Two-dimensional transthoracic echocardiography at rest for the diagnosis, screening and management of pulmonary hypertension
Nicolas Brugger, Mona Lichtblau, Micha T. Maeder, Hajo Muller, Cyril Pellaton, Patrick Yerly & Swiss Society For Pulmonary Hypertension Ssph
|
abstract
|
Doppler echocardiography is widely used in everyday clinical
practice for the detection of pulmonary hypertension (PH) in
symptomatic patients and in populations particularly at risk of
pulmonary arterial hypertension (PAH). It allows accurate estimation
of systolic pulmonary arterial pressure but may lack precision in
particular situations. In addition, echocardiography can help to
distinguish between pre- and post-capillary PH and is a very good
tool to evaluate right ventricular systolic function, which is of
great prognostic interest in PAH. This article reviews the current
knowledge about methodologic aspects of assessing pulmonary pressure
and PH origin by echo, including a discussion about abnormal
thresholds. It also details advanced techniques like right
ventricular strain imaging and new concepts like right ventricle
– pulmonary artery coupling evaluation that have become
“matured” enough to be definitely brought to
routine evaluation.
|
| |
|
|
citation
|
Brugger N, Lichtblau M, Maeder M T, Muller H, Pellaton C, Yerly P,
Swiss Society For Pulmonary Hypertension Ssph . Two-dimensional
transthoracic echocardiography at rest for the diagnosis, screening
and management of pulmonary hypertension. Swiss Med Wkly 2021;
151:w20486.
|
| |
|
|
type
|
journal paper/review (English)
|
|
date of publishing
|
07-06-2021
|
|
journal title
|
Swiss Med Wkly (151)
|
|
ISSN electronic
|
1424-3997
|
|
pages
|
w20486
|
|
PubMed
|
34097745
|
|
DOI
|
10.4414/smw.2021.20486
|
additional links & downloads
