Introduction: patients with heart failure Stage D, candidates for heart transplantation were performed to determine the pressure in the pulmonary artery by CCD, considered the gold standard test. However, there are noninvasive methods such as the ECO TT. Methods: retrospective study. The information about patients who were receiving a heart transplant in the FCI-IC between 2005-2013, and the correlation between systolic pulmonary evaluated by ECO TT and CCD was determined. Results: 46 patients were included. The estimated PSAP CCD was 48.3 ± 13.1 mmHg vs. 45.1 ± 12.1 mmHg ECO TT. The concordance of the PSAP determined by both methods was 0.475 (I, C: 0256-0694), the intraclass correlation coefficient was 0.090, indicating low concordance. Conclusion: the determination of pulmonary pressures determined by ECO TT has poor agreement with those obtained by CCD