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Pulsed wave Doppler in the right ventricular outflow tract showing notching with pulmonary hypertension

Pulsed wave Doppler in the right ventricular outflow tract showing notching with pulmonary hypertension
Systolic notching in the pulsed wave Doppler recording of right ventricular outflow tract flow. Mid-systolic notching strongly suggests elevated pulmonary vascular resistance.
Courtesy of Jonathon Afilalo, MD and Lawrence Rudski, MD.
Graphic 90793 Version 2.0