Annals of Thoracic Medicine Official publication of the Saudi Thoracic Society, affiliated to King Saud University
 
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ORIGINAL ARTICLE
Year : 2009  |  Volume : 4  |  Issue : 3  |  Page : 124-127

A computer-based matrix for rapid calculation of pulmonary hemodynamic parameters in congenital heart disease


Department of Pediatric Cardiology and Adult Congenital Heart Disease, Heart Institute (InCor), School of Medicine, University of Sao Paulo, Sao Paulo, Brazil

Correspondence Address:
Antonio Augusto Lopes
Unidade Clynica de Cardiologia Pediytrica e Cardiopatias Congenitas do Adulto Insituto do Coracyo (InCor) - HC. FMUSP Av. Dr. Eneas de Carvalho Aguiar, 44 05403-900 - Syo Paulo - SP
Brazil
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DOI: 10.4103/1817-1737.53348

PMID: 19641642

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Background : In patients with congenital heart disease undergoing cardiac catheterization for hemodynamic purposes, parameter estimation by the indirect Fick method using a single predicted value of oxygen consumption has been a matter of criticism. Objective : We developed a computer-based routine for rapid estimation of replicate hemodynamic parameters using multiple predicted values of oxygen consumption. Materials and Methods : Using Microsoft Excel facilities, we constructed a matrix containing 5 models (equations) for prediction of oxygen consumption, and all additional formulas needed to obtain replicate estimates of hemodynamic parameters. Results : By entering data from 65 patients with ventricular septal defects, aged 1 month to 8 years, it was possible to obtain multiple predictions for oxygen consumption, with clear between-age groups ( P <.001) and between-methods ( P <.001) differences. Using these predictions in the individual patient, it was possible to obtain the upper and lower limits of a likely range for any given parameter, which made estimation more realistic. Conclusion : The organized matrix allows for rapid obtainment of replicate parameter estimates, without error due to exhaustive calculations.


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