Echocardiography in Pulmonary Arterial Hypertension: Is It Time to Reconsider Its Prognostic Utility?
Pulmonary arterial hypertension (PAH) is characterized by an insult in the pulmonary vasculature, with subsequent right ventricular (RV) adaptation to the increased afterload that ultimately leads to RV failure. The awareness of the importance of RV function in PAH has increased considerably because...
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-06-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/10/13/2826 |
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| author | Ioannis T. Farmakis Eftychia Demerouti Panagiotis Karyofyllis George Karatasakis Maria Stratinaki Dimitrios Tsiapras George Athanassopoulos Vassilios Voudris George Giannakoulas |
| author_facet | Ioannis T. Farmakis Eftychia Demerouti Panagiotis Karyofyllis George Karatasakis Maria Stratinaki Dimitrios Tsiapras George Athanassopoulos Vassilios Voudris George Giannakoulas |
| author_sort | Ioannis T. Farmakis |
| collection | DOAJ |
| description | Pulmonary arterial hypertension (PAH) is characterized by an insult in the pulmonary vasculature, with subsequent right ventricular (RV) adaptation to the increased afterload that ultimately leads to RV failure. The awareness of the importance of RV function in PAH has increased considerably because right heart failure is the predominant cause of death in PAH patients. Given its wide availability and reduced cost, echocardiography is of paramount importance in the evaluation of the right heart in PAH. Several echocardiographic parameters have been shown to have prognostic implications in PAH; however, the role of echocardiography in the risk assessment of the PAH patient is limited under the current guidelines. This review discusses the echocardiographic evaluation of the RV in PAH and during therapy, and its prognostic implications, as well as the potential significant role of repeated echocardiographic assessment in the follow-up of patients with PAH. |
| first_indexed | 2024-03-10T10:01:45Z |
| format | Article |
| id | doaj.art-90c960db069a46a5937d7dd2ff34c695 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T10:01:45Z |
| publishDate | 2021-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-90c960db069a46a5937d7dd2ff34c6952023-11-22T01:53:32ZengMDPI AGJournal of Clinical Medicine2077-03832021-06-011013282610.3390/jcm10132826Echocardiography in Pulmonary Arterial Hypertension: Is It Time to Reconsider Its Prognostic Utility?Ioannis T. Farmakis0Eftychia Demerouti1Panagiotis Karyofyllis2George Karatasakis3Maria Stratinaki4Dimitrios Tsiapras5George Athanassopoulos6Vassilios Voudris7George Giannakoulas8Cardiology Department, AHEPA University Hospital, Aristotle University of Thessaloniki, PC 54621 Thessaloniki, GreeceNon-Invasive Cardiology Department, Onassis Cardiac Surgery Center, PC 17674 Athens, GreeceInvasive-Cardiology Department, Onassis Cardiac Surgery Center, PC 17674 Athens, GreeceNon-Invasive Cardiology Department, Onassis Cardiac Surgery Center, PC 17674 Athens, GreeceDepartment of Cardiology, General Hospital Venizeleio, PC 71409 Irákleion, GreeceNon-Invasive Cardiology Department, Onassis Cardiac Surgery Center, PC 17674 Athens, GreeceNon-Invasive Cardiology Department, Onassis Cardiac Surgery Center, PC 17674 Athens, GreeceInvasive-Cardiology Department, Onassis Cardiac Surgery Center, PC 17674 Athens, GreeceCardiology Department, AHEPA University Hospital, Aristotle University of Thessaloniki, PC 54621 Thessaloniki, GreecePulmonary arterial hypertension (PAH) is characterized by an insult in the pulmonary vasculature, with subsequent right ventricular (RV) adaptation to the increased afterload that ultimately leads to RV failure. The awareness of the importance of RV function in PAH has increased considerably because right heart failure is the predominant cause of death in PAH patients. Given its wide availability and reduced cost, echocardiography is of paramount importance in the evaluation of the right heart in PAH. Several echocardiographic parameters have been shown to have prognostic implications in PAH; however, the role of echocardiography in the risk assessment of the PAH patient is limited under the current guidelines. This review discusses the echocardiographic evaluation of the RV in PAH and during therapy, and its prognostic implications, as well as the potential significant role of repeated echocardiographic assessment in the follow-up of patients with PAH.https://www.mdpi.com/2077-0383/10/13/2826echocardiographypulmonary arterial hypertensionright ventricle |
| spellingShingle | Ioannis T. Farmakis Eftychia Demerouti Panagiotis Karyofyllis George Karatasakis Maria Stratinaki Dimitrios Tsiapras George Athanassopoulos Vassilios Voudris George Giannakoulas Echocardiography in Pulmonary Arterial Hypertension: Is It Time to Reconsider Its Prognostic Utility? Journal of Clinical Medicine echocardiography pulmonary arterial hypertension right ventricle |
| title | Echocardiography in Pulmonary Arterial Hypertension: Is It Time to Reconsider Its Prognostic Utility? |
| title_full | Echocardiography in Pulmonary Arterial Hypertension: Is It Time to Reconsider Its Prognostic Utility? |
| title_fullStr | Echocardiography in Pulmonary Arterial Hypertension: Is It Time to Reconsider Its Prognostic Utility? |
| title_full_unstemmed | Echocardiography in Pulmonary Arterial Hypertension: Is It Time to Reconsider Its Prognostic Utility? |
| title_short | Echocardiography in Pulmonary Arterial Hypertension: Is It Time to Reconsider Its Prognostic Utility? |
| title_sort | echocardiography in pulmonary arterial hypertension is it time to reconsider its prognostic utility |
| topic | echocardiography pulmonary arterial hypertension right ventricle |
| url | https://www.mdpi.com/2077-0383/10/13/2826 |
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