Key result
Echocardiography serves as an accessible real-world tool for screening, diagnosis, and risk stratification in pulmonary hypertension.
Why the study?
Does echocardiography provide diagnostic and prognostic value in patients with pulmonary hypertension?
Does echocardiography provide diagnostic and prognostic value in patients with pulmonary hypertension?
Echocardiography is a crucial, non-invasive multimodality imaging tool for the screening, diagnosis, and risk stratification of pulmonary hypertension.
Echocardiography aids noninvasive PH assessment; leaves open its optimal integration with RHC in practice and trials.
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.
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Bossone et al. (2015) conducted a review in Pulmonary hypertension. Echocardiography was evaluated. Echocardiography serves as an accessible and feasible real-world tool for screening, differential diagnosis, follow-up assessments, and risk stratification in pulmonary hypertension.
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