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. 2022 Oct 19;9:9. doi: 10.1186/s44156-022-00010-9

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© The Author(s) 2022

Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

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Fig. 2 — Proposed additional algorithm for those with low or intermediate TTE probability to help identify those with PH and low TTE probability. RVFAC normal cut-off values taken from (Harkness et al., 2020). RVFWLS (right ventricular free wall longitudinal strain); RVFAC (right ventricular fractional area change); IVRT TDI (isovolumetric relaxation time by tissue Doppler imaging); IMPULSE (improving pulmonary hypertension screening by echocardiography)