TY - JOUR
T1 - Elevated pulmonary pressure noted on echocardiogram
T2 - A simplified approach to next steps
AU - Kanwar, Manreet K.
AU - Tedford, Ryan J.
AU - Thenappan, Thenappan
AU - De Marco, Teresa
AU - Park, Myung
AU - McLaughlin, Vallerie
N1 - Publisher Copyright:
© 2021 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley.
PY - 2021
Y1 - 2021
N2 - An elevated right ventricular/pulmonary artery systolic pressure suggestive of pulmonary hypertension (PH) is a common finding noted on echocardiography and is considered a marker for poor clinical outcomes, regardless of the cause. Even mild elevation of pulmonary pressure can be considered a modifiable risk factor, informing the trajectory of patients’ clinical outcome. Although guidelines have been published detailing diagnostic and management algorithms, this echocardio-graphic finding is often underappreciated or not acted upon. Hence, patients with PH are often diagnosed in clinical practice when hemodynamic abnormalities are already moderate or severe. This results in delayed initiation of potentially effective therapies, referral to PH centers, and greater patient morbidity and mortality. This mini-review presents a succinct, simplified case-based approach to the “next steps” in the work-up of PH, once elevated pulmonary pressures have been noted on an echocardiogram. Our goal is for clinicians to develop a good overview of diagnostic approach to PH and recognition of high-risk features that may require early referral.
AB - An elevated right ventricular/pulmonary artery systolic pressure suggestive of pulmonary hypertension (PH) is a common finding noted on echocardiography and is considered a marker for poor clinical outcomes, regardless of the cause. Even mild elevation of pulmonary pressure can be considered a modifiable risk factor, informing the trajectory of patients’ clinical outcome. Although guidelines have been published detailing diagnostic and management algorithms, this echocardio-graphic finding is often underappreciated or not acted upon. Hence, patients with PH are often diagnosed in clinical practice when hemodynamic abnormalities are already moderate or severe. This results in delayed initiation of potentially effective therapies, referral to PH centers, and greater patient morbidity and mortality. This mini-review presents a succinct, simplified case-based approach to the “next steps” in the work-up of PH, once elevated pulmonary pressures have been noted on an echocardiogram. Our goal is for clinicians to develop a good overview of diagnostic approach to PH and recognition of high-risk features that may require early referral.
KW - Echocardiogram
KW - PA pressures
KW - Pulmonary hypertension
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U2 - 10.1161/JAHA.120.017684
DO - 10.1161/JAHA.120.017684
M3 - Short survey
C2 - 33719491
AN - SCOPUS:85104047781
SN - 2047-9980
VL - 10
JO - Journal of the American Heart Association
JF - Journal of the American Heart Association
IS - 7
M1 - e017684
ER -