Echocardiographic assessment of pulmonary hypertension in patients with advanced lung disease.

@article{Arcasoy2003EchocardiographicAO,
  title={Echocardiographic assessment of pulmonary hypertension in patients with advanced lung disease.},
  author={Selim M. Arcasoy and Jason D. Christie and Victor A Ferrari and Martin St. John Sutton and David A. Zisman and Nancy P. Blumenthal and Alberto A Pochettino and Robert M. Kotloff},
  journal={American journal of respiratory and critical care medicine},
  year={2003},
  volume={167 5},
  pages={
          735-40
        }
}
Doppler echocardiography is commonly used to estimate systolic pulmonary artery pressure and to diagnose pulmonary hypertension, but data relating to its utility in patients with advanced lung disease are limited. In a cohort study of 374 lung transplant candidates, the performance characteristics of echocardiography compared with right heart catheterization in the determination of systolic pulmonary artery pressure and diagnosis of pulmonary hypertension were investigated. The prevalence of… 
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Clinical Utility of Echocardiography for the Diagnosis and Management of Pulmonary Vascular Disease in Young Children With Chronic Lung Disease
TLDR
As used in clinical practice, echocardiography often identifies pulmonary hypertension in young children with chronic lung disease; however, estimates of systolic pulmonary artery pressure were not obtained consistently and were not reliable for determining the severity of pulmonary hypertension.
Estimating pulmonary artery pressures by echocardiography in patients with emphysema
TLDR
In patients with severe emphysema, echocardiographic estimates of pulmonary artery pressures correlate very weakly with right heart catheterisations, and the test characteristics (e.g. sensitivity, specificity, etc.) of echOCardiographic assessments are poor.
Accuracy of Doppler echocardiography in the hemodynamic assessment of pulmonary hypertension.
TLDR
Doppler echocardiography may frequently be inaccurate in estimating pulmonary artery pressure and cardiac output in patients being evaluated for PH, according to a prospective study on patients with various forms of PH.
Sensitivity and Specificity of Pulmonary Artery Pressure Measurement in Echocardiography and Correlation with Right Heart Catheterization
TLDR
Echocardiographic assessment of PAPs and PAPm has high sensitivity and weak to moderate correlation with hemodynamic data in RHC, which is helpful in assessment of pulmonary hemodynamic, however its correlation with Right heart catheterization is conflicting.
Addressing the Controversy of Estimating Pulmonary Arterial Pressure by Echocardiography.
Accuracy and precision of echocardiography versus right heart catheterization for the assessment of pulmonary hypertension.
Accuracy of echocardiography and chest tomography for pulmonary hypertension screening in patients awaiting lung transplantation
TLDR
The association of pulmonary artery and aortic diameter >1 and/or pulmonary artery systolic pressure ≥40mmHg improved the sensitivity and the negative predictive value for pulmonary hypertension screening.
Accuracy of echocardiographic estimates of pulmonary artery pressures in pulmonary hypertension: insights from the KARUM hemodynamic database
TLDR
Echocardiographic accuracy to estimate right heart catheterization (RHC) based PA pressures in a large, dual-centre hemodynamic database demonstrated minimal bias with invasive measurements but frequently misclassified subjects.
Accuracy of Doppler-Echocardiographic Mean Pulmonary Artery Pressure for Diagnosis of Pulmonary Hypertension
Background The validity of Doppler echocardiographic (DE) measurement of systolic pulmonary artery pressure (sPAP) has been questioned. Recent studies suggest that mean pulmonary artery pressure…
Speckle Tracking Echocardiography to Evaluate for Pulmonary Hypertension in Chronic Obstructive Pulmonary Disease
TLDR
Retrospective analysis of RV strain values from subjects with severe COPD with echocardiogram within 48 hours of right heart catheterization showed that RV strain estimates are feasible and correlate with invasive hemodynamic measurements in patients with COPD.
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