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Elevated Pulmonary Pressure Noted on Echocardiogram: A Simplified Approach to Next Steps
Journal article   Open access   Peer reviewed

Elevated Pulmonary Pressure Noted on Echocardiogram: A Simplified Approach to Next Steps

Manreet K. Kanwar, Ryan J. Tedford, Thenappan Thenappan, Teresa De Marco, Myung Park and Vallerie McLaughlin
Journal of the American Heart Association, v 10(7), e017684
06 Apr 2021
PMID: 33719491
url
https://doi.org/10.1161/JAHA.120.017684View
Published, Version of Record (VoR) Open

Abstract

Abstract 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 echocardiographic 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.

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16 citations in Scopus

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Collaboration types
Domestic collaboration
Web of Science research areas
Cardiac & Cardiovascular Systems
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