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Echocardiographic assessment of pulmonary hypertension: standard operating procedure

Luke S. Howard, Julia Grapsa, David Dawson, Michael Bellamy, John B. Chambers, Navroz D. Masani, Petros Nihoyannopoulos, J. Simon R. Gibbs
European Respiratory Review 2012 21: 239-248; DOI: 10.1183/09059180.00003912
Luke S. Howard
*National Pulmonary Hypertension Service, Hammersmith Hospital, Imperial College Healthcare NHS Trust, #Dept of Echocardiography, Imperial College Healthcare NHS Trust, ¶Guy's and St Thomas's Hospital, London, and +Dept of Cardiology, University Hospital of Wales, Cardiff, UK.
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  • For correspondence: l.howard@imperial.ac.uk
Julia Grapsa
*National Pulmonary Hypertension Service, Hammersmith Hospital, Imperial College Healthcare NHS Trust, #Dept of Echocardiography, Imperial College Healthcare NHS Trust, ¶Guy's and St Thomas's Hospital, London, and +Dept of Cardiology, University Hospital of Wales, Cardiff, UK.
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David Dawson
*National Pulmonary Hypertension Service, Hammersmith Hospital, Imperial College Healthcare NHS Trust, #Dept of Echocardiography, Imperial College Healthcare NHS Trust, ¶Guy's and St Thomas's Hospital, London, and +Dept of Cardiology, University Hospital of Wales, Cardiff, UK.
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Michael Bellamy
*National Pulmonary Hypertension Service, Hammersmith Hospital, Imperial College Healthcare NHS Trust, #Dept of Echocardiography, Imperial College Healthcare NHS Trust, ¶Guy's and St Thomas's Hospital, London, and +Dept of Cardiology, University Hospital of Wales, Cardiff, UK.
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John B. Chambers
*National Pulmonary Hypertension Service, Hammersmith Hospital, Imperial College Healthcare NHS Trust, #Dept of Echocardiography, Imperial College Healthcare NHS Trust, ¶Guy's and St Thomas's Hospital, London, and +Dept of Cardiology, University Hospital of Wales, Cardiff, UK.
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Navroz D. Masani
*National Pulmonary Hypertension Service, Hammersmith Hospital, Imperial College Healthcare NHS Trust, #Dept of Echocardiography, Imperial College Healthcare NHS Trust, ¶Guy's and St Thomas's Hospital, London, and +Dept of Cardiology, University Hospital of Wales, Cardiff, UK.
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Petros Nihoyannopoulos
*National Pulmonary Hypertension Service, Hammersmith Hospital, Imperial College Healthcare NHS Trust, #Dept of Echocardiography, Imperial College Healthcare NHS Trust, ¶Guy's and St Thomas's Hospital, London, and +Dept of Cardiology, University Hospital of Wales, Cardiff, UK.
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J. Simon R. Gibbs
*National Pulmonary Hypertension Service, Hammersmith Hospital, Imperial College Healthcare NHS Trust, #Dept of Echocardiography, Imperial College Healthcare NHS Trust, ¶Guy's and St Thomas's Hospital, London, and +Dept of Cardiology, University Hospital of Wales, Cardiff, UK.
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This article has a correction. Please see:

  • “Echocardiographic assessment of pulmonary hypertension: standard operating procedure.” Luke S. Howard, Julia Grapsa, David Dawson, Michael Bellamy, John B. Chambers, Navroz D. Masani, Petros Nihoyannopoulos and J. Simon R. Gibbs. Eur Respir Rev 2012; 125: 239–248. - December 01, 2012

Abstract

Patients with suspected pulmonary hypertension (PH) should be evaluated using a multimodality approach to ensure that they receive a correct diagnosis. The series of investigations required includes clinical evaluation, noninvasive imaging techniques and right heart catheterisation (considered to be the “gold standard” for the diagnosis of PH). Current guidelines recommend that a detailed echocardiographic assessment is performed in all patients with suspected PH.

In this review we summarise a protocol adopted by the National Pulmonary Hypertension Centres of UK and Ireland and approved by the British Society of Echocardiography for the evaluation of these patients. The views and measurements described are recommended for diagnosis, assisting in prognosis and providing a noninvasive means of following disease progression or response to therapy.

  • Diagnosis
  • echocardiography
  • prognosis
  • pulmonary hypertension
  • right ventricle

Footnotes

  • This article has supplementary data available from http://err.ersjournals.com

  • Statement of Interest

    P. Nihoyannopoulos has received research and educational grants from General Electric and from BRACCO Pharmaceuticals for organising educational meetings. He has also received fees (less than £1,000) for consulting from General Electric.

  • Provenance

    Publication of this peer-reviewed article was supported Actelion Pharmaceuticals Ltd, Switzerland (article sponsor, European Respiratory Review issue 125).

  • Received June 8, 2012.
  • Accepted July 3, 2012.
  • ©ERS 2012
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Echocardiographic assessment of pulmonary hypertension: standard operating procedure
Luke S. Howard, Julia Grapsa, David Dawson, Michael Bellamy, John B. Chambers, Navroz D. Masani, Petros Nihoyannopoulos, J. Simon R. Gibbs
European Respiratory Review Sep 2012, 21 (125) 239-248; DOI: 10.1183/09059180.00003912

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Echocardiographic assessment of pulmonary hypertension: standard operating procedure
Luke S. Howard, Julia Grapsa, David Dawson, Michael Bellamy, John B. Chambers, Navroz D. Masani, Petros Nihoyannopoulos, J. Simon R. Gibbs
European Respiratory Review Sep 2012, 21 (125) 239-248; DOI: 10.1183/09059180.00003912
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  • Article
    • Abstract
    • RV ANATOMY AND PATHOPHYSIOLOGY
    • RIGHT HEART IMAGING PROTOCOL
    • QUALITATIVE ASSESSMENT OF THE RV
    • PRESSURE MEASUREMENTS IN PH
    • CARDIAC CHAMBER CAVITY MEASUREMENTS IN PH
    • MEASURES OF FUNCTION IN PH
    • CAUSES OF PH
    • NEW TECHNIQUES
    • ECHOCARDIOGRAPHY REPORTING
    • CONCLUSIONS
    • Acknowledgments
    • Footnotes
    • REFERENCES
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