Key result
Echo and Doppler reliably estimate RAP and PASP as a noninvasive alternative to RHC.
Why the study?
Precise evaluation of right heart and pulmonary pressures is essential across cardiovascular conditions, but the accuracy and consistency of echocardiography in estimating these pressures have been debated.
Do echo-Doppler techniques provide accurate noninvasive estimation of right heart and pulmonary pressures compared to invasive methods?
Do echo-Doppler techniques provide accurate noninvasive estimation of right heart and pulmonary pressures compared to invasive methods?
This review highlights the historical evolution and current standard practice of using echo-Doppler techniques for the noninvasive assessment of right heart and pulmonary pressures.
Supports noninvasive pressure estimation in routine care; leaves open need for updated validation in contemporary cohorts.
The precise evaluation of pulmonary artery, right atrial, and ventricular pressures is essential for the diagnosis, ongoing management, and therapeutic decision-making in a wide range of cardiovascular conditions, including pulmonary hypertension. Since the early 1980s, the accuracy and consistency of echocardiography in estimating pulmonary artery pressure have been a subject of debate, with multiple formulas developed over time to improve reliability. Despite initial concerns, echocardiography has now been widely accepted as a noninvasive, safe, and readily available alternative to the more invasive right heart catheterization, which remains the gold standard. The growing recognition of echocardiography's role in clinical practice has led to significant advancements in its methodology. This review explores the contribution of echo-Doppler techniques to the assessment of right heart hemodynamics, highlighting their importance in daily practice. It also examines the historical milestones that have facilitated the standardization of various formulas and paved the way for the development of current guidelines. By tracing these developments, the review underscores the relevance of echocardiography in modern cardiology and the importance of continuing to refine its application to ensure accurate and reliable assessments.
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Fusini et al. (2024) conducted a review in Cardiovascular diseases and pulmonary hypertension. Echocardiography and Doppler techniques was evaluated. Echocardiography and Doppler techniques provide a reliable, noninvasive alternative to right heart catheterization for estimating right atrial and pulmonary systolic pressures.
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