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Doppler echocardiography does not accurately estimate pulmonary artery systolic pressure in HIV-infected patients |
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| Authors: | Van N Selby Rebecca Scherzer Christopher F Barnett John S Macgregor Juliana Morelli Catherine Donovan Steven G Deeks Jeffrey N Martin Priscilla Y Hsue |
| Affiliation: | aDivision of Cardiology, San Francisco General Hospital bDepartment of Medicine and the Positive Health Program of the Department of Medicine, San Francisco General Hospital cDepartment of Epidemiology and Biostatistics, University of California San Francisco dDivision of Endocrinology and Metabolism, San Francisco VA Medical Center, San Francisco, California, USA. |
| Abstract: | Doppler echocardiography is used to screen for HIV-related pulmonary arterial hypertension (HRPAH). We studied patients with HIV infection to determine the accuracy of Doppler echocardiography-estimated pulmonary artery systolic pressure (PASP) compared with PASP measured during right heart catheterization. Doppler echocardiography-estimated PASP was inaccurate in 19.7% of cases. Using Doppler echocardiography-estimated PASP, one in three patients with HRPAH was missed. Doppler echocardiography estimates of PASP are not accurate in patients with HIV. |
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