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Pulmonary hypertension severity by echocardiography and pulmonary artery catheterization

Pulmonary hypertension severity by echocardiography and pulmonary artery catheterization
Echocardiography
ePASP
Pulmonary artery catheter
mPAP
Mild
≥20 mmHg and <40 mmHg ≥25* mmHg and <30 mmHg
Moderate
≥40 mmHg and <60 mmHg ≥30 mmHg and <35 mmHg
Severe
≥60 mmHg

≥35 mmHg

OR

≥25 mmHg and elevated RA pressure and/or CI <2 L/min/m2
The values determined by echocardiography are estimations only based upon our experience and those of other pulmonary hypertension experts. Estimations by echocardiography are subject to variation and are, in general, less accurate than those achieved by pulmonary artery catheterization. Other features on echocardiography that may indicate severe PH include tricuspid regurgitant jet >3 meters/second and right ventricle dilatation or dysfunction.
ePASP: estimated pulmonary artery systolic pressure; mPAP: mean pulmonary artery pressure; RA: right atrial; CI: cardiac index.
* Those with mPAP between 20 and 24 mmHg are considered to have borderline elevations in PAP of uncertain significance.
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