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. Author manuscript; available in PMC: 2011 Jun 23.
Published in final edited form as: Pediatrics. 2008 Feb;121(2):317–325. doi: 10.1542/peds.2007-1583

Table 3. Sensitivity, Specificity, and Positive and Negative Predictive Values of Echocardiographic Findings for Diagnosis of PH in Children <2 Years of Age With CLD.

Finding Mean (95% CI), %

Sensitivity Specificity Positive Predictive Value Negative Predictive Value
Estimated sPAP of >40 mm Hg (n = 19) 88 (64–97) 33 (6–79) 88 (64–97) 33 (6–79)
Right atrial enlargement
 All (n = 31) 80 (61–91) 50 (19–81) 87 (68–94) 38 (14–69)
 With measurable TRJV (n = 19) 94 (72–99) 67 (21–94) 94 (72–99) 67 (21–94)
 Without measurable TRJV (n = 12) 56 (27–81) 33 (6–79) 71 (36–92) 20 (4–62)
Right ventricular dilation
 All 84 (66–93) 50 (19–81) 88 (69–96) 43 (16–75)
 With measurable TRJV 94 (72–99) 67 (21–94) 94 (72–99) 67 (21–94)
 Without measurable TRJV 67 (37–86) 33 (6–79) 75 (41–93) 25 (5–70)
Right ventricular hypertrophy
 All 72 (52–86) 83 (44–97) 95 (75–99) 42 (19–68)
 With measurable TRJV 81 (57–93) 100 (44–100) 100 (77–100) 50 (19–81)
 Without measurable TRJV 56 (27–81) 67 (21–94) 83 (44–97) 33 (10–70)
PA dilation
 All 52 (33–70) 50 (19–81) 81 (57–93) 20 (7–45)
 With measurable TRJV 50 (28–72) 33 (6–79) 80 (49–94) 11 (2–44)
 Without measurable TRJV 56 (27–81) 67 (21–94) 83 (44–97) 33 (10–70)
Septal flattening
 All 88 (70–96) 33 (10–70) 85 (66–94) 40 (12–77)
 With measurable TRJV 100 (81–100) 33 (6–79) 89 (67–97) 100 (21–100)
 Without measurable TRJV 67 (35–88) 33 (6–79) 75 (41–93) 25 (5–70)
≥1 abnormality
 All 96 (81–99) 33 (10–70) 86 (69–94) 67 (21–94)
 With measurable TRJV 100 (81–100) 33 (6–79) 89 (67–97) 100 (21–100)
 Without measurable TRJV 86 (50–96) 20 (4–62) 60 (31–83) 50 (9–91)
≥2 abnormalities
 All 88 (70–96) 33 (10–70) 85 (66–94) 40 (12–77)
 With measurable TRJV 94 (72–99) 33 (6–79) 88 (66–97) 50 (9–91)
 Without measurable TRJV 71 (38–90) 20 (4–62) 56 (27–81) 33 (6–79)
≥3 abnormalities
 All 84 (66–94) 50 (19–81) 88 (69–96) 43 (16–75)
 With measurable TRJV 94 (72–99) 67 (21–94) 94 (72–99) 67 (21–94)
 Without measurable TRJV 57 (27–82) 20 (4–62) 50 (22–78) 25 (5–70)

The standard comparison for diagnosis of PH was mPAP of >25 mm Hg measured with cardiac catheterization.