01 January 2015 by John Ryan, Thenappan Thenappan, Stuart Rich, Stephen Archer

Category 5 PH: ECG showed non-specific TW flattening

Ryan JJ,Thenappan T,Luo N,Ha T,Patel AR,Rich S,Archer SL.The WHO classification of pulmonary hypertension: A case-based imaging compendium.Pulmonary circulation. 2012 ;2:107-21.

Category 5 PH. (A) ECG showed non-specific TW flattening. (B, C) Chest X-ray showed left-sided pleural effusion. (D, E) CT scan showed extensive confluent mediastinal and bihilar lymphadenopathy, compressing both pulmonary arteries, right more so than left. The tumor was also seen around the pericardium. Left-sided pleural effusion is visualized. (F) Right ventricular outflow tract echocardiogram color flow view showing turbulence distal to the pulmonic valve. (G) Pulsed wave Doppler across stenosis showing flow acceleration, with flow of 2 m/s (compared with normal of 1 m/s).


Additional keywords: angiogram,electrocardiogram,X-ray,imaging,group 5

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