Chest X ray diagnostic accuracy in heart failure of dyspnic patients referring to the emergency ward

Mohammadifard, Mahyar; Mashreghi Moghaddam, Hamidreza; Mirgholami, Alireza; Naseh, Ghodrattollah; Sharifzadeh, Gholamreza; Hossainy, Mahmood; Zangooyee, Mahbubeh; Golbooyee Mousavi, Hassan; Aghakeshmiri, Atena; Zandi, Zahra

Volume 19 - supplementary: cardiovascular J Birjand Univ Med Sci. 2013, 19 - supplementary: cardiovascular: 17-25 | Back to browse issues page

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Mohammadifard M, Mashreghi Moghaddam H, Mirgholami A, Naseh G, Sharifzadeh G, Hossainy M, et al . Chest X ray diagnostic accuracy in heart failure of dyspnic patients referring to the emergency ward. J Birjand Univ Med Sci. 2013; 19 :17-25
URL: http://journal.bums.ac.ir/article-1-1258-en.html

Chest X ray diagnostic accuracy in heart failure of dyspnic patients referring to the emergency ward

Mahyar Mohammadifard¹, Hamidreza Mashreghi Moghaddam ^*², Alireza Mirgholami, Ghodrattollah Naseh¹, Gholamreza Sharifzadeh³, Mahmood Hossainy⁴, Mahbubeh Zangooyee⁵, Hassan Golbooyee Mousavi⁶, Atena Aghakeshmiri⁷, Zahra Zandi⁷

1- Department Of Radiology, Birjand Univesrsity Of Medical Sciense, Birjand, Iran
2- Atherosclerosis and Coronary Artery Research Centre, Assistant Professor, Department of Cardiology, Birjand University Of Medical Science, Birjand, Iran , Hamid.mashregi@gmail.com
3- Social determinants of Health Research Center member, Instructor, Department of health, Birjand University of medical science, Birjand, Iran
4- Department Of Statistics, Birjand Univesrsity Of Medical Sciense, Birjand, Iran.
5- Department Of Gynecology & Obstetrics, Birjand Univesrsity Of Medical Sciense, Birjand, Iran
6- Department Of ENT, Birjand Univesrsity Of Medical Sciense, Birjand, Iran
7- MD, Member of Student Research Committee, Birjand University of medical science, Birjand, Iran

Abstract: (19515 Views)

Background and Aim: Heart failure (H.F) is a burgeoning prevalent problem worldwide, which has involved over 20 million people. Echocardiography is the best standard process in diagnosing H.F. Thus, it is one of the first measures which should be taken for patients referring to the emergency ward. In the present study, the rate of chest X-ray diagnostic accuracy with respect to the occurrence of heart failure of dyspnic patients referring to the emergency ward was verified. Materials and Methods: The present study was done on 125 dyspnic patients referring to the emergency ward of Valli-e-asr hospital. Their CXR and echocardiography were done. Then, the chest radiographs were reported by a radiologist who evaluated them regarding signs of heart failure such as, prebrachial cuffing, CTR, right and left pleural effusion, septal line, hilus change, right descending pulmonary artery width, carina angle, vascular pedicle width, lung opacities, azygos vein width, distribution of blood flow, and sensitivity of these signs .Finally, by adding 3 markers with the highest diagnostic sensitivity together a new diagnostic marker was inferred from them. Results: It was found that, the Carina angle had the highest sensivity and azygos vein the least(86.5% and 13%,respectively).A new diagnostic marker emerged by adding 3 existant markers(carina angle. hilus change.CTR) with the highest sensitivity and specificity of 78.5 and 52.5%,respectively. Conclusion: According to the present studying CXR findings can be helpful in the diagnosis of HF as the underlying cause of dyspnea in patients referring to the emergency ward.

Keywords: Chest X-Ray, Heart failure, Dyspnea, Diagnostic accuracy

Full-Text [PDF 207 kb] (3271 Downloads)

Type of Study: Original Article | Subject: Cardiology
Received: 2012/10/3 | Accepted: 2013/04/27 | ePublished: 2013/02/15