Standardization of the Right Heart Catheterization and the Emerging Role of Advanced Hemodynamics in Heart Failure.

Autor: Grinstein J; University of Chicago, Department of Medicine, Section of Cardiology, Chicago, Illinois. Electronic address: jgrinstein@bsd.uchicago.edu., Houston BA; Medical University of South Carolina, Department of Medicine, Section of Heart Failure, Charleston, South Carolina., Nguyen AB; University of Chicago, Department of Medicine, Section of Cardiology, Chicago, Illinois., Smith BA; University of Chicago, Department of Medicine, Section of Cardiology, Chicago, Illinois., Chinco A; University of Chicago, Department of Surgery, Chicago, Illinois., Pinney SP; Mount Sinai Hospital, Department of Medicine, Section of Cardiology, New York, New York., Tedford RJ; Medical University of South Carolina, Department of Medicine, Section of Heart Failure, Charleston, South Carolina., Belkin MN; University of Chicago, Department of Medicine, Section of Cardiology, Chicago, Illinois.
Jazyk: angličtina
Zdroj: Journal of cardiac failure [J Card Fail] 2023 Nov; Vol. 29 (11), pp. 1543-1555. Date of Electronic Publication: 2023 Aug 24.
DOI: 10.1016/j.cardfail.2023.08.009
Abstrakt: The accurate assessment of hemodynamics is paramount to providing timely and efficacious care for patients presenting in cardiogenic shock. Recently, the regular use of the pulmonary artery catheter in cardiogenic shock has had a resurgence with emerging data indicating improved survival in the modern era. Optimal multidisciplinary management of advanced heart failure and cardiogenic shock relies on our ability to effectively communicate and understand the complete hemodynamic assessment. Standardization of data acquisition and a renewed focus on the physiological processes, and thresholds driving disease progression, including the coupling ratio and myocardial reserve, are needed to fully understand and interpret the hemodynamic assessment. This State-of-the-Art review discusses best practices in the cardiac catheterization laboratory as well as emerging data on the prognostic role of emerging advanced hemodynamic parameters.
(Copyright © 2023 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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