Table 9—

Arbitrary criteria for estimating the presence of pulmonary hypertension(PH) based on tricuspid regurgitation peak velocity and Doppler-calculated pulmonary arterial (PA) systolic pressure at rest (assuming a normal right atrial pressure of 5 mmHg) and on additional echocardiographic variables suggestive of PH

Class#Level
Echocardiographic diagnosis: PH unlikely
 Tricuspid regurgitation velocity ≤2.8 m·s−1, PA systolic pressure ≤36 mmHg and no additional echocardiographic variables suggestive of PHIB
Echocardiographic diagnosis: PH possible
 Tricuspid regurgitation velocity ≤2.8 m·s−1, PA systolic pressure ≤36 mmHg, but presence of additional echocardiographic variables suggestive of PHIIaC
 Tricuspid regurgitation velocity 2.9–3.4 m·s−1, PA systolic pressure 37–50 mmHg with/without additional echocardiographic variables suggestive of PHIIaC
Echocardiographic diagnosis: PH likely
 Tricuspid regurgitation velocity >3.4 m·s−1, PA systolic pressure >50 mmHg, with/without additional echocardiographic variables suggestive of PHIB
Exercise Doppler echocardiography is not recommended for screening of PHIIIC
  • #: class of recommendation; : level of evidence.