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Echocardiographic assessment of pulmonary hypertension: a guideline protocol from the British Society of Echocardiography.

Augustine, DX, Coates-Bradshaw, LD, Willis, J, Harkness, A, Ring, L, Grapsa, J, Coghlan, G, Kaye, N, Oxborough, D, Robinson, S, Sandoval, J, Rana, BS, Siva, A, Nihoyannopoulos, P, Howard, LS, Fox, K, Bhattacharyya, S, Sharma, V, Steeds, RP, Mathew, T and British Society of Echocardiography Education Committee, (2018) Echocardiographic assessment of pulmonary hypertension: a guideline protocol from the British Society of Echocardiography. Echo Research and Practice, 5 (3). ISSN 2055-0464

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Abstract

Pulmonary hypertension is defined as a mean arterial pressure of ≥25 mmHg as confirmed on right heart catheterisation. Traditionally, the pulmonary arterial systolic pressure has been estimated on echo by utilising the simplified Bernoulli equation from the peak tricuspid regurgitant velocity and adding this to an estimate of right atrial pressure. Previous studies have demonstrated a correlation between this estimate of pulmonary arterial systolic pressure and that obtained from invasive measurement across a cohort of patients. However, for an individual patient significant overestimation and underestimation can occur and the levels of agreement between the two is poor. Recent guidance has suggested that echocardiographic assessment of pulmonary hypertension should be limited to determining the probability of pulmonary hypertension being present rather than estimating the pulmonary artery pressure. In those patients in whom the presence of pulmonary hypertension requires confirmation, this should be done with right heart catheterisation when indicated. This guideline protocol from the British Society of Echocardiography aims to outline a practical approach to assessing the probability of pulmonary hypertension using echocardiography and should be used in conjunction with the previously published minimum dataset for a standard transthoracic echocardiogram.

Item Type: Article
Uncontrolled Keywords: echocardiography; guideline; pulmonary hypertension
Subjects: Q Science > QP Physiology
Divisions: Sport & Exercise Sciences
Publisher: Bio Scientifica
Related URLs:
Date Deposited: 04 Sep 2018 13:10
Last Modified: 15 Sep 2018 05:06
DOI or Identification number: 10.1530/ERP-17-0071
URI: http://researchonline.ljmu.ac.uk/id/eprint/9153

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