Abstract 11890: Evaluation of the Impact of an Echocardiographic Diagnosis of Pulmonary Hypertension on Patient Outcomes

IntroductionElevated right ventricular systolic pressure (RVSP) on routine echocardiography is common, and its clinical significance is underappreciated. It remains unclear whether the finding of elevated RVSP combined with the patient’s clinical profile can assist clinicians to recognise pulmonary...

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Bibliographic Details
Published in:Circulation (New York, N.Y.) N.Y.), 2019-11, Vol.140 (Suppl_1 Suppl 1), p.A11890-A11890
Main Authors: Xiong, Ping Yu, Zardasht, Jaff, D’Arsigny, Christine, Archer, Stephen L, Wijerante, Thiwanka
Format: Article
Language:English
Online Access:Get full text
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Summary:IntroductionElevated right ventricular systolic pressure (RVSP) on routine echocardiography is common, and its clinical significance is underappreciated. It remains unclear whether the finding of elevated RVSP combined with the patient’s clinical profile can assist clinicians to recognise pulmonary hypertension (PH) or predict patient outcomes.Methods and ResultsThe index echocardiography from 9291 unique patients were obtained from the Kingston Health Sciences Centre between February, 2013 to December, 2016. Of these, 3094 patients (33.3%) RVSP could not be measured, 2049 patients (22.1%) had an elevated RVSP≥40 mmHg, and only 284 patients (3.1%) carried an ICD-10 diagnosis of PH. Dividing patients by RVSP into quartiles revealed that patients in quartile 4 (Q4, the highest RVSP) compared to patients in Q1, which had larger right atrial (RA)-volume index (33.8±18.3 vs. 21.6±9.4 mL/m, p
ISSN:0009-7322
1524-4539
DOI:10.1161/circ.140.suppl_1.11890