Multimodality Imaging in Pulmonary Hypertension
Abstract Pulmonary hypertension (PH) is a pathophysiological condition defined as an increase in mean pulmonary artery pressure of ≥ 25 mm Hg at rest. Although right heart catheterization remains an essential step in the diagnostic algorithm—particularly for pulmonary arterial hypertension—noninvasi...
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| Veröffentlicht in: | Canadian journal of cardiology 2015-04, Vol.31 (4), p.440-459 |
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| creator | Bossone, Eduardo, MD, PhD Dellegrottaglie, Santo, MD, PhD Patel, Smita, MBBS, MRCP Grunig, Ekkehard, MD D'Andrea, Antonello, MD, PhD Ferrara, Francesco, MD, PhD Gargiulo, Paola, MD D'Alto, Michele, MD Soricelli, Andrea, MD Cittadini, Antonio, MD, PhD Sanz, Javier, MD Perrone-Filardi, Pasquale, MD, PhD Rubenfire, Melvyn, MD |
| description | Abstract Pulmonary hypertension (PH) is a pathophysiological condition defined as an increase in mean pulmonary artery pressure of ≥ 25 mm Hg at rest. Although right heart catheterization remains an essential step in the diagnostic algorithm—particularly for pulmonary arterial hypertension—noninvasive multimodality imaging plays an important role in defining the cause, assessing outcome, monitoring the efficacy of specific therapeutic interventions, and detecting the preclinical stage of disease. We review the role of multimodality imaging in the evaluation of PH—including echocardiography, chest computed tomography, cardiovascular magnetic resonance imaging, and nuclear imaging—the choice of which depends on individual patient-based indications provided by the clinical team in accordance with current guidelines, also taking into account institutional expertise, patient safety and convenience, and repeatability. Recent advances in cardiac imaging (3-dimensional echocardiography and strain imaging, tissue characterization, and 18F-fluorodeoxyglucose positron emission tomography) may provide new insights into the pathophysiological characteristics of the right heart–pulmonary circulation unit. |
| doi_str_mv | 10.1016/j.cjca.2015.02.012 |
| format | Article |
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Although right heart catheterization remains an essential step in the diagnostic algorithm—particularly for pulmonary arterial hypertension—noninvasive multimodality imaging plays an important role in defining the cause, assessing outcome, monitoring the efficacy of specific therapeutic interventions, and detecting the preclinical stage of disease. We review the role of multimodality imaging in the evaluation of PH—including echocardiography, chest computed tomography, cardiovascular magnetic resonance imaging, and nuclear imaging—the choice of which depends on individual patient-based indications provided by the clinical team in accordance with current guidelines, also taking into account institutional expertise, patient safety and convenience, and repeatability. Recent advances in cardiac imaging (3-dimensional echocardiography and strain imaging, tissue characterization, and 18F-fluorodeoxyglucose positron emission tomography) may provide new insights into the pathophysiological characteristics of the right heart–pulmonary circulation unit.</description><identifier>ISSN: 0828-282X</identifier><identifier>EISSN: 1916-7075</identifier><identifier>DOI: 10.1016/j.cjca.2015.02.012</identifier><identifier>PMID: 25840095</identifier><language>eng</language><publisher>England: Elsevier Inc</publisher><subject>Cardiac Catheterization - methods ; Cardiovascular ; Echocardiography - methods ; Humans ; Hypertension, Pulmonary - diagnosis ; Multimodal Imaging - methods ; Positron-Emission Tomography - methods ; Reproducibility of Results ; Tomography, X-Ray Computed - methods</subject><ispartof>Canadian journal of cardiology, 2015-04, Vol.31 (4), p.440-459</ispartof><rights>Canadian Cardiovascular Society</rights><rights>2015 Canadian Cardiovascular Society</rights><rights>Copyright © 2015 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c411t-613ab67b985681dfa76ca91fd7c16a54b0bab5702b16535e095fa87ed85ae1a93</citedby><cites>FETCH-LOGICAL-c411t-613ab67b985681dfa76ca91fd7c16a54b0bab5702b16535e095fa87ed85ae1a93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.cjca.2015.02.012$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,45976</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25840095$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bossone, Eduardo, MD, PhD</creatorcontrib><creatorcontrib>Dellegrottaglie, Santo, MD, PhD</creatorcontrib><creatorcontrib>Patel, Smita, MBBS, MRCP</creatorcontrib><creatorcontrib>Grunig, Ekkehard, MD</creatorcontrib><creatorcontrib>D'Andrea, Antonello, MD, PhD</creatorcontrib><creatorcontrib>Ferrara, Francesco, MD, PhD</creatorcontrib><creatorcontrib>Gargiulo, Paola, MD</creatorcontrib><creatorcontrib>D'Alto, Michele, MD</creatorcontrib><creatorcontrib>Soricelli, Andrea, MD</creatorcontrib><creatorcontrib>Cittadini, Antonio, MD, PhD</creatorcontrib><creatorcontrib>Sanz, Javier, MD</creatorcontrib><creatorcontrib>Perrone-Filardi, Pasquale, MD, PhD</creatorcontrib><creatorcontrib>Rubenfire, Melvyn, MD</creatorcontrib><title>Multimodality Imaging in Pulmonary Hypertension</title><title>Canadian journal of cardiology</title><addtitle>Can J Cardiol</addtitle><description>Abstract Pulmonary hypertension (PH) is a pathophysiological condition defined as an increase in mean pulmonary artery pressure of ≥ 25 mm Hg at rest. Although right heart catheterization remains an essential step in the diagnostic algorithm—particularly for pulmonary arterial hypertension—noninvasive multimodality imaging plays an important role in defining the cause, assessing outcome, monitoring the efficacy of specific therapeutic interventions, and detecting the preclinical stage of disease. We review the role of multimodality imaging in the evaluation of PH—including echocardiography, chest computed tomography, cardiovascular magnetic resonance imaging, and nuclear imaging—the choice of which depends on individual patient-based indications provided by the clinical team in accordance with current guidelines, also taking into account institutional expertise, patient safety and convenience, and repeatability. Recent advances in cardiac imaging (3-dimensional echocardiography and strain imaging, tissue characterization, and 18F-fluorodeoxyglucose positron emission tomography) may provide new insights into the pathophysiological characteristics of the right heart–pulmonary circulation unit.</description><subject>Cardiac Catheterization - methods</subject><subject>Cardiovascular</subject><subject>Echocardiography - methods</subject><subject>Humans</subject><subject>Hypertension, Pulmonary - diagnosis</subject><subject>Multimodal Imaging - methods</subject><subject>Positron-Emission Tomography - methods</subject><subject>Reproducibility of Results</subject><subject>Tomography, X-Ray Computed - methods</subject><issn>0828-282X</issn><issn>1916-7075</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU1r3DAQhkVpyG7T_IEeyh57sVejtT4MpVCWpBtISCAN5CZkeRzk2vJWsgP77yOzSQ499DSX93mZeYaQL0BzoCDWbW5ba3JGgeeU5RTYB7KEEkQmqeQfyZIqpjKm2OOCfIqxpbQAKcUpWTCuCkpLviTrm6kbXT_UpnPjYXXVmyfnn1bOr-6mrh-8CYfV7rDHMKKPbvCfyUljuojnr_OMPFxe_N7usuvbX1fbn9eZLQDGTMDGVEJWpeJCQd0YKawpoamlBWF4UdHKVFxSVoHgG45pl8YoibXiBsGUmzPy7di7D8PfCeOoexctdp3xOExRQ6otoSi4SlF2jNowxBiw0fvg-rS4BqpnUbrVsyg9i9KU6SQqQV9f-6eqx_odeTOTAt-PAUxXPjsMOlqH3mLtAtpR14P7f_-Pf3DbOe-s6f7gAWM7TMEnfxp0TIC-n181fwo4TbgoNy-hT422</recordid><startdate>20150401</startdate><enddate>20150401</enddate><creator>Bossone, Eduardo, MD, PhD</creator><creator>Dellegrottaglie, Santo, MD, PhD</creator><creator>Patel, Smita, MBBS, MRCP</creator><creator>Grunig, Ekkehard, MD</creator><creator>D'Andrea, Antonello, MD, PhD</creator><creator>Ferrara, Francesco, MD, PhD</creator><creator>Gargiulo, Paola, MD</creator><creator>D'Alto, Michele, MD</creator><creator>Soricelli, Andrea, MD</creator><creator>Cittadini, Antonio, MD, PhD</creator><creator>Sanz, Javier, MD</creator><creator>Perrone-Filardi, Pasquale, MD, PhD</creator><creator>Rubenfire, Melvyn, MD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20150401</creationdate><title>Multimodality Imaging in Pulmonary Hypertension</title><author>Bossone, Eduardo, MD, PhD ; Dellegrottaglie, Santo, MD, PhD ; Patel, Smita, MBBS, MRCP ; Grunig, Ekkehard, MD ; D'Andrea, Antonello, MD, PhD ; Ferrara, Francesco, MD, PhD ; Gargiulo, Paola, MD ; D'Alto, Michele, MD ; Soricelli, Andrea, MD ; Cittadini, Antonio, MD, PhD ; Sanz, Javier, MD ; Perrone-Filardi, Pasquale, MD, PhD ; Rubenfire, Melvyn, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c411t-613ab67b985681dfa76ca91fd7c16a54b0bab5702b16535e095fa87ed85ae1a93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Cardiac Catheterization - methods</topic><topic>Cardiovascular</topic><topic>Echocardiography - methods</topic><topic>Humans</topic><topic>Hypertension, Pulmonary - diagnosis</topic><topic>Multimodal Imaging - methods</topic><topic>Positron-Emission Tomography - methods</topic><topic>Reproducibility of Results</topic><topic>Tomography, X-Ray Computed - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bossone, Eduardo, MD, PhD</creatorcontrib><creatorcontrib>Dellegrottaglie, Santo, MD, PhD</creatorcontrib><creatorcontrib>Patel, Smita, MBBS, MRCP</creatorcontrib><creatorcontrib>Grunig, Ekkehard, MD</creatorcontrib><creatorcontrib>D'Andrea, Antonello, MD, PhD</creatorcontrib><creatorcontrib>Ferrara, Francesco, MD, PhD</creatorcontrib><creatorcontrib>Gargiulo, Paola, MD</creatorcontrib><creatorcontrib>D'Alto, Michele, MD</creatorcontrib><creatorcontrib>Soricelli, Andrea, MD</creatorcontrib><creatorcontrib>Cittadini, Antonio, MD, PhD</creatorcontrib><creatorcontrib>Sanz, Javier, MD</creatorcontrib><creatorcontrib>Perrone-Filardi, Pasquale, MD, PhD</creatorcontrib><creatorcontrib>Rubenfire, Melvyn, MD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Canadian journal of cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bossone, Eduardo, MD, PhD</au><au>Dellegrottaglie, Santo, MD, PhD</au><au>Patel, Smita, MBBS, MRCP</au><au>Grunig, Ekkehard, MD</au><au>D'Andrea, Antonello, MD, PhD</au><au>Ferrara, Francesco, MD, PhD</au><au>Gargiulo, Paola, MD</au><au>D'Alto, Michele, MD</au><au>Soricelli, Andrea, MD</au><au>Cittadini, Antonio, MD, PhD</au><au>Sanz, Javier, MD</au><au>Perrone-Filardi, Pasquale, MD, PhD</au><au>Rubenfire, Melvyn, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Multimodality Imaging in Pulmonary Hypertension</atitle><jtitle>Canadian journal of cardiology</jtitle><addtitle>Can J Cardiol</addtitle><date>2015-04-01</date><risdate>2015</risdate><volume>31</volume><issue>4</issue><spage>440</spage><epage>459</epage><pages>440-459</pages><issn>0828-282X</issn><eissn>1916-7075</eissn><abstract>Abstract Pulmonary hypertension (PH) is a pathophysiological condition defined as an increase in mean pulmonary artery pressure of ≥ 25 mm Hg at rest. 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| ispartof | Canadian journal of cardiology, 2015-04, Vol.31 (4), p.440-459 |
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| subjects | Cardiac Catheterization - methods Cardiovascular Echocardiography - methods Humans Hypertension, Pulmonary - diagnosis Multimodal Imaging - methods Positron-Emission Tomography - methods Reproducibility of Results Tomography, X-Ray Computed - methods |
| title | Multimodality Imaging in Pulmonary Hypertension |
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