44. The Echocardiographic Assessment of Pulmonary Arterial Hypertension

  1. Wyman W. Lai MD, MPH Director Associate Professor4,5,
  2. Luc L. Mertens MD, PhD Section Head Associate Professor6,7,
  3. Meryl S. Cohen MD Associate Professor Director8,9,10 and
  4. Tal Geva MD Professor of Pediatrics Chief11,12
  1. Jeffrey F. Smallhorn MBBS, FRACP, FRCP(c) Professor Director Program Director1,2,3

Published Online: 5 AUG 2009

DOI: 10.1002/9781444306309.ch44

Echocardiography in Pediatric and Congenital Heart Disease: From Fetus to Adult

Echocardiography in Pediatric and Congenital Heart Disease: From Fetus to Adult

How to Cite

Smallhorn, J. F. (2009) The Echocardiographic Assessment of Pulmonary Arterial Hypertension, in Echocardiography in Pediatric and Congenital Heart Disease: From Fetus to Adult (eds W. W. Lai, L. L. Mertens, M. S. Cohen and T. Geva), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444306309.ch44

Editor Information

  1. 4

    Columbia University, USA

  2. 5

    Non-Invasive Cardiology Imaging, Division of Pediatric Cardiology, Morgan Stanley Children's Hospital of New York Presbyterian, New York, NY, USA

  3. 6

    Echocardiography, The Hospital for Sick Children, Toronto, ON, Canada

  4. 7

    University of Toronto, Toronto, ON, Canada

  5. 8

    University of Pennsylvania School of Medicine, Philadelphia, PA, USA

  6. 9

    Echocardiography Laboratory, Philadelphia, PA, USA

  7. 10

    Cardiology Fellowship Training Program, The Children' Hospital of Philadelphia, Philadelphia, PA, USA

  8. 11

    Harvard Medical School, Boston, MA, USA

  9. 12

    Division of Non-Invasive Cardiac Imaging, Department of Cardiology, Children' Hospital Boston, Boston, MA, USA

Author Information

  1. 1

    University of Alberta, Edmonton, AL, Canada

  2. 2

    Echocardiography Laboratory, Edmonton, AL, Canada

  3. 3

    Division of Pediatric Cardiology, Stollery Children's Hospital, Edmonton, AL, Canada

Publication History

  1. Published Online: 5 AUG 2009
  2. Published Print: 25 SEP 2009

ISBN Information

Print ISBN: 9781405174015

Online ISBN: 9781444306309



  • pulmonary arterial hypertension and echocardiographic assessment;
  • pulmonary endothelial dysfunction;
  • secondary pulmonary hypertension;
  • exclusion of pulmonary venous obstruction;
  • pulmonary valve motion patterns and pulmonary artery pressure;
  • tricuspid valve regurgitation;
  • pulmonary artery compliance and Doppler;
  • myocardial performance index (Tei index)


This chapter contains sections titled:

  • Introduction

  • Definition of pulmonary arterial hypertension

  • Secondary pulmonary hypertension

  • Technique and pitfalls of assessing the pediatric patient with suspected pulmonary arterial hypertension

  • Exclusion of pulmonary venous obstruction

  • Echocardiographic techniques to evaluate the pulmonary vascular bed

  • The impact of pulmonary arterial hypertension on the right ventricle

  • The impact of pulmonary hypertension on the left ventricle

  • References