Invasive and Noninvasive Evaluation for the Diagnosis of Pulmonary Hypertension: How to Use and How to Combine Them

Michele D'Alto; Giovanni Maria Di Marco; Antonello D'Andrea; Paola Argiento; Emanuele Romeo; Francesco Ferrara; Bouchra Lamia; Stefano Ghio; Lawrence G. Rudski

doi:10.1016/j.hfc.2018.02.010

Invasive and Noninvasive Evaluation for the Diagnosis of Pulmonary Hypertension: How to Use and How to Combine Them

Michele D'Alto, Giovanni Maria Di Marco, Antonello D'Andrea, Paola Argiento, Emanuele Romeo, Francesco Ferrara, Bouchra Lamia, Stefano Ghio, Lawrence G. Rudski

Research output: Contribution to journal › Review article › peer-review

Abstract

The etiologic diagnosis of pulmonary hypertension (PH) may be very challenging. Right-heart catheterization (RHC) in isolation cannot classify a precapillary PH patient into group 1, 3, 4, or 5. Moreover, RHC may be not sufficient for reaching a definitive differential diagnosis of precapillary or postcapillary PH if hemodynamic data are not integrated in clinical context and combined with information gleaned from noninvasive imaging. Therefore, only the integration of risk factors, clinical evaluation, invasive and noninvasive tests allows the physician to distinguish between different forms of PH.

Original language	English
Pages (from-to)	353-360
Number of pages	8
Journal	Heart Failure Clinics
Volume	14
Issue number	3
DOIs	https://doi.org/10.1016/j.hfc.2018.02.010
Publication status	Published - Jul 1 2018

Keywords

Echocardiography
Heart catheterization
Invasive
Noninvasive
Pulmonary hypertension

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine

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10.1016/j.hfc.2018.02.010

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title = "Invasive and Noninvasive Evaluation for the Diagnosis of Pulmonary Hypertension: How to Use and How to Combine Them",

abstract = "The etiologic diagnosis of pulmonary hypertension (PH) may be very challenging. Right-heart catheterization (RHC) in isolation cannot classify a precapillary PH patient into group 1, 3, 4, or 5. Moreover, RHC may be not sufficient for reaching a definitive differential diagnosis of precapillary or postcapillary PH if hemodynamic data are not integrated in clinical context and combined with information gleaned from noninvasive imaging. Therefore, only the integration of risk factors, clinical evaluation, invasive and noninvasive tests allows the physician to distinguish between different forms of PH.",

keywords = "Echocardiography, Heart catheterization, Invasive, Noninvasive, Pulmonary hypertension",

author = "Michele D'Alto and {Di Marco}, {Giovanni Maria} and Antonello D'Andrea and Paola Argiento and Emanuele Romeo and Francesco Ferrara and Bouchra Lamia and Stefano Ghio and Rudski, {Lawrence G.}",

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T1 - Invasive and Noninvasive Evaluation for the Diagnosis of Pulmonary Hypertension

T2 - How to Use and How to Combine Them

AU - D'Alto, Michele

AU - Di Marco, Giovanni Maria

AU - D'Andrea, Antonello

AU - Argiento, Paola

AU - Romeo, Emanuele

AU - Ferrara, Francesco

AU - Lamia, Bouchra

AU - Ghio, Stefano

AU - Rudski, Lawrence G.

PY - 2018/7/1

Y1 - 2018/7/1

N2 - The etiologic diagnosis of pulmonary hypertension (PH) may be very challenging. Right-heart catheterization (RHC) in isolation cannot classify a precapillary PH patient into group 1, 3, 4, or 5. Moreover, RHC may be not sufficient for reaching a definitive differential diagnosis of precapillary or postcapillary PH if hemodynamic data are not integrated in clinical context and combined with information gleaned from noninvasive imaging. Therefore, only the integration of risk factors, clinical evaluation, invasive and noninvasive tests allows the physician to distinguish between different forms of PH.

AB - The etiologic diagnosis of pulmonary hypertension (PH) may be very challenging. Right-heart catheterization (RHC) in isolation cannot classify a precapillary PH patient into group 1, 3, 4, or 5. Moreover, RHC may be not sufficient for reaching a definitive differential diagnosis of precapillary or postcapillary PH if hemodynamic data are not integrated in clinical context and combined with information gleaned from noninvasive imaging. Therefore, only the integration of risk factors, clinical evaluation, invasive and noninvasive tests allows the physician to distinguish between different forms of PH.

KW - Echocardiography

KW - Heart catheterization

KW - Invasive

KW - Noninvasive

KW - Pulmonary hypertension

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Invasive and Noninvasive Evaluation for the Diagnosis of Pulmonary Hypertension: How to Use and How to Combine Them

Abstract

Keywords

ASJC Scopus subject areas

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