Based upon a Doppler echocardiographic study, it can be determined if PH is likely, unlikely, or possible [8]:
- PH is likely if the PASP is >50 and the TRV is >3.4
- PH is unlikely if the PASP is ≤36, the TRV is ≤2.8, and there are no other suggestive findings
- PH is possible with other combinations of findings
- Pulmonary hypertension (PH) defined as a mean pulmonary arterial (PA) pressure of greater than 25 mm Hg at rest or greater than 30 mm Hg during exercise, is characterized by a progressive and sustained increase in pulmonary vascular resistance that eventually leads to right ventricular (RV) failure.
- Diagnosis of PAH requires the presence of pulmonary hypertension with two other conditions. Pulmonary artery occlusion pressure (PAOP or PCWP) must be less than 15 mm Hg (2000 Pa) and pulmonary vascular resistance (PVR) must be greater than 3 Wood units (240 dyn•s•cm−5 or 2.4 mN•s•cm−5).
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