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Under Pressure: Right Heart Catheterization and Provocative Testing for Diagnosing Pulmonary Hypertension
Pulmonary hypertension (PH) is a heterogenous disorder involving multiple pathophysiological processes that ultimately affect the vasculature within the lungs. Right heart catheterization (RHC) continues to be the benchmark for diagnosing PH. The use of provocation techniques during RHC can help sub...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Houston Methodist DeBakey Heart & Vascular
Center
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8298122/ https://www.ncbi.nlm.nih.gov/pubmed/34326928 http://dx.doi.org/10.14797/AFUI4711 |
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author | Tea, Isaac Hussain, Imad |
author_facet | Tea, Isaac Hussain, Imad |
author_sort | Tea, Isaac |
collection | PubMed |
description | Pulmonary hypertension (PH) is a heterogenous disorder involving multiple pathophysiological processes that ultimately affect the vasculature within the lungs. Right heart catheterization (RHC) continues to be the benchmark for diagnosing PH. The use of provocation techniques during RHC can help sub-characterize the type of PH and thus assist in developing appropriate treatment strategies for the management of each PH subtype. This review examines proven and novel approaches for evaluating the pulmonary vasculature during RHC and aspires to provide an accurate, clinically relevant framework for using RHC to diagnose and manage PH. Further improvement in standardized protocols will help optimize the application of RHC in patients with PH. |
format | Online Article Text |
id | pubmed-8298122 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Houston Methodist DeBakey Heart & Vascular
Center |
record_format | MEDLINE/PubMed |
spelling | pubmed-82981222021-07-28 Under Pressure: Right Heart Catheterization and Provocative Testing for Diagnosing Pulmonary Hypertension Tea, Isaac Hussain, Imad Methodist Debakey Cardiovasc J Review Article Pulmonary hypertension (PH) is a heterogenous disorder involving multiple pathophysiological processes that ultimately affect the vasculature within the lungs. Right heart catheterization (RHC) continues to be the benchmark for diagnosing PH. The use of provocation techniques during RHC can help sub-characterize the type of PH and thus assist in developing appropriate treatment strategies for the management of each PH subtype. This review examines proven and novel approaches for evaluating the pulmonary vasculature during RHC and aspires to provide an accurate, clinically relevant framework for using RHC to diagnose and manage PH. Further improvement in standardized protocols will help optimize the application of RHC in patients with PH. Houston Methodist DeBakey Heart & Vascular Center 2021-07-01 /pmc/articles/PMC8298122/ /pubmed/34326928 http://dx.doi.org/10.14797/AFUI4711 Text en Copyright: © 2021 The Author(s) https://creativecommons.org/licenses/by-nc/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (CC-BY-NC 4.0), which permits unrestricted use, distribution, and reproduction in any noncommercial medium, provided the original author and source are credited. See https://creativecommons.org/licenses/by-nc/4.0/. |
spellingShingle | Review Article Tea, Isaac Hussain, Imad Under Pressure: Right Heart Catheterization and Provocative Testing for Diagnosing Pulmonary Hypertension |
title | Under Pressure: Right Heart Catheterization and Provocative Testing
for Diagnosing Pulmonary Hypertension |
title_full | Under Pressure: Right Heart Catheterization and Provocative Testing
for Diagnosing Pulmonary Hypertension |
title_fullStr | Under Pressure: Right Heart Catheterization and Provocative Testing
for Diagnosing Pulmonary Hypertension |
title_full_unstemmed | Under Pressure: Right Heart Catheterization and Provocative Testing
for Diagnosing Pulmonary Hypertension |
title_short | Under Pressure: Right Heart Catheterization and Provocative Testing
for Diagnosing Pulmonary Hypertension |
title_sort | under pressure: right heart catheterization and provocative testing
for diagnosing pulmonary hypertension |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8298122/ https://www.ncbi.nlm.nih.gov/pubmed/34326928 http://dx.doi.org/10.14797/AFUI4711 |
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