Abstract
Pulmonary hypertension (PH) can be a rapidly progressive and fatal disease. Although right heart catheterization remains the gold standard in evaluation of PH, echocardiography remains an important tool in screening, diagnosing, evaluating, and following these patients. In this article, we will review the important echocardiographic parameters of the right heart in evaluating its anatomy, hemodynamic assessment, systolic, and diastolic function in children with PH.
Highlights
Echocardiography in pediatric pulmonary hypertensionPediatric Cardiology, Children’s Hospital Colorado, University of Colorado School of Medicine, Aurora, cardiac output (CO), USA
Pulmonary hypertension (PH) is a progressive disease that carries high morbidity and mortality
right ventricular (RV)/left ventricular (LV) ratio at end-systole measured at the level of the papillary muscles incorporates RV dimension in the parasternal short axis view and has been shown to correlate with invasive measures of hemodynamics and RV/LV end-systolic ratio>1 is associated with adverse clinical outcomes in children with PH (Figure 4) [19]
Summary
Pediatric Cardiology, Children’s Hospital Colorado, University of Colorado School of Medicine, Aurora, CO, USA. Reviewed by: Jeffrey Feinstein, Stanford University, USA Cecile Tissot, The University Children’s Hospital, Switzerland Tilman Humpl, SickKids Hospital, Canada. Pulmonary hypertension (PH) can be a rapidly progressive and fatal disease. Right heart catheterization remains the gold standard in evaluation of PH, echocardiography remains an important tool in screening, diagnosing, evaluating, and following these patients. We will review the important echocardiographic parameters of the right heart in evaluating its anatomy, hemodynamic assessment, systolic, and diastolic function in children with PH
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