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. 2012 Sep 24;26(15):1967-9.
doi: 10.1097/QAD.0b013e3283579653.

Doppler echocardiography does not accurately estimate pulmonary artery systolic pressure in HIV-infected patients

Van N Selby  1 , Rebecca Scherzer, Christopher F Barnett, John S MacGregor, Juliana Morelli, Catherine Donovan, Steven G Deeks, Jeffrey N Martin, Priscilla Y Hsue
Affiliations

Doppler echocardiography does not accurately estimate pulmonary artery systolic pressure in HIV-infected patients

Van N Selby et al. AIDS. .

Abstract

Doppler echocardiography is used to screen for HIV-related pulmonary arterial hypertension (HRPAH). We studied patients with HIV infection to determine the accuracy of Doppler echocardiography-estimated pulmonary artery systolic pressure (PASP) compared with PASP measured during right heart catheterization. Doppler echocardiography-estimated PASP was inaccurate in 19.7% of cases. Using Doppler echocardiography-estimated PASP, one in three patients with HRPAH was missed. Doppler echocardiography estimates of PASP are not accurate in patients with HIV.

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Figures

Figure 1
Figure 1
Bland-Altman analysis demonstrating lack of agreement between the Doppler echocardiogram estimated pulmonary artery systolic pressure (PASP) and right heart catheterization measured PASP.
See this image and copyright information in PMC

References

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