Cardiac catheterization in pulmonary arterial hypertension: Tips and tricks to enhance diagnosis and guide therapy

IF 0.8 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS

International journal of cardiology. Congenital heart disease Pub Date : 2024-07-14 DOI:10.1016/j.ijcchd.2024.100527

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引用次数: 0

Abstract

Cardiac catheterization (CC) is essential for the diagnosis of pulmonary hypertension (PH), and for its characterisation. It allows distinction between pre- and post-capillary PH which, when integrated with other non-invasive data, facilitates classification into one of the 5 diagnostic groups defined by international PH guidelines. CC also provides valuable information for the risk stratification of patients with PH, guiding management and the type and intensity of treatment. Right heart catheterization is usually sufficient in PH practice, yet additional information can be acquired by extending the protocol to include left heart catheterization or provocation protocols.

This review provides a detailed overview of diagnostic CC as used in PH practice, including in patients with congenital heart disease, with an emphasis on fundamental concepts, tips and tricks and potential pitfalls.

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肺动脉高压的心导管检查：加强诊断和指导治疗的技巧和窍门

心导管检查（CC）对肺动脉高压（PH）的诊断及其特征描述至关重要。它可以区分毛细血管前和毛细血管后 PH，与其他非侵入性数据相结合，有助于将患者归入国际 PH 指南定义的 5 个诊断组别之一。CC 还能为 PH 患者的风险分层提供有价值的信息，指导管理以及治疗的类型和强度。在 PH 诊疗中，右心导管检查通常就足够了，但如果将检查方案扩展到左心导管检查或激发方案，还能获得更多信息。本综述详细概述了在 PH 诊疗中使用的 CC 诊断方法，包括先天性心脏病患者，重点介绍了基本概念、技巧和窍门以及潜在的误区。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International journal of cardiology. Congenital heart disease Cardiology and Cardiovascular Medicine

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审稿时长

83 days

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