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

Daniel X Augustine, Lindsay D Coates-Bradshaw, James Willis, Allan Harkness, Liam Ring, Julia Grapsa, Gerry Coghlan, Nikki Kaye, David Oxborough, Shaun Robinson, Julie Sandoval, Bushra S Rana (+9 others)
2019 Echo Research and Practice  

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Echocardiographic assessment of pulmonary hypertension: a guideline protocol from the British Society of Echocardiography. http://researchonline.ljmu.ac.uk/id/eprint/9153/ Article LJMU has developed LJMU Research Online for users to access the research output of the University more effectively. 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
more » ... n 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 Key Words f pulmonary hypertension f echocardiography f guideline This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. www.echorespract.com
doi:10.1530/erp-17-0071e fatcat:sknsotnxgrbihgfqaun3zgxkp4
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Daniel X Augustine, Lindsay D Coates-Bradshaw, James Willis, Allan Harkness, Liam Ring, Julia Grapsa, Gerry Coghlan, Nikki Kaye, David Oxborough, Shaun Robinson, Julie Sandoval, Bushra S Rana, Anjana Siva, Petros Nihoyannopoulos, Luke S Howard, Kevin Fox, Sanjeev Bhattacharyya, Vishal Sharma, Richard P Steeds, Thomas Mathew, _ _. "Echocardiographic assessment of pulmonary hypertension: a guideline protocol from the British Society of Echocardiography." Echo Research and Practice 6.3 (2019) X1