Evidence map›Paper›PMID 40369427›Full record

ArticleBMC pediatrics2025

Early detection of pulmonary vasculopathy in children with sickle cell disease by new echocardiography-based blood speckle technology.

Antoine Fakhry AbdelMassih, Fatima Nabil, Niveen Salama, Ilham Youssry

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Article in BMC pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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3citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Antoine Fakhry AbdelMassihPediatric Cardiology Unit, Pediatrics Department, Faculty of Medicine, Cairo University, Cairo, Egypt. antoine.abdelmassih@kasralainy.edu.eg.
Fatima NabilPediatric Residency Program, Faculty of Medicine, Cairo University, Cairo, Egypt.
Niveen SalamaPediatric Hematology Unit, Pediatrics Department, Faculty of Medicine, Cairo University, Cairo, Egypt.
Ilham YoussryPediatric Hematology Unit, Pediatrics Department, Faculty of Medicine, Cairo University, Cairo, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRight ventricle (RV) dysfunction because of pulmonary vasculopathy is the most common cause of death in sickle cell disease (SCD). This study aimed to explore the diagnostic accuracy of blood-speckle tracking and vortex detection in the early detection of pulmonary vasculopathy in patients with SCD.

methodsThis study was conducted as a cross-sectional study including thirty patients and thirty controls. Patients with SCD were examined using 3D echocardiography to determine the presence of RV dysfunction, as a surrogate of pulmonary vasculopathy: in addition to blood speckle tracking echocardiography to determine the vortex timing in the RV and its presence or absence in the pulmonary artery. Patients' demographic and hematologic data were also retrieved from patients' files.

resultsPulmonary vortex formation was 100% sensitive in the detection of RV dysfunction. LDH (Lactate Dehydrogenase) was the only variable significantly different between cases with pulmonary vortex formation and those without (520 vs. 257, P < 0.001), LDH > 400 was 72% sensitive and 100% specific in the detection of pulmonary vortex formation.

conclusionsPulmonary vortex formation was a sensitive indicator of RV dysfunction, thus suggesting its accuracy in the early detection of early pulmonary vascular changes in SCD. LDH as a marker of intravascular hemolysis, is a sensitive marker that can be used for risk stratification of SCD patients.

Indexed as

Anemia, Sickle CellEchocardiography, Three-DimensionalPulmonary ArteryVentricular Dysfunction, RightAdolescentBiomarkersCase-Control StudiesChildChild, PreschoolCross-Sectional StudiesEarly DiagnosisFemaleHumansL-Lactate DehydrogenaseMaleSensitivity and SpecificityBiomarkersL-Lactate DehydrogenaseBlood speckle trackingPulmonary vasculopathySickle cell diseaseVortex

Identifiers

PMID40369427
PMCPMC12076994

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.