TABLE 2.
Echocardiographic signs suggesting pulmonary hypertension (PH) used to assess the probability of PH in addition to tricuspid regurgitation velocity measurement in table 1
A: The ventricles | B: Pulmonary artery | C: Inferior vena cava and right atrium |
Right ventricle/left ventricle basal diameter ratio >1.0 | Right ventricular outflow Doppler acceleration time <105 ms and/or mid-systolic notching | Inferior cava diameter >21 mm with decreased inspiratory collapse (<50% with a sniff or <20% with quiet inspiration) |
Flattening of the interventricular septum (left ventricular eccentricity index >1.1 in systole and/or diastole) | Early diastolic pulmonary regurgitation velocity >2.2 m·s–1 | Right atrial area (end-systole) >18 cm2 |
Pulmonary artery diameter >25 mm |
Echocardiographic signs from at least two different categories (A/B/C) from the list should be present to alter the level of echocardiographic probability of PH. Reproduced and modified from [24] with permission.