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. 2024 Apr 29;14(5):474. doi: 10.3390/jpm14050474

Table 1.

Summary of echocardiographic parameters related to pulmonary hypertension diagnosis.

Parameter Technical Aspects Correlations with RHC Limitations
TRVpeak PSAX, 4Ch, or any modified view. CW doppler through TV Proportional-moderate to high
  • Severe TR

  • Assumption of Bernoulli equation

PASP PSAX, 4Ch, or any modified view. CW doppler through TV Moderate
  • Severe TR

  • Assumption of Bernoulli equation

  • Assumption of RAP based on the IVC (size and collapsibility, volume overload situations)—underestimation

  • Rapid equalization of pressures between RA and RV

RVOT-AT PSAX. May be not
well-visualized
High
  • Arrhythmias

  • Impaired RV function in critically ill patients

Pulmonary
regurgitation
PSAX. May be not
well-visualized
Low
  • Rare finding

RV speckle
tracking
4Ch view. RV free wall may be not well-visualized Moderate to high
  • Limited studies on specific populations

  • Image quality

RA strain 4Ch view may be not
well-visualized
No data
  • Limited studies on specific populations

  • Image quality

4Ch: 4 chamber, CW: continuous wave, IVC: inferior vena cava, PASP: pulmonary arterial systolic pressure, PSAX: parasternal short axis, RA: right atrium, RAP: right atrium pressure, RHC: right heart catheterization, RV: right ventricle, RVOT-AT: right ventricular outflow track acceleration time, TR: tricuspid regurgitation, TRVpeak: tricuspid regurgitation velocity peak.