Doppler echocardiography does not accurately estimate pulmonary artery systolic pressure in HIV-infected patients.
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.
Division of Cardiology, San Francisco General Hospital, San Francisco, CA 94110, USA.
Van N
VN
Selby
Rebecca
R
Scherzer
Christopher F
CF
Barnett
John S
JS
MacGregor
Juliana
J
Morelli
Catherine
C
Donovan
Steven G
SG
Deeks
Jeffrey N
JN
Martin
Priscilla Y
PY
Hsue
D000163:Acquired Immunodeficiency Syndrome / Q000150:complications / Q000503:physiopathology*; D001794:Blood Pressure; D015150:Echocardiography, Doppler; D065627:Familial Primary Pulmonary Hypertension; D005260:Female; D006801:Humans; D006976:Hypertension, Pulmonary / Q000000981:diagnostic imaging / Q000503:physiopathology*; D008297:Male; D008875:Middle Aged; D011651:Pulmonary Artery / Q000000981:diagnostic imaging / Q000503:physiopathology*; D016896:Treatment Outcome