Assessment of pulmonary artery pressure by echocardiography-A comprehensive review.
Assessment of pulmonary artery pressure by echocardiography-A comprehensive review.
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DOI：
10.1016/j.ijcha.2016.05.011
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发表时间：
2016-09
期刊：
影响因子：
--
通讯作者：
Frenneaux MP
中科院分区：
文献类型：
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作者：
Parasuraman S;Walker S;Loudon BL;Gollop ND;Wilson AM;Lowery C;Frenneaux MP
肺动脉高压是一种病理性血液动力学疾病，定义为静息时平均肺动脉压升高≥ 25 mmHg，使用金标准研究通过右心导管术进行评估。肺动脉高压可能是心脏或肺部疾病的并发症，也可能是肺小动脉的原发性疾病。肺动脉压升高（PAP）与死亡率增加相关，无论病因如何。诊断的金标准是侵入性右心导管插入术，但这有其固有的风险。在过去的30年里，超声心动图的巨大技术进步提高了其定量肺动脉压（PAP）的灵敏度，现在被认为是右心导管插入术的安全和现成的替代方法。将来，结合各种回声技术的评分可以在灵敏度和准确性方面接近金标准，从而减少对这些患者进行重复侵入性评估的需要。动脉肺动脉压（PAP）升高与死亡率增加有关。我们回顾了八种已发表的超声心动图技术，以评估PAP的超声心动图。了解所有的超声技术可以避免侵入性测试的需要。需要结合PAP的各种回声衍生测量的评分系统。
Pulmonary hypertension is a pathological haemodynamic condition defined as an increase in mean pulmonary arterial pressure ≥ 25 mmHg at rest, assessed using gold standard investigation by right heart catheterisation. Pulmonary hypertension could be a complication of cardiac or pulmonary disease, or a primary disorder of small pulmonary arteries. Elevated pulmonary pressure (PAP) is associated with increased mortality, irrespective of the aetiology. The gold standard for diagnosis is invasive right heart catheterisation, but this has its own inherent risks. In the past 30 years, immense technological improvements in echocardiography have increased its sensitivity for quantifying pulmonary artery pressure (PAP) and it is now recognised as a safe and readily available alternative to right heart catheterisation. In the future, scores combining various echo techniques can approach the gold standard in terms of sensitivity and accuracy, thereby reducing the need for repeated invasive assessments in these patients. Raised artery pulmonary pressure (PAP) is associated with increased mortality. We review the eight published echo techniques to assess PAP by echocardiography. Knowledge of all the echo techniques could avoid need for invasive tests. A scoring system combining various echo-derived measurements of PAP is needed.