Table 5. Echocardiographic criteria for screening of high-risk patients for pulmonary hypertension, if available.
Likelihood for PH | Criteria | Level of Evidence |
---|---|---|
PH unlikely | TRV ≤ 2.8 m/s, and sPAP ≤ 35 mmHg, and No additional echocardiographic criteria for PH, and Asymptomatic | B |
PH possible | Criteria A • TRV ≤ 2.8 m/s, and • sPAP ≤ 35 mmHg, and | C |
• Presence of additional echocardiographic criteria for PH, or symptoms suggestive for PH Criteria B • TRV 2.9 - 3.4 m/s, or • sPAP 36 - 45 mmHg | C | |
PH likely | • TRV > 3.4 m/s, or • sPAP > 45 mmHg | B |
Notes.
- PH
- pulmonary hypertension
- TRV
- tricuspid regurgitation jet velocity
- sPAP
- systolic pulmonary artery pressure
- RHC
- right heart catheterization
- PAH
- pulmonary arterial hypertension. (Modified from Idrees et al, with permission).70