[en] Pulmonary hypertension (PH) is a classic pathophysiological consequence of left-sided valvular heart disease (VHD). However, as opposed to other forms of PH, there are relatively few published data on the prevalence, impact on outcome, and management of PH with VHD. The objective of this paper is to present a systematic review of PH in patients with VHD. PH is found in 15% to 60% of patients with VHD and is more frequent among symptomatic patients. PH is associated with higher risk of cardiac events under conservative management, during valve replacement or repair procedures, and even following successful corrective procedures. In addition to its usefulness in assessing the presence and severity of VHD, Doppler echocardiography is a key tool in diagnosis of PH and assessment of its repercussion on right ventricular function. Assessment of pulmonary arterial pressure during exercise stress echocardiography may provide additional prognostic information beyond resting evaluation. Cardiac magnetic resonance is also useful for assessing right ventricular geometry and function, which provide additional prognostic information in patients with VHD and PH.
Disciplines :
Cardiovascular & respiratory systems
Author, co-author :
Magne, Julien
Pibarot, Philippe
Sengupta, Partho P.
Donal, Erwan
Rosenhek, Raphael
Lancellotti, Patrizio ; Université de Liège - ULiège > Département des sciences cliniques > Imagerie cardiaque fonctionnelle par échographie
Language :
English
Title :
Pulmonary Hypertension in Valvular Disease: A Comprehensive Review on Pathophysiology to Therapy From the HAVEC Group.
Publication date :
2015
Journal title :
JACC. Cardiovascular Imaging
ISSN :
1936-878X
eISSN :
1876-7591
Publisher :
Elsevier, Netherlands
Volume :
8
Issue :
1
Pages :
83-99
Peer reviewed :
Peer Reviewed verified by ORBi
Commentary :
Copyright (c) 2015 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.
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