Echocardiography and Pulmonary Arterial Hypertension

  • Eduardo Bossone | ebossone@hotmail.com Istituto di Malattie dell’Apparato Respiratorio, Università di Milano, IRCCS Ospedale Maggiore, Milano, Italy.
  • Rodolfo Citro Dipartimento di Cardiologia, Ospedale San Luca, Vallo della Lucania, Salerno, Italy.
  • Alberto Ruggiero Divisione di Cardiologia, Cava de’ Tirreni - Costa d’Amalfi, Salerno, Italy.
  • Bettina Kuersten Divisione di Cardiologia, Cava de’ Tirreni - Costa d’Amalfi, Salerno, Italy.
  • Giovanni Gregorio Dipartimento di Cardiologia, Ospedale San Luca, Vallo della Lucania, Salerno, Italy.
  • Francesco Blasi Istituto di Malattie dell’Apparato Respiratorio, Università di Milano, IRCCS Ospedale Maggiore, Milano, Italy.
  • Luigi Allegra Istituto di Malattie dell’Apparato Respiratorio, Università di Milano, IRCCS Ospedale Maggiore, Milano, Italy.

Abstract

Pulmonary Arterial Hypertension (PAH) is an heterogeneous condition brought on by a wide range of causes. It is characterized by structural changes in small pulmonary arteries, that produce a progressive increase in pulmonary artery pressure and pulmonary vascular resistance, ultimately leading to right ventricle failure and death. Given the non-specific nature of its early symptoms and signs, PAH is often diagnosed in its advanced stages. Along with a careful clinical assessment and an accurate electrocardiogram/Chest X-ray interpretation, echocardiography is an essential test in the evaluation of patient with PAH. In fact it not only provides an accurate estimate of pulmonary pressure at rest and during exercise, but may also help to exclude any secondary causes, predict the prognosis, monitor the efficacy of specific therapeutic interventions and detect the preclinical stage of the disease.

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Published
2016-01-26
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Section
Reviews
Keywords:
echocardiography, pulmonary arterial hypertension
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How to Cite
Bossone, E., Citro, R., Ruggiero, A., Kuersten, B., Gregorio, G., Blasi, F., & Allegra, L. (2016). Echocardiography and Pulmonary Arterial Hypertension. Monaldi Archives for Chest Disease, 68(4). https://doi.org/10.4081/monaldi.2007.440

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