
Doppler echocardiography does not accurately estimate pulmonary artery systolic pressure in HIV-infected patients
Author(s) -
Van Selby,
Rebecca Scherzer,
Christopher F. Barnett,
John S. MacGregor,
Juliana Morelli,
Catherine Donovan,
Steven G. Deeks,
Jeffrey N. Martin,
Priscilla Y. Hsue
Publication year - 2012
Publication title -
aids
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.195
H-Index - 216
eISSN - 1473-5571
pISSN - 0269-9370
DOI - 10.1097/qad.0b013e3283579653
Subject(s) - medicine , doppler echocardiography , cardiology , pulmonary artery , pulmonary hypertension , doppler effect , blood pressure , pulmonary arterial pressure , radiology , diastole , physics , astronomy
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.