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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...

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Detalles Bibliográficos
Autores principales: Tea, Isaac, Hussain, Imad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Houston Methodist DeBakey Heart & Vascular Center 2021
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.
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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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