Two-dimensional transthoracic echocardiography is a valuable tool for detecting pulmonary hypertension, estimating systolic pulmonary arterial pressure, and evaluating right ventricular function.
This review highlights the utility of resting 2D transthoracic echocardiography, including advanced techniques like RV strain and RV-PA coupling, for the diagnosis and management of pulmonary hypertension.
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.
Brugger et al. (Mon,) conducted a review in Pulmonary hypertension. Two-dimensional transthoracic echocardiography was evaluated. Two-dimensional transthoracic echocardiography is a valuable tool for detecting pulmonary hypertension, estimating systolic pulmonary arterial pressure, and evaluating right ventricular function.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: