Table 1.

Useful echo observations while assessing for pulmonary pressure.

Observation	Inference
RVH and dilation RA dilation decreased deceleration time of early mitral inflow	RV pressure overload
Systolic flattening of the IVS D-shaped LV with reduced diastolic and systolic volumes with preserved systolic function	RV pressure overload
Coronary sinus dilation	Elevated RA pressure
IVC (hepatic vein dilation) with reduced or absent collapse on sniff	Elevated RA pressure
Pericardial effusion	Impaired lymphatic drainage, secondary to elevated right ventricular pressure
Large TR	RV enlargement and tethering of the leaflets towards the apex.
Raised RV myocardial performance index (Tei index)	RV dysfunction