%0 Journal Article %A Yan-Pin Lin %A Dominic Davenport %A Natasha Shrikrishna %A Abigail Cole %A Harpreet Ranu %T Pulmonary hypertension in a district general hospital %D 2012 %J European Respiratory Journal %P P936 %V 40 %N Suppl 56 %X Introduction There is an increasing awareness to identify patients with pulmonary hypertension (PH). Classification of the underlying cause defines further management and referral to specialist centres.Aim To assess the burden of PH at St Richard's Hospital, which serves a population of 230'000.Methods All departmental transthoracic echocardiographs (TTEs) between 1st January 2009 and 30th June 2009 were reviewed using ERS suggested criteria to identify patients with possible PH and likely PH. Further investigations were reviewed to identify the underlying aetiology in those with likely PH.ResultsA total of 2038 TTEs were reviewed. 93 (5%) had likely PH with a pulmonary artery systolic pressure (PASP) of >50mmHg. 624 (31%) had possible PH with either the presence of additional echocardiographic variables suggestive of PH or a PASP 37-50mmHg.Of those with likely PH, 48% were male and 52% were female. The median age was 85 years (range 52-98). The overall mortality rate was 39% at 1 year and 58% at 2 years. Only 13% had right heart catheterisation locally.View this table:Further Investigations In Patients Without Significant Left Heart (LH) Disease on TTEConclusions PH is associated with a poor prognosis. The most common cause in our population was LH disease. However in patients without LH disease, less than a quarter had further investigations to exclude potentially curable CTEPH. %U https://erj.ersjournals.com/content/erj/40/Suppl_56/P936.full.pdf