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Imaging the heart in pulmonary hypertension: an update

Noninvasive imaging of the heart plays an important role in the diagnosis and management of pulmonary hypertension (PH), and several well-established techniques are available for assessing performance of the right ventricle, the key determinant of patient survival. While right heart catheterisation...

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Detalles Bibliográficos
Autores principales: Grünig, Ekkehard, Peacock, Andrew J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: European Respiratory Society 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9487619/
https://www.ncbi.nlm.nih.gov/pubmed/26621979
http://dx.doi.org/10.1183/16000617.0058-2015
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author Grünig, Ekkehard
Peacock, Andrew J.
author_facet Grünig, Ekkehard
Peacock, Andrew J.
author_sort Grünig, Ekkehard
collection PubMed
description Noninvasive imaging of the heart plays an important role in the diagnosis and management of pulmonary hypertension (PH), and several well-established techniques are available for assessing performance of the right ventricle, the key determinant of patient survival. While right heart catheterisation is mandatory for establishing a diagnosis of PH, echocardiography is the most important screening tool for early detection of PH. Cardiac magnetic resonance imaging (CMRI) is also a reliable and practical tool that can be used as part of the diagnostic work-up. Echocardiography can measure a range of haemodynamic and anatomical variables (e.g. pericardial effusion and pulmonary artery pressure), whereas CMRI provides complementary information to echocardiography via high-resolution, three-dimensional imaging. Together with echocardiography and CMRI, techniques such as high-resolution computed tomography and positron emission tomography may also be valuable for screening, monitoring and follow-up assessments of patients with PH, but their clinical relevance has yet to be established. Technological advances have produced new variants of echocardiography, CMRI and positron emission tomography, and these permit closer examination of myocardial architecture, motion and deformation. Integrating these new tools into clinical practice in the future may lead to more precise noninvasive determination of diagnosis, risk and prognosis for PH.
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spelling pubmed-94876192022-11-14 Imaging the heart in pulmonary hypertension: an update Grünig, Ekkehard Peacock, Andrew J. Eur Respir Rev Reviews Noninvasive imaging of the heart plays an important role in the diagnosis and management of pulmonary hypertension (PH), and several well-established techniques are available for assessing performance of the right ventricle, the key determinant of patient survival. While right heart catheterisation is mandatory for establishing a diagnosis of PH, echocardiography is the most important screening tool for early detection of PH. Cardiac magnetic resonance imaging (CMRI) is also a reliable and practical tool that can be used as part of the diagnostic work-up. Echocardiography can measure a range of haemodynamic and anatomical variables (e.g. pericardial effusion and pulmonary artery pressure), whereas CMRI provides complementary information to echocardiography via high-resolution, three-dimensional imaging. Together with echocardiography and CMRI, techniques such as high-resolution computed tomography and positron emission tomography may also be valuable for screening, monitoring and follow-up assessments of patients with PH, but their clinical relevance has yet to be established. Technological advances have produced new variants of echocardiography, CMRI and positron emission tomography, and these permit closer examination of myocardial architecture, motion and deformation. Integrating these new tools into clinical practice in the future may lead to more precise noninvasive determination of diagnosis, risk and prognosis for PH. European Respiratory Society 2015-12 /pmc/articles/PMC9487619/ /pubmed/26621979 http://dx.doi.org/10.1183/16000617.0058-2015 Text en Copyright ©ERS 2015. https://creativecommons.org/licenses/by-nc/4.0/ERR articles are open access and distributed under the terms of the Creative Commons Attribution Non-Commercial Licence 4.0.
spellingShingle Reviews
Grünig, Ekkehard
Peacock, Andrew J.
Imaging the heart in pulmonary hypertension: an update
title Imaging the heart in pulmonary hypertension: an update
title_full Imaging the heart in pulmonary hypertension: an update
title_fullStr Imaging the heart in pulmonary hypertension: an update
title_full_unstemmed Imaging the heart in pulmonary hypertension: an update
title_short Imaging the heart in pulmonary hypertension: an update
title_sort imaging the heart in pulmonary hypertension: an update
topic Reviews
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9487619/
https://www.ncbi.nlm.nih.gov/pubmed/26621979
http://dx.doi.org/10.1183/16000617.0058-2015
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