2025 ASE建议：成人右心超声心动图评估指南及肺动脉高压的特殊注意事项.pdfVIP

GUIDELINESANDSTANDARDS

GuidelinesfortheEchocardiographic

AssessmentoftheRightHeartinAdultsand

SpecialConsiderationsinPulmonary

Hypertension:Recommendationsfromthe

AmericanSocietyofEchocardiography

MonicaMukherjee,MD,MPH,FASE,Chair,LawrenceG.Rudski,MDCM,FASE,Co-Chair,

KarimaAddetia,MD,FASE,JonathanAfilalo,MD,MSc,MicheleD’Alto,MD,PhD,BenjaminH.Freed,MD,

FASE,LynsyB.Friend,ACS,RCS,FASE,LunaGargani,MD,PhD,JuliaGrapsa,MD,PhD,FASE,

PaulM.Hassoun,MD,LanqiHua,RDCS,FASE,JiwonKim,MD,FASE,ValentinaMercurio,MD,PhD,

RajanSaggar,MD,andAntonVonk-Noordegraaf,MD,PhD,

Baltimore,Maryland;Montreal,Quebec,Canada;Chicago,Illinois;NaplesandPisa,Italy;Lebanon,NewHampshire;

London,UnitedKingdom;Boston,Massachusetts;NewYork,NewYork;LosAngeles,California;andAmsterdam,the

Netherlands

Rightheartadaptationtopulmonaryhypertension(PH)isacriticaldeterminantofclinicaloutcomes,

morbidity,andmortalityinpatientswithoratriskforcardiopulmonarydisease.TheWorldSymposiumon

PulmonaryHypertensionrecentlyredefinedPHasameanpulmonaryarterialpressure20mmHg,based

onawealthofepidemiologicevidenceunderscoringthesignificantimpactofevenmildlyelevatedmeanpul-

monaryarterypressuresonmajoradverseclinicalevents.ThelowereddiagnosticthresholdforPHhasre-

newedinterestinechocardiographyanditscriticalroleinearlyd