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Title:Advances in the imaging of pulmonary hypertension
Authors:ID Kačar, Polona (Author)
ID Prokšelj, Katja (Author)
ID Ghonim, Sarah (Author)
ID Semple, Thomas (Author)
ID Babu-Narayan, Sonya V. (Author)
ID Nashat, Heba (Author)
ID Wort, Stephen J. (Author)
ID Gatzoulis, Michael A. (Author)
ID Brida, Margarita (Author)
Files:.pdf PDF - Presentation file, download (6,80 MB)
MD5: CB8085CB590B315662B4C5D847D5DEE3
 
URL URL - Source URL, visit https://doi.org/10.1016/j.ijcchd.2025.100619
 
Language:English
Typology:1.02 - Review Article
Organization:Logo UKC LJ - Ljubljana University Medical Centre
Abstract:Pulmonary hypertension (PH) is a complex and progressive disorder characterized by elevated pulmonary arterial pressures leading to right ventricular dysfunction and increased morbidity and mortality. Non-invasive imaging, including echocardiography, computed tomography (CT) and cardiovascular magnetic resonance (CMR), plays a crucial role in the diagnosis, risk stratification, and management of PH. The integration of these imaging modalities facilitates a multimodal approach to PH evaluation, enabling more precise diagnosis, improved phenotyping, and better-guided therapeutic decision-making. Echocardiography remains the first-line modality, offering valuable insights into pulmonary artery pressures, right ventricular size and function, and associated cardiac anomalies. Recent developments in speckle-tracking echocardiography and 3D imaging have enhanced its diagnostic and prognostic utility. CT imaging provides detailed evaluation of the pulmonary vasculature, parenchyma, and perfusion, which is essential in distinguishing PH subtypes. CMR is non-invasive, radiation free, and highly sensitive to changes in anatomy and function making it ideal for the long-term follow up of patients with PH. It offers in-depth evaluation of all cardiac chambers as well as pulmonary blood flow assessment and tissue characterisation. In this work we discuss current strengths, limitations, and future directions in these key imaging modalities used for the comprehensive assessment of PH.
Keywords:pulmonary hypertension, imaging, echocardiography
Publication status:Published
Publication version:Version of Record
Year of publishing:2025
Number of pages:str. 1-14
Numbering:Vol. 22, [article no.] 100619
PID:20.500.12556/DiRROS-27801 New window
UDC:616.1
ISSN on article:2666-6685
DOI:10.1016/j.ijcchd.2025.100619 New window
COBISS.SI-ID:258072067 New window
Note:Nasl. z nasl. zaslona; Opis vira z dne 21. 11. 2025;
Publication date in DiRROS:25.02.2026
Views:136
Downloads:59
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Record is a part of a journal

Title:International journal of cardiology congenital heart disease
Publisher:Elsevier B.V.
ISSN:2666-6685
COBISS.SI-ID:47640835 New window

Licences

License:CC BY-NC-ND 4.0, Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International
Link:http://creativecommons.org/licenses/by-nc-nd/4.0/
Description:The most restrictive Creative Commons license. This only allows people to download and share the work for no commercial gain and for no other purposes.

Secondary language

Language:Slovenian
Keywords:pljučna hipertenzija, slikovna diagnostika, ehokardiografija


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