Eisenmenger’s syndrome echocardiography and ultrasound

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Abdelrahman Ibrahim Abushouk, MD[2]

Overview

Echocardiography is the first line diagnostic modality of Eisenmenger's syndrome. Findings on an echocardiography suggestive of Eisenmenger's syndrome include underlying cardiac lesion responsible for the shunt, direct of the shunt, and elevated right ventricular systolic and pulmonary artery diastolic pressures.

Eisenmenger’s syndrome echocardiography

Echocardiography is the first line diagnostic modality for Eisenmenger's syndrome. The following findings can be delineated[1][2][3]:

  • Underlying cardiac defect.
  • Direction of intracardiac blood flow.
  • Quantification of right ventricle and pulmonary artery pressures
  • Coexisting structural abnormalities
  • Impaired longitudinal RV and LV strain

References

  1. Moceri P, Iriart X, Bouvier P, Baudouy D, Gibelin P, Saady R; et al. (2016). "Speckle-tracking imaging in patients with Eisenmenger syndrome". Arch Cardiovasc Dis. 109 (2): 104–12. doi:10.1016/j.acvd.2015.11.013. PMID 26868160.
  2. Valkovicova T, Kaldararova M, Reptova A, Bohacekova M, Bacharova L, Hatala R; et al. (2018). "Eisenmenger syndrome - an electrocardiographic and echocardiographic assessment of the right ventricle". Bratisl Lek Listy. 119 (6): 321–329. doi:10.4149/BLL_2018_060. PMID 29947230.
  3. Kempny A, Hjortshøj CS, Gu H, Li W, Opotowsky AR, Landzberg MJ; et al. (2017). "Predictors of Death in Contemporary Adult Patients With Eisenmenger Syndrome: A Multicenter Study". Circulation. 135 (15): 1432–1440. doi:10.1161/CIRCULATIONAHA.116.023033. PMID 27979875.

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