Echocardiography in pulmonary hypertension.

Abstract:

PURPOSE OF REVIEW:Pulmonary hypertension is a progressive disease of the pulmonary vasculature characterized by increased vascular resistance and pressure overload of the right ventricle. This review aims to describe the diagnostic and prognostic role of echocardiography in pulmonary hypertension with particular consideration of relative strengths, weaknesses and new advances. RECENT FINDINGS:Although right heart catheterization (RHC) remains the gold standard, echocardiography represents an accessible and feasible real-world tool for screening, differential diagnostic, follow-up assessments and risk stratification in pulmonary hypertension. In the context of clinical scenario and multimaging approach, echocardiography provides accurate measurements of pulmonary haemodynamics, either at rest and/or during exercise, and is particularly useful in ruling out secondary causes of pulmonary hypertension and/or detecting preclinical stages. The use of advanced noninvasive imaging techniques may provide additional information in assessing right heart structure and function. SUMMARY:Advances in echocardiography and the multimodality imaging approach continue to provide new understandings and opportunities for the study of the right heart-pulmonary circulation unit in pulmonary hypertension.

journal_name

Curr Opin Cardiol

authors

Bossone E,Ferrara F,Grünig E

doi

10.1097/HCO.0000000000000217

subject

Has Abstract

pub_date

2015-11-01 00:00:00

pages

574-86

issue

6

eissn

0268-4705

issn

1531-7080

pii

00001573-201511000-00004

journal_volume

30

pub_type

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