Variation of oxygen saturation in the detection of pulmonary hypertension
Keywords:
echocardiography, pulmonary arterial hypertension, oxygen, 6-Minute Walk Test.Abstract
Introduction: The analysis of oxygen saturation during the 6-minute walk can represent a useful, accessible and reproducible tool for the assessment of patients with pulmonary arterial hypertension.Objective: To establish the validity of the variation in oxygen saturation in the 6-minute walk for the diagnosis of pulmonary hypertension by transthoracic echocardiography.
Methods: Cross-sectional study in patients with suspected pulmonary hypertension who underwent a 6-minute walk and transthoracic echocardiography. The validity and correlation of the variation of the oxygen saturation obtained from the 6-minute walk and the systolic pressure values of the pulmonary artery by echocardiography were calculated.
Results: The average age of the subjects was 70.8 years (+/-: 13.3), 52.5% of the people were men. It will be eliminated that the mean initial oxygen saturation in patients with and without probable pulmonary hypertension was similar, with 89.9% (+/-: 4.4) vs 89.4% (+/-: 4.6), respectively. The correlation coefficient between the decrease in oxygen saturation and the systolic pressure of the pulmonary artery was 0.11.
Conclusion: The variation in oxygen saturation during the 6-minute walk has an acceptable sensitivity for the detection of probable pulmonary hypertension in transthoracic echocardiography. The drop in oxygen saturation would be an alternative to consider suspecting pulmonary hypertension.
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