disease span a variety of disease entities including pulmonary arterial hypertension (PAH), pulmonary venous hypertension, pulmonary embolism, pulmonary arteriovenous malformation, pulmonary arterial stenosis, pulmonary arterial aneurysm, pulmonary veno-occlusive disease (PVOD) and pulmonary capillary hemangiomatosis. Araoz et al (2003); Bergin et al (1999); Singanayagam et al (2010)
The purpose of the study was to study the pulmonary vessels in patients with pulmonary hypertension using Computed Tomography scan (CT) This is a prospective,analytical study. this study was conducted at Khartoum Hospital (Sudan); in the period between November 2020 - January 2021 a sample of (100) patients with clinically diagnosed as pulmonary hypertension was enrolled, their mean ages were (47.92 ± 19.03) years, the sample included both genders, (42) patients were females while (58) were males and their ages were ranged from (3 - 80) years old. (CTPA) scans were acquired, all patients were examined by using multislice (CT) scanner, the data collected by special designed sheet from indings and analyzed statistically by using an (SPSS) Statistics software package
The study concluded that the incidence rate of Pulmonary hypertension in males was more than the females with mean age of 47.92± 19.03 years old
Summary
Pulmonary vascular disease span a variety of disease entities including pulmonary arterial hypertension (PAH), pulmonary venous hypertension, pulmonary embolism, pulmonary arteriovenous malformation, pulmonary arterial stenosis, pulmonary arterial aneurysm, pulmonary veno-occlusive disease (PVOD) and pulmonary capillary hemangiomatosis. Araoz et al (2003); Bergin et al (1999); Singanayagam et al (2010). Chest computed tomography (CT) is widely used for evaluation of lung diseases and CT measurements correlated well with the COPD assessment test.. CT is a useful tool for thoracic vascular assessment. It could detect changes of small vessels, and these anomalies are important for clinical implications Estepar et al (2013); WASHKO et al (2012). Pulmonary hypertension is a serious condition characterized by higher than normal pressure in the blood vessels between the lungs and the heart. Patient evaluation normally requires numerous diagnostic tests. The diagnostic evaluation of PH includes physical exam, electrocardiography, pulmonary function tests, blood gas analysis, ventilation/perfusion (V/Q) scan, echocardiography, and RHC with vasodilatory testing. RHC is the gold standard for the diagnosis of PH Badesch and B (2009)
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