ASE Updates Right Heart Echo Guidelines for PH Patients

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New standards aim to improve early detection and risk assessment

The American Society of Echocardiography (ASE) has released updated guidelines for assessing right heart function in patients with pulmonary hypertension (PH)—its first revision since 2010. The recommendations emphasize screening, risk stratification, and monitoring therapeutic response, reflecting evolving clinical standards and new PH definitions.

PH is now defined as mean pulmonary artery pressure >20 mmHg, based on evidence linking even minor elevations to increased morbidity and mortality.

Developed by a multidisciplinary team, the guidelines promote standardized echocardiographic techniques to enhance diagnostic accuracy and inform treatment decisions. Chair Dr. Monica Mukherjee emphasized their role in early detection and improved patient outcomes, while co-chair Dr. Lawrence Rudski highlighted the integration of physiology-driven, reproducible parameters.

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