Echocardiography in pediatric pulmonary hypertension. Paediatr Respir Rev 2013 Sep;14(3):157-64
Date
02/16/2013Pubmed ID
23411118DOI
10.1016/j.prrv.2012.12.008Scopus ID
2-s2.0-84881543110 (requires institutional sign-in at Scopus site) 16 CitationsAbstract
Pediatric pulmonary hypertension is a complicated disease with multiple etiologies and high mortality. Echocardiography is at the forefront of evaluation as a noninvasive, portable imaging modality that can yield diagnostic and prognostic information regarding this disease. Echocardiography is known for its ability to give an anatomic assessment of the heart and proximal blood vessels. With the additional use of Doppler echocardiography and myocardial motion assessment, the effects of elevated pulmonary pressures on the heart can be evaluated. This can allow for estimation of pulmonary artery pressures and resistances and assessment of ventricular systolic and diastolic functions. However despite its advantages, echocardiography is still an indirect assessment of pulmonary hypertension and not a substitute for cardiac catheterization. The purpose of this review is to discuss common techniques for the assessment of pulmonary hypertension by echocardiography as well as their limitations.
Author List
Kirkpatrick ECAuthor
Edward C. Kirkpatrick DO Professor in the Pediatrics department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
Cardiac CatheterizationChild
Echocardiography, Doppler
Humans
Hypertension, Pulmonary
Vascular Resistance
Ventricular Function, Right
Ventricular Pressure