Benha University

فاطمة مجدى رفعت معوض

مدرس

كلية الطب البشري الأمراض الصدرية

Role Of Serum Biomarkers In Detection OF Pulmonary Hypertension In Interstitial Lung Diseases

• 2025
العودة
معلومات البحث
المؤلفون Gehan Farouk Almehy ,Rehab Elsayed Elsawy ,Reem Ibrahim Elkorashy , Osama Ibrahim Mohammad , Abdelsadek Hamed Al-Aarag
الكلمات المفتاحية Not Available
المجلة العلمية Not Available
الناشر Not Available
المجلد Not Available
العدد Not Available
الصفحات Not Available
publication.type Local
رابط البحث Not Available
المواد المرفقة Not Available
الملخص
Background: Interstitial lung diseases (ILDs) are chronic, progressive disorders that can be complicated by pulmonary hypertension (PH), particularly Group 3 PH, which significantly worsens prognosis. Early diagnosis of PH in ILD is crucial challenging, often requiring invasive procedures like right heart catheterization. Thus, the use of serum biomarkers may offer a valuable, non-invasive alternative. Objective: The objective of this investigation to evaluate the diagnostic utility of three serum biomarkers NT-proBNP, cardiac Troponin-T, and uric acid in detecting PH among ILD patients. Methods: A total of 55 ILD cases have been evaluated and separated into 2 groups: Group I (29 cases) with no/low echocardiographic probability of PH, and Group II (26 cases) with intermediate/high probability of PH. All patients subjected to full clinical assessment, (spirometry), arterial blood gas, high-resolution CT, echocardiography, and measurement of the (NT-proBNP, troponin and serum uric a`), RT Heart Catheterization to group II. Results: NT-proBNP, Troponin-T, and uric a` levels were significantly elevated in Group II. NT-proBNP had the best diagnostic performance (AUC = 0.886) with 84% sensitivity and 83.3% specificity at a cut-off of 89 picogram per milliliter. Uric acid and Troponin-T also showed good diagnostic utility (AUC = 0.853 and 0.798, correspondingly). All three biomarkers correlated positively with right ventricular systolic pressure (RVSP) & pulmonary artery systolic pressure (PASP). Conclusion: NT-proBNP, Troponin-T, and uric acid are promising non-invasive biomarkers for identifying PH in ILD cases. NT-proBNP, in particular, demonstrated the highest diagnostic accuracy.
جميع الحقوق محفوظة © 2026 جامعة بنها - دليل أعضاء هيئة التدريس