{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T20:50:31Z","timestamp":1776372631365,"version":"3.51.2"},"reference-count":9,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2009,2,4]],"date-time":"2009-02-04T00:00:00Z","timestamp":1233705600000},"content-version":"vor","delay-in-days":7523,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Cardiology"],"published-print":{"date-parts":[[1988,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The chest x\u2010ray has become a standard clinical test to aid in the evaluation of patients with chronic severe heart failure. To evaluate just how useful this tool is in the routine assessment of pulmonary venous hypertension secondary to heart failure, we compared the radiologist's interpretation of the chest x\u2010ray with hemodynamic data obtained from right heart catheterization in a group of patients undergoing protocol evaluation of an experimental treatment for heart failure. Of 23 patients with pulmonary venous hypertension (pulmonary capillary wedge pressure &gt; 20 mmHg) and a complete data base, only 11 had chest x\u2010rays showing evidence of pulmonary venous congestion or interstitial or alveolar edema. The sensitivity of the chest x\u2010ray in selecting patients with a pulmonary capillary wedge pressure over 20 mmHg in this setting was only 48%. In other studies, where the radiologist was aware that his or her reading was being compared to hemodynamic assessments, the sensitivity of the chest film has approached 85%. We feel our analysis more closely parallels routine clinical practice. Clinicians should be aware that the chest x\u2010ray may not be a very sensitive tool for the assessment of pulmonary hemodynamics in patients with severe heart failure.<\/jats:p>","DOI":"10.1002\/clc.4960110710","type":"journal-article","created":{"date-parts":[[2009,2,5]],"date-time":"2009-02-05T00:29:48Z","timestamp":1233793788000},"page":"486-488","source":"Crossref","is-referenced-by-count":24,"title":["The role of the chest x\u2010ray in the evaluation of chronic severe heart failure: Things are not always as they appear"],"prefix":"10.1002","volume":"11","author":[{"given":"W. E.","family":"Costanzo","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S. A.","family":"Fein","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2009,2,4]]},"reference":[{"key":"e_1_2_1_2_2","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.44.3.322"},{"key":"e_1_2_1_3_2","first-page":"877","article-title":"Evaluating the radiographic assessment of pulmonary venous hypertension in chronic heart disease","volume":"142","author":"Baumstark A","year":"1984","journal-title":"Am J Radiol"},{"key":"e_1_2_1_4_2","doi-asserted-by":"crossref","first-page":"363","DOI":"10.1016\/S0033-8389(22)02048-6","article-title":"The pulmonary vessels: Their hemodynamic evaluation using routine radiographs","volume":"2","author":"Simon M","year":"1963","journal-title":"Rad Clin N Am"},{"key":"e_1_2_1_5_2","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1016\/S0033-8389(22)01964-9","article-title":"Correlation of physiologic findings with chest roent genology","volume":"11","author":"Milne ENC","year":"1973","journal-title":"Rad Clin N Am"},{"key":"e_1_2_1_6_2","doi-asserted-by":"publisher","DOI":"10.1259\/0007-1285-36-432-902"},{"key":"e_1_2_1_7_2","doi-asserted-by":"crossref","first-page":"417","DOI":"10.1177\/028418517601700405","article-title":"Pulmonary congestion in chronic heart disease","volume":"17","author":"Stage P","year":"1976","journal-title":"Acta Radiol (Diagn)"},{"key":"e_1_2_1_8_2","doi-asserted-by":"publisher","DOI":"10.1148\/104.1.97"},{"key":"e_1_2_1_9_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.48.3.624"},{"key":"e_1_2_1_10_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-76-1-29"}],"container-title":["Clinical Cardiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fclc.4960110710","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/clc.4960110710","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,21]],"date-time":"2023-10-21T06:36:09Z","timestamp":1697870169000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/clc.4960110710"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1988,7]]},"references-count":9,"journal-issue":{"issue":"7","published-print":{"date-parts":[[1988,7]]}},"alternative-id":["10.1002\/clc.4960110710"],"URL":"https:\/\/doi.org\/10.1002\/clc.4960110710","archive":["Portico"],"relation":{},"ISSN":["0160-9289","1932-8737"],"issn-type":[{"value":"0160-9289","type":"print"},{"value":"1932-8737","type":"electronic"}],"subject":[],"published":{"date-parts":[[1988,7]]}}}