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Some clinical features suggestive of PH caused by left-sided heart disease include: older age, hypertension, diabetes, coronary artery disease, obesity; evidence of LV hypertrophy, systolic or diastolic dysfunction; and elevated B-type natriuretic peptide.
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Qualitative estimation of myocardial perfusion contrast echo is inferior to contrast enhanced 2D echocardiography with regard to visibility of all LV segments and appears slightly inferior with regards to interobserver agreement (IOA), while both are superior to unenhanced 2D echocardiography.
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