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Pulmonary hypertension may result from respiratory and cardiac diseases, the most severe forms occurring in thromboembolic and primary pulmonary hypertension.<\/jats:p>\n                  <jats:p>Pulmonary hypertension is most often defined as a mean PAP &gt;25\u2005mmHg at rest or &gt;30\u2005mmHg during exercise, the pressure being measured invasively with a pulmonary artery catheter. Doppler echocardiography allows serial, noninvasive follow-up of PAPs and right heart function. When the adaptive mechanisms of right ventricular dilatation and hypertrophy cannot compensate for the haemodynamic burden, right heart failure occurs and is associated with poor prognosis.<\/jats:p>\n                  <jats:p>The haemodynamic profile is the major determinant of prognosis. In both primary and secondary pulmonary hypertension, special attention must be paid to the assessment of pulmonary vascular resistance index (PVRI), right heart function and pulmonary vasodilatory reserve.<\/jats:p>\n                  <jats:p>Recent studies have stressed the prognostic values of exercise capacity (6-min walk test), right atrial pressure, stroke index and vasodilator challenge responses, as well as an interest in new imaging techniques and natriuretic peptide determinations. Overall, careful haemodynamic evaluation may optimise new diagnostic and therapeutic strategies in pulmonary hypertension.<\/jats:p>","DOI":"10.1183\/09031936.02.00068002","type":"journal-article","created":{"date-parts":[[2002,11,7]],"date-time":"2002-11-07T19:31:11Z","timestamp":1036697471000},"page":"1314-1331","source":"Crossref","is-referenced-by-count":275,"title":["Haemodynamic evaluation of pulmonary hypertension"],"prefix":"10.1183","volume":"20","author":[{"given":"D.","family":"Chemla","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V.","family":"Castelain","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Herv\u00e9","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Y.","family":"Lecarpentier","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Brimioulle","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"81","published-online":{"date-parts":[[2002,11,1]]},"reference":[{"key":"2024101809562774000_20.5.1314.1","unstructured":"Rich S. 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