Under Pressure: Right Heart Catheterization and Provocative Testing for Diagnosing Pulmonary Hypertension

Isaac Tea; Imad Hussain

doi:10.14797/AFUI4711

Under Pressure: Right Heart Catheterization and Provocative Testing for Diagnosing Pulmonary Hypertension

Methodist DeBakey Cardiovascular Journal

Volume 17 (2021): Issue 2

By: Isaac Tea and Imad Hussain

Open Access

|Jul 2021

Abstract

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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Articles in this issue

DOI: https://doi.org/10.14797/AFUI4711 | Journal eISSN: 1947-6108

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Language: English

Page range: 92 - 100

Accepted on: Jan 7, 2021

Published on: Jul 1, 2021

Published by: Houston Methodist DeBakey Heart & Vascular Center

In partnership with: Paradigm Publishing Services

Keywords:

pulmonary hypertension,

pulmonary arterial hypertension,

left heart disease,

chronic thromboembolic pulmonary hypertension,

provocative testing,

exercise induced pulmonary hypertension,

vasoreactivity testing,

right heart catheterization,

solid organ tran

© 2021 Isaac Tea, Imad Hussain, published by Houston Methodist DeBakey Heart & Vascular Center
This work is licensed under the Creative Commons Attribution-NonCommercial 4.0 License.

Volume 17 (2021): Issue 2