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Echocardiography Screening for PH after PE

An essential tool for evaluation

A transthoracic echocardiogram (TTE) helps physicians evaluate patients with suspected pulmonary hypertension (PH)1:

  • Enables indirect assessment of pulmonary arterial pressure

  • Permits evaluation of intracardiac shunt or left-heart disease as causes of PH

 

Signs of PH with echocardiogram

The following findings suggest PH1:

  • Right ventricular dilatation or overload

  • Right atrial enlargement, hypertrophy, and hypokinesis

  • Tricuspid regurgitation

 

An echocardiogram may be performed 6 weeks after acute pulmonary embolism (PE) to screen for persistent PH that may predict the development of chronic thromboembolic pulmonary hypertension (CTEPH).2

 

Transthoracic echocardiogram image
6 Weeks After Acute PE

 

Learn about V/Q scan to screen for CTEPH

References:

1. Jenkins D, Mayer E, Screaton N, Madani M. State-of-the-art chronic thromboembolic pulmonary hypertension diagnosis and management. Eur Respir Rev. 2012;21(123):32-39. 2. Jaff MR, McMurty MS, Archer SL, et al. Management of massive and submassive pulmonary embolism, iliofemoral deep vein thrombosis, and chronic thromboembolic pulmonary hypertension: a scientific statement from the American Heart Association. Circulation. 2011;123(16):1788-1830.

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Site last modified 09/2023

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