ArticlePulmonary circulation
Diagnosis and assessment of pulmonary vascular disease by Doppler echocardiography.
Article in Pulmonary circulation. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.
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Who cites it
36 citing papers in PubMed, 1 synthesis or guideline pooled it, 96 citations in OpenAlex.
- Brazilian recommendations of mechanical ventilation 2013. Part 2.Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia · 2014Guideline
- Relationship between echocardiographic and magnetic resonance derived measures of right ventricular size and function in patients with pulmonary hypertension.Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography · 2014Trial
- The impact of right ventricular free wall strain on current international echocardiography guidelines for the assessment of pulmonary hypertension.Echo research and practice · 2026Article
- Right and left heart morphology and function in dogs with compensated chronic right ventricular pressure overload secondary to pulmonic stenosis or precapillary pulmonary hypertension.The Canadian veterinary journal = La revue veterinaire canadienne · 2026Article
- Prenatal Diagnosis and Decision-Making in Severe Pulmonary Stenosis With Coronary Sinusoids: A Case Report.Clinical case reports · 2025Article
- A better method to evaluate the reliability of echocardiography for assessment of pulmonary hypertension: comparison of tricuspid regurgitant spectrum quality grading and tricuspid valve regurgitation degree.Journal of thoracic disease · 2024Article
- Article
- Non-invasive imaging techniques for early diagnosis of bilateral cardiac dysfunction in pulmonary hypertension: current crests, future peaks.Frontiers in cardiovascular medicine · 2024Review
- Diagnostic Evaluation of Pulmonary Hypertension: A Comprehensive Approach for Primary Care Physicians.Journal of clinical medicine · 2023Review
- The PH-ILD Detection tool: External validation and use in patients with ILD.Pulmonary circulation · 2023Article
- IMproving PULmonary hypertension Screening by Echocardiography: IMPULSE.Echo research and practice · 2022Article
- Arterial hypertension in systemic sclerosis.Postepy dermatologii i alergologii · 2022Article
- Notching into a Diagnosis-Incorporating Doppler Interrogation into Point-of-Care Ultrasonography to Diagnose a Submassive Pulmonary Embolism.CASE (Philadelphia, Pa.) · 2022Article
- Recognizing pulmonary hypertension following pulmonary thromboendarterectomy: A practical guide for clinicians.Pulmonary circulation · 2022Review
- Operability of atrial septal defect with borderline pulmonary vascular resistance index: A study in developing country.Frontiers in surgery · 2022Article
- Elastin Insufficiency Confers Proximal and Distal Pulmonary Vasculopathy in Mice, Partially Remedied by the KFrontiers in cardiovascular medicine · 2022Article
- Multimodality cardiovascular imaging in pulmonary embolism.Cardiology journal · 2021Article
- Echocardiographic Screening Methods for Pulmonary Hypertension: A Practical Review.Journal of cardiovascular imaging · 2020Review
- Normal values of the pulmonary artery acceleration time (PAAT) and the right ventricular ejection time (RVET) in children and adolescents and the impact of the PAAT/RVET-index in the assessment of pulmonary hypertension.The international journal of cardiovascular imaging · 2019Article
- Echocardiographic assessment of pulmonary hypertension: a guideline protocol from the British Society of Echocardiography.Echo research and practice · 2018Article
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Pulmonary hypertension (PH) is a relatively misunderstood disease, partly related to the fact that many perceive PH to be a singular diagnosis. An unintended consequence of this is the misapplication of the role of the Doppler-Echocardiographic (DE) examination, as well as an underappreciation for its ability to help discern PH pathophysiology prior to right heart catheterization. Since DE often serves as the "gatekeeper" to invasive right heart catheterization, misinterpretation of the DE can lead to missed or delayed diagnosis with devastating consequences. Too often, the primary or nearly exclusive focus of the DE examination is placed on the pulmonary artery pressure estimation. Two main issues with this approach are that Doppler pressure estimations can be inaccurate and even when accurate, without integration of additional 2-D and Doppler information, the clinician will often still not appreciate the pathophysiology of the PH nor its clinical significance. This review will focus on the 2-D and Doppler features necessary to assess pulmonary vascular disease (PVD), discern the salient differences between PVD and pulmonary venous hypertension (PVH), and how to integrate these key DE parameters such that PH pathophysiology can be determined noninvasively and early in the patient workup. Overreliance on any single DE metric, and especially PA pressure estimation, detracts from the overall diagnostic potential of the DE examination. Integrating the relative balance of right and left heart findings, along with proper Doppler interpretation provides a wealth of clinical and pathophysiologic insight prior to invasive hemodynamic assessment. The end results are heightened awareness and improved identification of which patients should be referred for further invasive testing, as well the use of the DE information to compliment the findings from invasive testing.
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