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Pulmonary arterial hypertension: the key role of echocardiography
Authors:Bossone Eduardo  Bodini Bruno Dino  Mazza Alfredo  Allegra Luigi
Institution:Institute of Respiratory Disease, University of Milan, IRCCS Ospedale Maggiore, Milan, Italy. bossone@isbem.cnrsm.it
Abstract:Given the nonspecific nature of its early symptoms and signs, pulmonary arterial hypertension (PAH) is often diagnosed in its advanced stages. Although clinical assessment is essential when initially evaluating patients with suspected PAH, echocardiography is a key screening tool in the diagnostic algorithm. It not only provides an estimate of pulmonary pressure at rest and during exercise, but it may also help to exclude any secondary causes of pulmonary hypertension, predict the prognosis, monitor the efficacy of specific therapeutic interventions, and detect the preclinical stage of the disease.
Keywords:echocardiography  exercise-induced pulmonary hypertension  pulmonary hypertension  AT"}  {"#name":"keyword"  "$":{"id":"cekeyw50"}  "$$":[{"#name":"text"  "_":"acceleration time  Ex-echo"}  {"#name":"keyword"  "$":{"id":"cekeyw70"}  "$$":[{"#name":"text"  "_":"exercise Doppler echocardiography  ExPH"}  {"#name":"keyword"  "$":{"id":"cekeyw90"}  "$$":[{"#name":"text"  "_":"exercise-induced pulmonary hypertension  IVS"}  {"#name":"keyword"  "$":{"id":"cekeyw110"}  "$$":[{"#name":"text"  "_":"interventricular septum  LV"}  {"#name":"keyword"  "$":{"id":"cekeyw130"}  "$$":[{"#name":"text"  "_":"left ventricle/ventricular  PAH"}  {"#name":"keyword"  "$":{"id":"cekeyw150"}  "$$":[{"#name":"text"  "_":"pulmonary arterial hypertension  PAP"}  {"#name":"keyword"  "$":{"id":"cekeyw170"}  "$$":[{"#name":"text"  "_":"pulmonary artery pressure  PAPm"}  {"#name":"keyword"  "$":{"id":"cekeyw190"}  "$$":[{"#name":"text"  "_":"mean pulmonary artery pressure  PASP"}  {"#name":"keyword"  "$":{"id":"cekeyw210"}  "$$":[{"#name":"text"  "_":"pulmonary artery systolic pressure  PE"}  {"#name":"keyword"  "$":{"id":"cekeyw230"}  "$$":[{"#name":"text"  "_":"pericardial effusion  PH"}  {"#name":"keyword"  "$":{"id":"cekeyw250"}  "$$":[{"#name":"text"  "_":"pulmonary hypertension  RV"}  {"#name":"keyword"  "$":{"id":"cekeyw270"}  "$$":[{"#name":"text"  "_":"right ventricle/ventricular  RVOT"}  {"#name":"keyword"  "$":{"id":"cekeyw290"}  "$$":[{"#name":"text"  "_":"right ventricular outflow tract  TR"}  {"#name":"keyword"  "$":{"id":"cekeyw310"}  "$$":[{"#name":"text"  "_":"tricuspid regurgitation  2D-echo"}  {"#name":"keyword"  "$":{"id":"cekeyw330"}  "$$":[{"#name":"text"  "_":"two-dimensional echocardiography
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