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Arch Cardiovasc Dis. 2014 Apr;107(4):261-71. doi: 10.1016/j.acvd.2014.02.005. Epub 2014 Apr 18.

Imaging in pulmonary hypertension: Focus on the role of echocardiography.

Author information

1
Service de cardiologie, hôpital Pasteur, CHU de Nice, 30, avenue de la Voie-Romaine, BP69, CS 51069, 06001 Nice cedex 1, France. Electronic address: moceri.p@chu-nice.fr.
2
Service de cardiologie, hôpital Pasteur, CHU de Nice, 30, avenue de la Voie-Romaine, BP69, CS 51069, 06001 Nice cedex 1, France.

Abstract

Patients with pulmonary hypertension must be evaluated using a multimodality approach to ensure a correct diagnosis and basal evaluation as well as a prognostic assessment. Beyond the assessment of pulmonary pressures, the echocardiographical examination allows the evaluation of right ventricular adaptation to elevated afterload. Numbers of variables are commonly used in the assessment of the pulmonary hypertension patient in order to detect changes in right heart geometry, right-to-left interaction and right ventricular dysfunction. Whereas an isolated change in one echocardiographical variable is not meaningful, multiple echocardiographical variable modifications together provide accurate information. In this review, we will link pulmonary hypertension pathophysiological changes with echocardiographical indices and describe the clinical implications of echocardiographical findings.

KEYWORDS:

Echocardiography; Hypertension pulmonaire; Prognosis; Pronostic; Pulmonary hypertension; Échocardiographie

PMID:
24746538
DOI:
10.1016/j.acvd.2014.02.005
[Indexed for MEDLINE]
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