Medicine and Health Sciences Commons^™

Comparative Accuracy Of Non-Invasive Imaging Versus Right Heart Catheterization For The Diagnosis Of Pulmonary Hypertension: A Systematic Review And Meta-Analysis., Waqas Ullah, Artem Minalyan, Sameer Saleem, Nayab Nadeem, Hafez M Abdullah, Abdelmohaymin Abdalla, Vincent Chan, Rehan Saeed, Maria Khan, Sara Collins, Maryam Mukhtar, Harshwant Grover, Yasar Sattar, Ankur Panchal, Smitha Narayana Gowda, Uneza Khwaja, Bilal Lashari, David L Fischman

Abington Jefferson Health Papers

Background: Right heart catheterization (RHC) is the gold-standard in the diagnosis of pulmonary hypertension (PH) but at the cost of procedure-related complications. We sought to determine the comparative accuracy of RHC versus non-invasive imaging techniques such as computed tomography (CT), magnetic resonance imaging (MRI), and transthoracic echocardiography (TTE).

Methods: Pulmonary hypertension was defined as a mean pulmonary artery pressure (mPAP) of>20 mmHg. Multiple databases were queried for relevant articles. Raw data were pooled using a bivariate model to calculate the measures of diagnostic accuracy and to estimate Hierarchical Summary Receiver Operating Characteristic (HSROC) on Stata 13.

Results: A total …

Coronary Artery Aneurysm In Kawasaki Disease., Achala Donuru, Maansi Parekh, Vinay V R Kandula, Sharon Gould

Department of Radiology Faculty Papers

A 3-year-old male presents to the emergency department with chief complaints of fever and vomiting. He had a positive rapid streptococcus throat test with cervical lymphadenopathy. The patient was started on antibiotics. On examination, there was diffuse erythematous macular rash on the chest. Laboratory tests revealed elevated white cell count and C-reactive protein. Electrocardiogram was notable for prolonged PR interval indicating 1^st degree atrioventricular block. Echocardiogram revealed ectasia of the right coronary artery (RCA). A presumptive diagnosis of Kawasaki disease was made and the patient was started on high-dose aspirin and intravenous immunoglobulins. Cardiac computed tomography angiography (CTA) showed …