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Follow-Up of Pulmonary Hypertension With Echocardiography


Wright, LM and Dwyer, N and Celermajer, D and Kritharides, L and Marwick, TH, Follow-Up of Pulmonary Hypertension With Echocardiography, JACC: Cardiovascular Imaging, 9, (6) pp. 733-746. ISSN 1936-878X (2016) [Refereed Article]

Copyright Statement

Copyright 2016 by the American College of Cardiology Foundation

DOI: doi:10.1016/j.jcmg.2016.02.022


Individual patient response to effective therapies for pulmonary hypertension (PAH) is variable and difficult to quantify. Consequently, management decisions regarding initiation and continuation of therapy are highly dependent on the results of investigations. Registry data show that changes in cardiac index, mean right atrial pressure, and mean pulmonary artery pressure have the greatest influence on survival. It is recognized that pulmonary artery pressure (PASP) responses to PAH-specific drugs are heterogeneous. However, follow-up testing is strongly focused on assessing changes in PASP and functional status (6-min walk). The goals of therapy, which should be highlighted in follow-up imaging, include not only reduction of PASP, decrease in pulmonary vascular resistance, and improvements in right ventricular function, cardiac output, and tricuspid regurgitation. This paper reviews the echocardiographic follow-up of pulmonary hypertension, and especially focuses on right ventricular functionâ€"a major determinant of outcome, for which reliable echocardiographic assessment has become more feasible.

Item Details

Item Type:Refereed Article
Keywords:RV function, echocardiography, follow-up, magnetic resonance imaging, pulmonary hypertension
Research Division:Biomedical and Clinical Sciences
Research Group:Cardiovascular medicine and haematology
Research Field:Cardiology (incl. cardiovascular diseases)
Objective Division:Health
Objective Group:Clinical health
Objective Field:Clinical health not elsewhere classified
UTAS Author:Wright, LM (Ms Leah Wright)
UTAS Author:Marwick, TH (Professor Tom Marwick)
ID Code:111156
Year Published:2016
Web of Science® Times Cited:36
Deposited By:Menzies Institute for Medical Research
Deposited On:2016-09-01
Last Modified:2022-08-25

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